LOGAN THIMONS (PA-C) – Physician Assistant, NPI 1265138242

LOGAN THIMONS (PA-C) is a healthcare provider. based in West mifflin, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for LOGAN THIMONS (PA-C) is 1265138242

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
LOGAN THIMONS (PA-C)
NPI
1265138242
Phone
(412) 466-3215
Address
500 N Lewis Run Rd Ste 217
Enumeration Date
1 February 2023
Last Update Date
4 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
2154827546
Graduation Year
2022 (4 years ago)
PAC ID
0446625289
Group Practice PAC ID
5799091690
Professional Enrollment ID
I20231212003902
Address ID
PA191281751PH525XXSTXX308
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

9,689 PHYSICIAN ASSISTANT in PA

Provider Addresses for LOGAN THIMONS (PA-C)

  • 500 N Lewis Run Rd Ste 217

    West Mifflin, PA 151223070

    Phone: (412) 466-3215

    Type: Location

  • 350 3rd St

    Beaver, PA 150092261

    Phone: (724) 774-5255

    Type: Location

  • 104 W WALLACE ST APT A

    LLANO, TX 786432353

    Phone: (412) 735-2421

    Type: Mailing

  • 1220 LINCOLN WAY STE 101

    WHITE OAK, PA 151311642

    Phone: (412) 678-8806

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 166 Open Payments records for all available years, with a total value of $3,442.

Total Amount is formed as General ($3,442) + Research ($0) + Ownership ($0) = $3,442.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($826).

Total Amount

$3,442

General + Research + Ownership

Payments

166

Total payment records

General Amount

$3,442

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

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: 2023-12-12

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
I20231212003902IPhysician AssistantPATBD

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
17003Destruction of precancer skin growth, 2-14 growths34356$0
11102Biopsy of related skin growth, first growth9587$0
17000Destruction of precancer skin growth, 1 growth8571$0
11103Biopsy of related skin growth, each additional growth7242$0
99203New patient office or other outpatient visit, 30-44 minutes6464$0
View full utilization report →

Insurance plans in this area (ZIP 15122)

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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: 5799091690View full group profile
NameSpecialtyState
D E R M A T O L O G YMD
Physician AssistantNC
D E R M A T O L O G YFL
Physician AssistantFL
Physician AssistantPA
Physician AssistantCT
D E R M A T O L O G YPA
Physician AssistantPA
Physician AssistantPA
Physician AssistantPA

Reviews

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Frequently asked questions

How do payers reference LOGAN THIMONS (PA-C)?
For LOGAN THIMONS (PA-C), use NPI 1265138242 as the unique 10-digit identifier.
Is there an active status for LOGAN THIMONS (PA-C)?
For scheduling context, LOGAN THIMONS (PA-C) is shown as active in the registry.
What expertise is attributed to LOGAN THIMONS (PA-C)?
LOGAN THIMONS (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with LOGAN THIMONS (PA-C)?
Directory geography for LOGAN THIMONS (PA-C) centers on West Mifflin, Pennsylvania.
When was this NPI issued?
Enumeration for LOGAN THIMONS (PA-C) is noted as February 1, 2023 where the registry provides it.

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