DR. LOGAN JEFFREY NIEHUES (MD) – Emergency Medicine Physician, NPI 1205330776

DR. LOGAN JEFFREY NIEHUES (MD) is a healthcare provider. based in Temple, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. S6004 (TX). The NPI Number for DR. LOGAN JEFFREY NIEHUES (MD) is 1205330776

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. LOGAN JEFFREY NIEHUES (MD)
NPI
1205330776
Phone
(254) 724-5815
Address
2401 S 31ST ST # 11AG062
Enumeration Date
20 March 2018
Last Update Date
30 June 2025

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
3252351701
Graduation Year
2018 (8 years ago)
PAC ID
4587911649
Group Practice PAC ID
4688575228
Professional Enrollment ID
I20200922002093
Address ID
TX795567120SW200XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

4,051 EMERGENCY MEDICINE in TX

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Provider Addresses for DR. LOGAN JEFFREY NIEHUES (MD)

  • 2401 S 31ST ST # 11AG062

    TEMPLE, TX 765080001

    Phone: (254) 724-5815

    Type: Mailing

  • 120 E HARRIS AVE

    SAN ANGELO, TX 769035904

    Phone: (254) 724-5815

    Type: Mailing

  • Baylor Scott & White Medical Center - Temple, 2401, South 31st Street, Temple, Bell County, Texas, 76508, United States

    STOP MS-11-AG062

    TEMPLE, TX 765080001

    Phone: (254) 724-2111

    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: 2020-09-22

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
I20200922002093IEmergency MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making174170$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only149141$0
99284Emergency department visit with moderate level of medical decision making131128$0
99291Critical care, first 30-74 minutes5151$0
99283Emergency department visit with low level of medical decision making3129$0
View full utilization report →

Insurance plans in this area (ZIP 76508)

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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: 4688575228View full group profile
NameSpecialtyState
Family Practice, Addiction Medicine, Emergency MedicineLA
Emergency MedicineOK
Family Practice, Obstetrics/GynecologyTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
Emergency MedicineTX
Family PracticeTX
Emergency MedicineTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. LOGAN JEFFREY NIEHUES (MD)?
NPI 1205330776 is assigned to DR. LOGAN JEFFREY NIEHUES (MD) under the national enumeration system.
Is DR. LOGAN JEFFREY NIEHUES (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. LOGAN JEFFREY NIEHUES (MD)?
The page reflects Emergency Medicine Physician for DR. LOGAN JEFFREY NIEHUES (MD). Clinical services aligned with this taxonomy classification.
Does DR. LOGAN JEFFREY NIEHUES (MD) practice in Texas?
You will see Temple, Texas on file for DR. LOGAN JEFFREY NIEHUES (MD) alongside any extra practice locations.
What if Temple, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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