RUSSEL JEROME LEGREID, M.D.

NPI 1407897978, individual, Bluffton, IN, Specialist

Evidence tier

documented action, then payment

Listed on the Medicare revocation list since May 16, 2015.
Medicaid still paid claims in 24 later months, $68,466 in total.

score 95 of 100, rank 165, $68K at stake

Public list actions

Medicare revocation effective May 16, 2015, barred from re-enrolling until August 16, 2031

424.535(a)(3) felonies, Practitioner - Otolaryngology, TN

Medicare revocation effective August 16, 2021, barred from re-enrolling until August 16, 2031

424.535(a)(3) felonies, Practitioner - Otolaryngology, WI

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

list	identity check	action date	window closed	months paid after	first	last	paid after	12 months before
Medicare revocation list 424.535(a)(3) felonies	Exact NPI, name verified	May 16, 2015	Aug 16, 2031	24	Jan 2018	Jan 2020	$68K	$0

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	RUSSEL JEROME LEGREID, M.D.
Type	Individual
Status	Active
NPI issued	June 8, 2006, last updated July 21, 2022
Practice location	1026 S MAIN ST, Bluffton, IN 46714-3614, 260-353-2023
Mailing address	6920 POINTE INVERNESS WAY STE 200, Fort Wayne, IN 46804-7934
Specialties	Specialist (174400000X, license 39319 TN) Specialist (174400000X, primary, license 01074428A IN)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$35K	51%	$72	$67 (top 5% from $121)	58th percentile
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$21K	31%	$44	$44 (top 5% from $110)	51st percentile
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$7K	10%	$112	$95 (top 5% from $171)	too few months to rank
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$5K	8%	$78	$60 (top 5% from $133)	too few months to rank
J3010	Injection, fentanyl citrate, 0.1 mg	$0	0%	$0.00	$0.33 (top 5% from $14)	too few months to rank
J2405	Injection, ondansetron hydrochloride, per 1 mg	$0	0%	$0.00	$0.38 (top 5% from $13)	too few months to rank
J1100	Injection, dexamethasone sodium phosphate, 1 mg	$0	0%	$0.00	$0.62 (top 5% from $14)	too few months to rank
J2704	Injection, propofol, 10 mg	$0	0%	$0.00	$0.26 (top 5% from $21)	too few months to rank

In this area

297 providers in IN carry an indicator in the public record, with $2.4B at stake between them. The most common is more hours than a day holds, on 203 of them, followed by part of a provider network on 86. 6 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	SAMIR WAHIB Sullivan, IN, ranked 13	$153K	Listed on the NY Medicaid exclusion list and the Medicare revocation list since June 7, 2023. Medicaid still paid claims in 12 later months, $152,666 in total. and 1 more
1	GREEN HOUSE AND ASSOCIATES INC Mccordsville, IN, ranked 258	$16K	Listed on the Medicare revocation list and the KY Medicaid exclusion list since April 10, 2022. Medicaid still paid claims in 3 later months, $15,615 in total.
1	MIDWEST PAIN CLINIC INTERVENTIONAL LLC Michigan City, IN, ranked 366	$2K	Listed on the Medicare revocation list since November 29, 2018. Medicaid still paid claims in 8 later months, $2,082 in total.
1	BETHANY CATALDI Highland, IN, ranked 478	$0	Adjudicated (sentenced) per a Department of Justice release dated February 18, 2026. No Medicaid payments in the last 12 observed months.
1	CENTER FOR OTOLARYNGOLOGY AND FACIAL PLASTIC SURGERY, L.L.C. Highland, IN, ranked 531	$0	Adjudicated (sentenced) per a Department of Justice release dated February 18, 2026. No Medicaid payments in the last 12 observed months.
1	JOHANN FARLEY Merrillville, IN, ranked 533	$0	Adjudicated (sentenced) per a Department of Justice release dated October 3, 2024. No Medicaid payments in the last 12 observed months.
2	ANDREW MILLER Fort Wayne, IN, ranked 711	$1.8M	Billed more hands-on hours than a day holds in 1 month, peaking at 21.8 hours per day across 3 billing organizations. 85% of Medicaid dollars are on codes with a history of abuse.
2	STACY WRIGHT Selma, IN, ranked 714	$1.1M	Billed more hands-on hours than a day holds in 10 months, peaking at 26.3 hours per day across 3 billing organizations. 98% of Medicaid dollars are on codes with a history of abuse.

All 297 in IN

Recent enforcement in IN

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJSentencedJun 18, 2026

Florida Man Sentenced to 36 Months in Prison

As vice president of a dental practice, he submitted claims to Indiana Medicaid falsely billing for hundreds of dental surgeries that were never performed, used patients' personal identifiers without authorization to support the claims, and committed tax evasion to conceal the income.

DOJSentencedFeb 18, 2026

Highland Physician Sentenced to 97 Months in Prison

Cataldi, sole owner of an otolaryngology practice, billed Medicare and private insurance for thousands of balloon sinuplasty procedures that she did not perform, seeking approximately $50 million and being paid almost $20 million.

DOJCivil settlementJan 28, 2026

Settlement for $1.7 Million With Former Physician Don J. Wagoner and His Business Entity for Fraudulently Billing the Indiana Medicaid Program

Defendants required patients seeking opioid or pain medicine prescriptions to give a single urine sample, tested it with one inexpensive multiplexed screening kit, and billed Indiana Medicaid $171.27 or more per patient by falsely certifying that nine or more separate samples had been collected and analyzed.

DOJSentencedJan 8, 2026

Indiana Woman Sentenced to 84 Months in Prison

Reese falsely claimed to be a licensed clinical psychologist, used forged documents to obtain employment and stole the identities and license numbers of three medical professionals to enroll in Indiana Medicaid and bill for therapy services.

DOJSentencedOct 3, 2024

Merrillville Doctor Sentenced to Prison and Ordered to Pay Restitution

Farley submitted claims to Medicaid and Medicare falsely representing that he had complex, extended visits with patients at his addiction treatment practice, billing for more than 7,000 services he did not provide.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

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