Tyler Legro, DO
NPI 1477111052 · Pediatrics Physician · Peoria, IL
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Legro, DO is a Pediatrics Physician provider in Peoria, IL (NPI 1477111052).
Provider details
- NPI number
- 1477111052
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 77084 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-30
- Last updated
- 2022-07-11
- Certified
- 2022-07-11
Frequently asked questions
- What is Tyler Legro's NPI number?
- Tyler Legro's National Provider Identifier (NPI) is 1477111052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Legro's specialty?
- Tyler Legro is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Tyler Legro located?
- Tyler Legro's practice location on file with NPPES is 530 N.e. Glen Oak Avenue, Peoria, IL 61637.
- What is Tyler Legro's phone number?
- The practice phone number listed in the NPPES registry for Tyler Legro is (309) 655-2274.
- Does Tyler Legro accept Medicare?
- Tyler Legro is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Legro's NPI active?
- Yes — Tyler Legro's NPI (1477111052) is active in the NPPES registry as of the last update on 2022-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.