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DR. TONY R LOGGINS M.D.
NPI 1174508618
Family Medicine in Linton, ND

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
121 W ELM AVE, LINTON, ND 58552(701) 254-4531(701) 254-5459 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tony R Loggins M.d. NPPES

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

DR. TONY R LOGGINS M.D. (NPI 1174508618) is an individual family medicine provider in Linton, North Dakota, licensed in South Dakota (7464) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with South Central Health, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1986).

NPPES Registry Identity

NPI1174508618
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TONY R LOGGINSCredential: M.D.
Location Address121 W ELM AVELinton, ND 58552-2100
Mailing AddressPo Box 850Linton, ND 58552-0850 · (701) 254-4531 · Fax (701) 254-5459
Phone(701) 254-4531
Fax(701) 254-5459
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1986
Enumeration DateDecember 7, 2005
Last NPPES UpdateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
✔ NPI 1174508618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in SD · 7464✔ Licensed in ND · 20374✔ Licensed in TX · H2541
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
121 W ELM AVE, Linton, ND 58552
Open in Google Maps ↗

Other Identifiers 1

Medicaid135447409TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of North Dakota, Sanford Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tony R Loggins M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547244790
PECOS Enrollment IDI20240208002423
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 Reassignments

3

Medicare enrollment records show Tony Loggins reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Linton Hospital
Same address
Rural
111 W ELM AVE
Linton, ND 58552
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1609813625 (North Dakota)
  • 11 clinicians in this Medicare group
NPI 1508047788 (701) 254-4511
Wishek Hospital-Clinic Association
27 mi
Rural Health
555 LAKE AVE E STE 1
Napoleon, ND 58561
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1295772804 (North Dakota)
  • 18 clinicians in this Medicare group
NPI 1679774616 (701) 754-2322
Sanford Health Network
81 mi
Rural Health
110 5TH AVE
Ipswich, SD 57451
  • Reassigned Medicare billing, South Dakota enrollment
  • 422 clinicians in this Medicare group
NPI 1962459842 (605) 426-6040

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Central Health

Critical Access Hospitals · Wishek, ND
OwnershipGovernment - Local
CMS Certification Number351321
Location1007 4th Ave SWishek, ND 58495 · Mcintosh County
Emergency services

Linton Hospital - Cah

Critical Access Hospitals · Linton, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351328
Location111 Elm Ave WLinton, ND 58552 · Emmons County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58552 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$29.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DAYLON DUANE WIGART RN MSN, FNP-C
Nurse Practitioner (Family)
121 W ELM AVE
LINTON, ND 58552
Emmons County (701) 254-4531
ALICE M SCHATZ PA-C
Physician Assistant
121 W ELM AVE
LINTON, ND 58552
Emmons County (701) 254-4531
CASSIDY LEE FREEMAN
Nurse Practitioner (Family)
121 W ELM AVE
LINTON, ND 58552
Emmons County (701) 254-4531
REBECCA JANE SCHATZ FNP-C
Nurse Practitioner (Family)
121 W ELM AVE
LINTON, ND 58552
Emmons County (701) 254-4531
LINTON HOSPITAL
Clinic/Center (Rural Health)
121 W ELM AVE
LINTON, ND 58552
Emmons County (701) 254-4531
JACQUELINE MARIE GRUNEFELDER FNPC
Nurse Practitioner
121 W ELM AVE
LINTON, ND 58552
Emmons County (701) 254-4531

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 Tony Loggins's NPI number?

The NPI number for Tony Loggins is 1174508618. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Tony Loggins located?

Tony Loggins practices at 121 W Elm Ave, Linton, ND 58552. The listed phone number is (701) 254-4531.

What is Tony Loggins's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tony Loggins enrolled in Medicare?

Yes. Tony Loggins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tony Loggins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Loggins reassigns Medicare benefits to 3 organizations: Linton Hospital (Linton, ND), Wishek Hospital-Clinic Association (Napoleon, ND) and Sanford Health Network (Ipswich, SD). Each 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 Tony Loggins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tony Loggins accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Wellmark of South Dakota, Inc. list Tony Loggins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tony Loggins affiliated with any hospitals?

According to CMS data, Tony Loggins is affiliated with South Central Health and Linton Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Tony Loggins was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.