MR. MICHAEL STEPHEN LOGUE (FAM NRS PRAC FNP) – Family Nurse Practitioner, NPI 1750338919
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
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Provider Addresses for MR. MICHAEL STEPHEN LOGUE (FAM NRS PRAC FNP)
11140, South Towne Square, Green Park, Saint Louis County, Missouri, 63123, United States
SUITE # 105
ST LOUIS, MO 63123
Phone: (314) 894-0787
Fax: (314) 729-3963
Type: Mailing
10012, Kennerly Road, Concord, Saint Louis County, Missouri, 63128, United States
SUITE # 301
ST LOUIS, MO 63128
Phone: (314) 894-0787
Fax: (314) 729-1489
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($32).
Total Amount
$46
General + Research + Ownership
Payments
3
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $32 |
| Amgen Inc. | $14 |
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: 2003-12-30
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 |
|---|---|---|---|---|
| I20031230000511 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 93793 | Anticoagulant management of patient taking warfarin | 54 | 12 | $0 |
Insurance plans in this area (ZIP 63123)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | CT | |
| Cardiovascular Disease (Cardiology) | MO | |
| Cardiovascular Disease (Cardiology) | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Cardiovascular Disease (Cardiology) | NE | |
| Cardiovascular Disease (Cardiology) | MO |
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