DR. IAN J LOGAN (M.D.) – Gastroenterology Physician, NPI 1164572186
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,981 GASTROENTEROLOGY in CA
Provider Addresses for DR. IAN J LOGAN (M.D.)
2068 JOHN JONES ROAD
SUITE # 3116
DAVIS, CA 956169711
Phone: (530) 747-0389
Fax: (530) 747-0623
Type: Location
10470, Old Placerville Road, Mather, Rancho Cordova, Sacramento County, California, 95827, United States
SUITE 100
SACRAMENTO, CA 958272539
Phone: (800) 470-0071
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Olympus America Inc. ($32).
Total Amount
$45
General + Research + Ownership
Payments
2
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Olympus America Inc. | $32 |
| ABBVIE INC. | $13 |
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: 2010-11-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101113000039 | I | Gastroenterology | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 205 | 197 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 180 | 179 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 152 | 152 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 120 | 109 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 52 | 39 | $0 |
Insurance plans in this area (ZIP 95616)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | CA | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 16 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Internal Medicine | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| Allergy/Immunology, Rheumatology | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA |
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