LOGAN WIGGINS BOLDWILL (M.D.) – Internal Medicine Physician, NPI 1912352675

LOGAN WIGGINS BOLDWILL (M.D.) is a healthcare provider. based in Athens, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. R9574 (TX). The NPI Number for LOGAN WIGGINS BOLDWILL (M.D.) is 1912352675

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
LOGAN WIGGINS BOLDWILL (M.D.)
NPI
1912352675
Phone
(903) 676-1000
Address
2000 S PALESTINE ST
Enumeration Date
2 May 2016
Last Update Date
2 August 2019

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
9036761000
Graduation Year
2016 (10 years ago)
PAC ID
3577852201
Group Practice PAC ID
4486915600
Professional Enrollment ID
I20190208000711
Address ID
TX757515610AT2000XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

13,297 INTERNAL MEDICINE in TX

Provider Addresses for LOGAN WIGGINS BOLDWILL (M.D.)

  • 2000 S PALESTINE ST

    ATHENS, TX 757515610

    Phone: (903) 676-1000

    Fax: (903) 676-1337

    Type: Location

  • 510, Karey Drive, Temple, Bell County, Texas, 76502, United States

    TEMPLE, TX 765028727

    Phone: (903) 539-6544

    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: 2019-02-08

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
I20190208000711IInternal 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes18887$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15774$0
99239Hospital discharge day management, more than 30 minutes113112$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6060$0
99291Critical care, first 30-74 minutes3620$0
View full utilization report →

Insurance plans in this area (ZIP 75751)

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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: 4486915600View full group profile

Reviews

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Frequently asked questions

Can I verify LOGAN WIGGINS BOLDWILL (M.D.) with an NPI only?
You can start verification with NPI 1912352675 for LOGAN WIGGINS BOLDWILL (M.D.), then check state licensing separately.
Does CMS list LOGAN WIGGINS BOLDWILL (M.D.) as active?
Yes — LOGAN WIGGINS BOLDWILL (M.D.) is active in the NPI listing used on this page.
What is LOGAN WIGGINS BOLDWILL (M.D.)'s primary classification?
Internal Medicine Physician is the headline specialty for LOGAN WIGGINS BOLDWILL (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for LOGAN WIGGINS BOLDWILL (M.D.)?
LOGAN WIGGINS BOLDWILL (M.D.)'s geographic hint is Athens, Texas in our summary view.
Why does LOGAN WIGGINS BOLDWILL (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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