LOGAN C HUBBARD
NPI 1215425830
Urology in Maplewood, MN

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: October 25, 2026.

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

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
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

Secondary Practice Locations 3

Location 15200 Fairview BlvdWyoming, MN 55092-8013 · Phone (651) 982-7000
Location 2420 Delaware St SEMinneapolis, MN 55455-0341 · Phone (612) 273-8400
Location 32799 W Grand BlvdDetroit, MI 48202-2608 · Phone (313) 916-7026

Accepted 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

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Logan Hubbard reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2945 HAZELWOOD ST STE 100
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Neurology
1650 BEAM AVE STE 200
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Clinic/Center
1414 MARYLAND AVE E
Saint Paul, MN 55106
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Point of Service
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Multi-Specialty
720 WASHINGTON AVE SE STE 200
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group

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 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 14

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

Surgery (Vascular Surgery)
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109
Physician Assistant
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109
Audiologist
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109
Surgery
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109
Psychologist (Clinical)
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109
Audiologist
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109
Physician Assistant
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109
Internal Medicine (Rheumatology)
2945 HAZELWOOD ST STE 200
MAPLEWOOD, MN 55109

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 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.

Where is Logan Hubbard located?

Logan Hubbard practices at 2945 Hazelwood St Ste 200, Maplewood, MN 55109. The listed phone number is (651) 232-7800.

What is Logan Hubbard's specialty?

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

Is Logan Hubbard enrolled in Medicare?

Yes. Logan Hubbard 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 Logan Hubbard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Hubbard reassigns Medicare benefits to 7 organizations: Healtheast Medical Research Institute (Maplewood, MN), Fairview Express Care (Maplewood, MN), Fairview Clinics (Saint Paul, MN), Fairview Specialty Services (Saint Paul, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN) and 2 more organizations, listed in the Medicare section above. 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 Logan Hubbard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Logan Hubbard accept?

Health plans from Sanford Health Plan list Logan Hubbard 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 Logan Hubbard affiliated with any hospitals?

According to CMS data, Logan Hubbard is affiliated with Fairview Lakes Health Services, M Health Fairview Southdale Hospital, M Health Fairview University Of Mn, M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.

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.