LOGAN STARK MD
NPI 1235663352
Emergency Medicine in Charlotte, NC
About Logan Stark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOGAN STARK MD (NPI 1235663352) is an individual emergency medicine provider in Charlotte, North Carolina, licensed in North Carolina (227563) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Logan Stark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Logan Stark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Deland, FL 32720
- Reassigned Medicare billing, Florida enrollment
- 103 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
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 Stark's NPI number?
The NPI number for Logan Stark is 1235663352. It was assigned to this individual provider in the NPPES registry on April 14, 2017.
Where is Logan Stark located?
Logan Stark practices at 1000 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 355-3181.
What is Logan Stark's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Logan Stark enrolled in Medicare?
Yes. Logan Stark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Logan Stark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Logan Stark reassigns Medicare benefits to Emergency Medicine Professionals PA (Deland, FL). 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 Logan Stark'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 Logan Stark was last updated on April 14, 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.