LOGAN TAYLOR VANDER WOUDE (DO, MPH) – Ophthalmology Physician, NPI 1972037018

LOGAN TAYLOR VANDER WOUDE (DO, MPH) is a healthcare provider. based in Gainesville, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials DO, MPH. They hold a License No. OS17574 (FL). The NPI Number for LOGAN TAYLOR VANDER WOUDE (DO, MPH) is 1972037018

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
LOGAN TAYLOR VANDER WOUDE (DO, MPH)
NPI
1972037018
Phone
(920) 819-1228
Address
6033 SW 75TH TER APT 204
Enumeration Date
15 April 2017
Last Update Date
16 September 2022

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
7722991404
Graduation Year
2017 (9 years ago)
PAC ID
6305117086
Group Practice PAC ID
9234039116
Professional Enrollment ID
I20210507001677
Address ID
FL329604511VE3500X1XXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

Provider Addresses for LOGAN TAYLOR VANDER WOUDE (DO, MPH)

  • 6033 SW 75TH TER APT 204

    GAINESVILLE, FL 326085282

    Phone: (920) 819-1228

    Type: Mailing

  • 2215 Nebraska Ave Ste 2-H

    Fort Pierce, FL 349504866

    Phone: (772) 299-1404

    Type: Location

  • UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States

    GAINESVILLE, FL 32610

    Phone: (352) 273-8787

    Type: Location

  • 3500 US HIGHWAY 1

    VERO BEACH, FL 329604511

    Phone: (772) 299-1404

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $2,698.

Total Amount is formed as General ($2,698) + Research ($0) + Ownership ($0) = $2,698.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($667).

Total Amount

$2,698

General + Research + Ownership

Payments

77

Total payment records

General Amount

$2,698

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-05-07

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
I20210507001677IOphthalmologyFLTBD

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 minutes859335$0
76514Ultrasound scan of cornea to determine thickness246212$0
99213Established patient office or other outpatient visit, 20-29 minutes202149$0
68761Closure of tear duct opening using plug19968$0
92133Imaging of optic nerve194183$0
View full utilization report →

Insurance plans in this area (ZIP 32608)

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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: 9234039116View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

How do payers reference LOGAN TAYLOR VANDER WOUDE (DO, MPH)?
For LOGAN TAYLOR VANDER WOUDE (DO, MPH), use NPI 1972037018 as the unique 10-digit identifier.
Active or inactive — what applies to LOGAN TAYLOR VANDER WOUDE (DO, MPH)?
You should see LOGAN TAYLOR VANDER WOUDE (DO, MPH) as active in CMS-hosted NPPES data.
What area of care is associated with LOGAN TAYLOR VANDER WOUDE (DO, MPH)?
LOGAN TAYLOR VANDER WOUDE (DO, MPH)'s record emphasizes Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is LOGAN TAYLOR VANDER WOUDE (DO, MPH) registered?
Use Gainesville, Florida as the headline location for LOGAN TAYLOR VANDER WOUDE (DO, MPH) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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