KELLY J. LOGAN (D.O.) – Physical Medicine & Rehabilitation Physician, NPI 1376592139
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
272 PHYSICAL MEDICINE AND REHABILITATION in CO
Provider Addresses for KELLY J. LOGAN (D.O.)
2801 Purcell St
Brighton, CO 806013551
Phone: (515) 778-3126
Type: Location
601 E 63RD ST STE 210
KANSAS CITY, MO 641103303
Phone: (816) 569-5475
Fax: (816) 569-5482
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-06-13
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 |
|---|---|---|---|---|
| I20110613000529 | I | Physical Medicine And Rehabilitation | MO | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 713 | 110 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 100 | 70 | $0 |
Insurance plans in this area (ZIP 80601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | MO | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 620 | 46 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation, Orofacial Pain | PA | |
| Family Practice, Hospice/Palliative Care | WI | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation | IN | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation | IL | |
| Internal Medicine | IL | |
| - | MA | |
| Physical Medicine And Rehabilitation | IL |
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