Dr. Peter Legnani, MD
1150 5th Ave, Ste 1b, New York, NY 10128 • +1-540-555-9826
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & New York Percentiles
NPI #1942219548 • CBSA 35620 • Gastroenterology
Dr. Peter Legnani, MD (NPI #1942219548) practices Gastroenterology in New York, NY (10128) with sub-specialty concentration in 32 Active CMS HCPCS Codes, recording 42,229 annual CMS services across 282 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (98.99th percentile in New York) (+10.02σ vs NY state mean, 99.64th statewide percentile).
Fee-schedule auditing of NPI 1942219548 highlights 297 annual claims for 99214 (98.99th New York percentile; $48–$65 self-pay corridor) plus 201 encounters under 45380 and 168 under 43239.
At 1150 5th Ave, Ste 1b (10128), Dr. Peter Legnani, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$239.00 per new consult (4.95/5 bedside rating).
Clinical background for Dr. Legnani (MD, NPI #1942219548) includes accredited doctoral training (1996, 30 yrs in practice) and virtual + in-office availability across NY.
Top 10% Gastroenterology volume leader in New York, NY
42,229 annual services across 282 beneficiaries
Standard deviations from NY Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 297 | 98.99th | $48 – $65 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 201 | 93.99th | $114 – $157 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 168 | 96.99th | $95 – $130 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 80 | 97.99th | $127 – $175 |
| 99204 | New Patient Digestive & Hepatology Consultation | 56 | 99.5th | $67 – $92 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (32 HCPCS billing breadth) | 41,427 | 98.99th | $45 – $65 |
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Dr. Peter Legnani, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Legnani National Provider Identifier | NPI #1942219548 (MD) | CMS NPPES Registry (10128) |
| Dr. Legnani New York CMS Volume Rank | 98.99th Pct (42,229 CMS svcs; Z +10.019σ) | CMS Medicare Part B (NY Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (New York, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 9 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.95/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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