LOGAN KYLE FLETCHER DPM
NPI 1265135040
Podiatrist - Foot & Ankle Surgery in Gainesville, FL

Active since March 22, 2023PECOS EnrolledAccepts Medicare Assignment
4343 W NEWBERRY RD, SUITE 7, GAINESVILLE, FL 32607(352) 331-3077(352) 331-3265 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2026, Jul 13, 2026, May 31, 2023 and 1 more (4 updates tracked since 2023).

About Logan Kyle Fletcher Dpm NPPES

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

LOGAN KYLE FLETCHER DPM (NPI 1265135040) is an individual foot & ankle surgery provider in Gainesville, Florida, licensed in Florida (PO4760) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Barry University School Of Podiatric Medicine (2023).

NPPES Registry Identity

NPI1265135040
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameLOGAN KYLE FLETCHERCredential: DPM
Location Address4343 W NEWBERRY RD, SUITE 7Gainesville, FL 32607-4417
Mailing Address4881 Nw 8th Ave, Suite 2Gainesville, FL 32605-4582 · (352) 416-1082 · Fax (352) 373-6144
Fax(352) 331-3265
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2023
Enumeration DateMarch 22, 2023
Last NPPES UpdateAugust 21, 20264 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1265135040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in FL · PO4760
4343 W NEWBERRY RD, Gainesville, FL 32607

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 Kyle Fletcher Dpm 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 ID42668345
PECOS Enrollment IDI20260728004417
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 Logan Fletcher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Internal Medicine
4343 W NEWBERRY RD
Gainesville, FL 32607
  • Reassigned Medicare billing, Florida enrollment
  • 141 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.

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.

Massage Therapist
4343 W NEWBERRY RD, STE #4
GAINESVILLE, FL 32607
Physician Assistant
4343 W NEWBERRY RD, SUITE 10
GAINESVILLE, FL 32607
Nurse Practitioner (Family)
4343 W NEWBERRY RD, SUITE 12
GAINESVILLE, FL 32607
Nurse Practitioner (Family)
4343 W NEWBERRY RD
GAINESVILLE, FL 32607
Nurse Practitioner (Family)
4343 W NEWBERRY RD, SUITE 8
GAINESVILLE, FL 32607
Obstetrics & Gynecology (Gynecology)
4343 W NEWBERRY RD, SUITE 16
GAINESVILLE, FL 32607
Hospitalist
4343 W NEWBERRY RD
GAINESVILLE, FL 32607
Family Medicine
4343 W NEWBERRY RD
GAINESVILLE, FL 32607

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 Fletcher's NPI number?

The NPI number for Logan Fletcher is 1265135040. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Logan Fletcher located?

Logan Fletcher practices at 4343 W Newberry Rd Suite 7, Gainesville, FL 32607. The listed phone number is (352) 331-3077.

What is Logan Fletcher's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Logan Fletcher enrolled in Medicare?

Yes. Logan Fletcher 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 organization bills Medicare for Logan Fletcher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Fletcher reassigns Medicare benefits to Simedhealth LLC (Gainesville, 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 Fletcher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Logan Fletcher accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Logan Fletcher 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.

When was this NPI record last updated?

The NPPES record for Logan Fletcher was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.