MATTHEW JAMES LOGAN (MD) – Family Medicine Physician, NPI 1033213228

MATTHEW JAMES LOGAN (MD) is a healthcare provider. based in Stillwater, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 55326 (WI). The NPI Number for MATTHEW JAMES LOGAN (MD) is 1033213228

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW JAMES LOGAN (MD)
NPI
1033213228
Phone
(651) 342-1039
Address
270 MAIN ST N STE 300
Enumeration Date
11 September 2006
Last Update Date
4 May 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6513421039
Graduation Year
2005 (21 years ago)
PAC ID
5890792022
Group Practice PAC ID
7719296789
Professional Enrollment ID
I20170112000047
Address ID
WI532025715MI342XXSTXX401
Telehealth
Yes
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

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Provider Addresses for MATTHEW JAMES LOGAN (MD)

  • Main Street North, Stillwater, Washington County, Minnesota, 55082, United States

    STILLWATER, MN 550826788

    Phone: (651) 342-1039

    Fax: (651) 342-1428

    Type: Mailing

  • 342 N Water St Ste 600

    Milwaukee, WI 532025715

    Phone: (651) 342-1039

    Fax: (651) 342-1428

    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: 2017-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (953 days ago).

Enrollment records

2

Earliest due date

2023-10-31

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
I20061101000407IFamily PracticeMN2023-10-31
I20170112000047IFamily PracticeWITBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes887228$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes9256$0
G2214Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care6923$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and6148$0
99493Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes6122$0
View full utilization report →

Insurance plans in this area (ZIP 55082)

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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: 7719296789View full group profile
NameSpecialtyState
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Family PracticeMN
Pediatric Medicine, Internal MedicineWI
Nurse PractitionerWI
Family PracticeWI
Nurse PractitionerWI
Nurse PractitionerMN

Reviews

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Frequently asked questions

Can I cross-check MATTHEW JAMES LOGAN (MD) using NPI 1033213228?
NPI 1033213228 belongs to MATTHEW JAMES LOGAN (MD); compare other details if you need extra assurance.
Is MATTHEW JAMES LOGAN (MD) still an active registrant?
MATTHEW JAMES LOGAN (MD) carries an active NPI according to the public dataset.
What area of care is associated with MATTHEW JAMES LOGAN (MD)?
MATTHEW JAMES LOGAN (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MATTHEW JAMES LOGAN (MD)?
Directory geography for MATTHEW JAMES LOGAN (MD) centers on Stillwater, Minnesota.
When was this NPI issued?
Enumeration for MATTHEW JAMES LOGAN (MD) is noted as September 11, 2006 where the registry provides it.

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