DR. JEREMY JAMES LOGAN (MD) – Diagnostic Radiology Physician, NPI 1053383729
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DIAGNOSTIC RADIOLOGY in OR
Provider Addresses for DR. JEREMY JAMES LOGAN (MD)
1460 NE MEDICAL CENTER DR
BEND, OR 977016061
Phone: (541) 382-6633
Fax: (541) 383-4577
Type: Location
4411 The 25 Way NE
Suite 150
Albuquerque, NM 871095857
Phone: (505) 332-6900
Fax: (505) 332-6921
Type: Location
1000 N Oak Ave
Marshfield, WI 544495703
Phone: (715) 387-5511
Type: Location
4411, The 25 Way Northeast, Albuquerque, Bernalillo County, New Mexico, 87109, United States
SUITE 150
ALBUQUERQUE, NM 871095857
Phone: (505) 332-6900
Fax: (505) 332-6921
Type: Mailing
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: 2024-04-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20051006000010 | I | Diagnostic Radiology | NM | TBD |
| I20230131001803 | I | Diagnostic Radiology | WI | TBD |
| I20240424001564 | I | Diagnostic Radiology | OR | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,011 | 838 | $0 |
| 71046 | X-ray of chest, 2 views | 443 | 414 | $0 |
| 70450 | Ct scan head or brain without contrast | 274 | 268 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 183 | 177 | $0 |
| 73562 | X-ray of knee, 3 views | 108 | 96 | $0 |
Insurance plans in this area (ZIP 97701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | NM | 71010 | X-ray of chest, 1 view, front | 1294 | 994 |
| DIAGNOSTIC RADIOLOGY | NM | 71250 | CT scan chest | 71 | 71 |
| DIAGNOSTIC RADIOLOGY | NM | 73110 | X-ray of wrist, minimum of 3 views | 36 | 36 |
| DIAGNOSTIC RADIOLOGY | NM | 73562 | X-ray of knee, 3 views | 32 | 27 |
| DIAGNOSTIC RADIOLOGY | NM | 73630 | X-ray of foot, minimum of 3 views | 30 | 27 |
| DIAGNOSTIC RADIOLOGY | NM | 74177 | CT scan of abdomen and pelvis with contrast | 296 | 284 |
| DIAGNOSTIC RADIOLOGY | NM | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | MD | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR |
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