Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, May 31, 2023, Mar 22, 2023 (3 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.

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
Enumeration DateMarch 22, 2023
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1265135040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Logan Kyle Fletcher Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Logan Fletcher was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.