DR. DWAYNE KEITH LOGAN (M.D.) – Ophthalmology Physician, NPI 1164520714

DR. DWAYNE KEITH LOGAN (M.D.) is a healthcare provider. based in Anaheim, California. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. G68583 (CA). The NPI Number for DR. DWAYNE KEITH LOGAN (M.D.) is 1164520714

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. DWAYNE KEITH LOGAN (M.D.)
NPI
1164520714
Phone
(714) 821-4666
Address
888 S. DISNEYLAND DRIVE
Enumeration Date
20 September 2006
Last Update Date
13 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
7605683334
Graduation Year
1986 (40 years ago)
PAC ID
9436119419
Group Practice PAC ID
2264322080
Professional Enrollment ID
I20041110000495
Address ID
CA922603821PA44651CTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,665 OPHTHALMOLOGY in CA

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Provider Addresses for DR. DWAYNE KEITH LOGAN (M.D.)

  • South Disneyland Drive, Anaheim, Orange County, California, 92802, United States

    SUITE 100

    ANAHEIM, CA 928021828

    Phone: (714) 821-4666

    Fax: (714) 533-6800

    Type: Mailing

  • 14726 RAMONA AVE STE 203

    CHINO, CA 917105730

    Phone: (626) 305-9100

    Fax: (626) 305-0152

    Type: Mailing

  • East Spring Street, Long Beach, Los Angeles County, California, 90808, United States

    LONG BEACH, CA 908083752

    Phone: (562) 938-9945

    Fax: (562) 496-0433

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 82 Open Payments records for all available years, with a total value of $9,434.

Total Amount is formed as General ($9,434) + Research ($0) + Ownership ($0) = $9,434.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Johnson & Johnson Surgical Vision, Inc. ($4,757).

Total Amount

$9,434

General + Research + Ownership

Payments

82

Total payment records

General Amount

$9,434

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041110000495IOphthalmologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes402304$0
92134Imaging of retina226151$0
99213Established patient office or other outpatient visit, 20-29 minutes149116$0
92133Imaging of optic nerve115114$0
92083Exam of visual field with extended testing109108$0
View full utilization report →

Insurance plans in this area (ZIP 92802)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264322080View full group profile
NameSpecialtyState
O P T O M E T R YCA
-CA
-CA
O P H T H A L M O L O G YCA
-CA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. DWAYNE KEITH LOGAN (M.D.)?
NPI 1164520714 is assigned to DR. DWAYNE KEITH LOGAN (M.D.) under the national enumeration system.
Is DR. DWAYNE KEITH LOGAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. DWAYNE KEITH LOGAN (M.D.) list a primary specialty?
If you are matching referrals, note Ophthalmology Physician for DR. DWAYNE KEITH LOGAN (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. DWAYNE KEITH LOGAN (M.D.) practice in California?
You will see Anaheim, California on file for DR. DWAYNE KEITH LOGAN (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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