LOGAN OUDERKIRK – Surgery Physician, NPI 1245723865
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
785 GENERAL SURGERY in MO
Provider Addresses for LOGAN OUDERKIRK
PO BOX 505673
SAINT LOUIS, MO 631505673
Phone:
Type: Mailing
3800 S National Ave Ste 600
Springfield, MO 658075249
Phone: (000) 000-0000
Type: Location
525 Branson Landing Blvd
Branson, MO 656162052
Phone: (000) 000-0000
Type: Location
525 Branson Landing Blvd Ste 307
Branson, MO 656162126
Phone: (417) 348-8080
Type: Location
29 NW 1st Ln
LaMar, MO 647598105
Phone: (000) 000-0000
Type: Location
University of Kansas - School of Medicine Wichita Campus Kansas University Medical School, 1010, North Kansas Street, Wichita, Sedgwick County, Kansas, 66214, United States
WICHITA, KS 672143124
Phone: (316) 293-2665
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $446.
Total Amount is formed as General ($446) + Research ($0) + Ownership ($0) = $446.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($157).
Total Amount
$446
General + Research + Ownership
Payments
6
Total payment records
General Amount
$446
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $157 |
| CONMED Corporation | $128 |
| Davol Inc. | $120 |
| Solventum Corporation | $25 |
| Boston Scientific Corporation | $15 |
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: 2024-08-15
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 |
|---|---|---|---|---|
| I20240815003457 | I | General Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MO | |
| Family Practice | MO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Family Practice | MO | |
| Hospitalist, Family Practice, Family Practice | NE | |
| Orthopedic Surgery | MO |
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