LOGAN J MONTELEONE (DC) – Chiropractor, NPI 1558180547

LOGAN J MONTELEONE (DC) is a healthcare provider. based in Viera, Florida. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. CH15207 (FL). The NPI Number for LOGAN J MONTELEONE (DC) is 1558180547

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
LOGAN J MONTELEONE (DC)
NPI
1558180547
Phone
(321) 751-5351
Address
1715 BERGLUND LN STE 104
Enumeration Date
7 October 2024
Last Update Date
8 October 2024

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
3217515351
Graduation Year
2024 (2 years ago)
PAC ID
4284167743
Group Practice PAC ID
8729075445
Professional Enrollment ID
I20241023001741
Address ID
FL329406477ME1715XLNXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,472 CHIROPRACTIC in FL

Provider Addresses for LOGAN J MONTELEONE (DC)

  • 1715 BERGLUND LN STE 104

    VIERA, FL 329406477

    Phone: (321) 751-5351

    Mailing address matches the actual address.

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: 2024-10-23

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
I20241023001741IChiropracticFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32940)

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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: 8729075445View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationFL
C H I R O P R A C T I CFL

Reviews

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Frequently asked questions

What is the registry number for LOGAN J MONTELEONE (DC)?
The registry entry for LOGAN J MONTELEONE (DC) shows NPI 1558180547.
Should I treat LOGAN J MONTELEONE (DC) as an active provider?
Patients and plans typically see LOGAN J MONTELEONE (DC) as active in the national extract.
What does the directory say LOGAN J MONTELEONE (DC) does?
Insurance directories may phrase it differently, but here LOGAN J MONTELEONE (DC) maps to Chiropractor. Clinical services aligned with this taxonomy classification.
Can patients visit LOGAN J MONTELEONE (DC) in Viera, Florida?
For routing, start with Viera, Florida for LOGAN J MONTELEONE (DC), then verify phone and hours locally.
Can I export LOGAN J MONTELEONE (DC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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