LOGAN C HUBBARD
NPI 1215425830
Urology in Maplewood, MN

Q: What is Logan Hubbard's NPI number?

The NPI number for Logan Hubbard is 1215425830. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Q: What is Logan Hubbard's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Logan Hubbard was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 30, 2018PECOS EnrolledAccepts Medicare Assignment

2945 HAZELWOOD ST STE 200, MAPLEWOOD, MN 55109(651) 232-7800 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2024, May 2, 2023, Apr 30, 2018 (3 updates tracked since 2018).

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About Logan C Hubbard NPPES

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

LOGAN C HUBBARD (NPI 1215425830) is an individual urology provider in Maplewood, Minnesota, licensed in Michigan (4301508586) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1215425830

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameLOGAN C HUBBARD

Location Address2945 HAZELWOOD ST STE 200Maplewood, MN 55109-1243

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806

Phone(651) 232-7800

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 30, 2018

Last NPPES UpdateMay 17, 20243 updates tracked since enumeration

NPPES CertifiedMay 17, 2024

✔ NPI 1215425830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MI · 4301508586

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 390200000X

2945 HAZELWOOD ST STE 200, Maplewood, MN 55109

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Secondary Practice Locations 3

Location 12799 W Grand BlvdDetroit, MI 48202-2608 · Phone (313) 916-7026

Location 2420 Delaware St SEMinneapolis, MN 55455-0341 · Phone (612) 273-8400

Location 35200 Fairview BlvdWyoming, MN 55092-8013 · Phone (651) 982-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Logan C Hubbard 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 ID7810352473

PECOS Enrollment IDI20240626002753

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.

Hospital Affiliations CMS Care Compare 5

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

Fairview Lakes Health Services

Acute Care Hospitals · Wyoming, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240050

Location5200 Fairview BoulevardWyoming, MN 55092 · Chisago County

Emergency services Birthing friendly

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240078

Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County

Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240080

Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County

Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240210

Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County

Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240213

Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 15

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

ALEXANDRA MERCEL D.O.

Surgery (Vascular Surgery)