DR. SAMUEL ERNEST LOGAN M.D., PHD
NPI 1013914241
Plastic Surgery in Saint Joseph, MI

Q: What is Samuel Logan's NPI number?

The NPI number for Samuel Logan is 1013914241. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Q: What is Samuel Logan's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Logan was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 01, 2005PECOS Enrolled

3901 STONEGATE PARK, SUITE 300, SAINT JOSEPH, MI 49085(269) 556-6000(269) 556-6020 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Samuel Ernest Logan M.d., Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL ERNEST LOGAN M.D., PHD (NPI 1013914241) is an individual plastic surgery provider in Saint Joseph, Michigan, licensed in Michigan (4301056980) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013914241

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. SAMUEL ERNEST LOGANCredential: M.D., PHD

Location Address3901 STONEGATE PARK, SUITE 300Saint Joseph, MI 49085-9137

Mailing Address3901 Stonegate Park, Suite 300Saint Joseph, MI 49085-9137 · (269) 556-6000

Phone(269) 556-6000

Fax(269) 556-6020

Sole ProprietorNo

Enumeration DateJuly 1, 2005

Last NPPES UpdateJanuary 31, 2017

✔ NPI 1013914241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in MI · 4301056980

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSpecialistTaxonomy 174400000X · License 4301056980 (MI)

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 4301056980 (MI)

3901 STONEGATE PARK, Saint Joseph, MI 49085

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Other Identifiers 4

Medicaid2663684MI

Medicare ID-Type UnspecifiedA12812MI

Medicaid1013914241MI

Medicare PINMI2051MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Ernest Logan M.d., Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Logan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeland Medical Practices

3.0 mi

Internal Medicine

1234 NAPIER AVE
Saint Joseph, MI 49085

Reassigned Medicare billing, Michigan enrollment
724 clinicians in this Medicare group

NPI 1538397120 (269) 428-5007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMERICAN LIMB & ORTHOPEDIC CO.

Prosthetic/Orthotic Supplier

3901 STONEGATE PARK, SUITE 200
SAINT JOSEPH, MI 49085

Berrien County (269) 408-0129

LAKELAND MEDICAL PRACTICES

Surgery (Plastic and Reconstructive Surgery)

3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085

Berrien County (269) 556-6000

GORDON SANGHI WON DDS

Dentist (General Practice)

3901 STONEGATE PARK, STE 100
SAINT JOSEPH, MI 49085

Berrien County (269) 428-9500

KAREN LYNNE POWERS MD

Plastic Surgery

3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085

Berrien County (269) 556-6000

RIDDHI JAY SHAH D.O.

Dermatology

3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085

Berrien County (269) 408-4265

CHRISTINA DIANE PAREIGIS MD

Physical Medicine & Rehabilitation

3901 STONEGATE PARK, SUITE #500
SAINT JOSEPH, MI 49085

Berrien County (269) 429-6700

LAKELAND MEDICAL PRACTICES

Dermatology

3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085

Berrien County (269) 556-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Logan's NPI number?

The NPI number for Samuel Logan is 1013914241. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Samuel Logan located?

Samuel Logan practices at 3901 Stonegate Park Suite 300, Saint Joseph, MI 49085. The listed phone number is (269) 556-6000.

What is Samuel Logan's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Samuel Logan enrolled in Medicare?

Yes. Samuel Logan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Logan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Logan reassigns Medicare benefits to Lakeland Medical Practices (Saint Joseph, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Logan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Logan was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.