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DR. LOGAN ROBERT GORGES M.D.
NPI 1295146223
Emergency Medicine in Waupaca, WI

Active since May 13, 2014PECOS EnrolledAccepts Medicare Assignment
800 RIVERSIDE DR, WAUPACA, WI 54981(715) 258-1000(715) 258-1042 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 29, 2021, Aug 20, 2018 (2 updates tracked since 2018).

About Dr. Logan Robert Gorges M.d. NPPES

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

DR. LOGAN ROBERT GORGES M.D. (NPI 1295146223) is an individual emergency medicine provider in Waupaca, Wisconsin, licensed in Wisconsin (74348) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains a secondary practice location in Fort Riley.

NPPES Registry Identity

NPI1295146223
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. LOGAN ROBERT GORGESCredential: M.D.
Location Address800 RIVERSIDE DRWaupaca, WI 54981-1943
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 454-4229 · Fax (920) 993-5001
Phone(715) 258-1000
Fax(715) 258-1042
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2014
Enumeration DateMay 13, 2014
Last NPPES UpdateApril 29, 20212 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1295146223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WI · 74348✔ Licensed in VA · 0101260237
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
800 RIVERSIDE DR, Waupaca, WI 54981
Open in Google Maps ↗

Secondary Practice Location 1

Location 1814 Marshall DrFort Riley, KS 66442 · Phone (852) 396-6457

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Dr. Logan Robert Gorges M.d. 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 ID2163851486
PECOS Enrollment IDI20210506002916
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

6

Medicare enrollment records show Logan Gorges reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thedacare Medical Center - Waupaca, Inc.
Same address
Emergency Medicine
800 RIVERSIDE DR
Waupaca, WI 54981
  • Reassigned Medicare billing, Wisconsin enrollment
  • 110 clinicians in this Medicare group
NPI 1780782680 (715) 258-1000
Thedacare Medical Center - Wild Rose, Inc
14 mi
Critical Access
601 GROVE AVE
Wild Rose, WI 54984
  • Reassigned Medicare billing, Wisconsin enrollment
  • 42 clinicians in this Medicare group
NPI 1043263999 (920) 622-3257
Thedacare Medical Center - New London, Inc.
17 mi
Critical Access
1405 MILL ST
New London, WI 54961
  • Reassigned Medicare billing, Wisconsin enrollment
  • 106 clinicians in this Medicare group
NPI 1538127220 (920) 531-2092
Thedacare Medical Center - Berlin, Inc.
26 mi
Critical Access
225 MEMORIAL DRIVE
Berlin, WI 54923
  • Reassigned Medicare billing, Wisconsin enrollment
  • 104 clinicians in this Medicare group
NPI 1760413777 (920) 361-1313
Fox Valley Emergency Medicine S.C.
33 mi
Emergency Medicine
130 2ND ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 10 clinicians in this Medicare group
NPI 1831145192 (920) 729-2063
Thedacare Medical Center - Shawano, Inc.
34 mi
Critical Access
100 COUNTY ROAD B
Shawano, WI 54166
  • Reassigned Medicare billing, Wisconsin enrollment
  • 174 clinicians in this Medicare group
NPI 1548260839 (715) 526-2111

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

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54981 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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 20

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

THEDACARE MEDICAL CENTER - WAUPACA, INC.
General Acute Care Hospital (Critical Access)
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
MR. BRUCE ALLEN PIERSON PT
Physical Therapist
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1053
AMANDA DEBAUCHE OTR
Occupational Therapist
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1053
AARON D. REINEKING PA
Physician Assistant
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1300
THEDACARE MEDICAL CENTER - WAUPACA, INC.
General Acute Care Hospital (Critical Access)
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
CHARLES D WASHINGTON M.D.
Emergency Medicine
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
JASON BONFIGLIO PA
Physician Assistant
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
MR. DEOGRACIAS R ESTRADA M.D.
Hospitalist
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000

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 Gorges's NPI number?

The NPI number for Logan Gorges is 1295146223. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Logan Gorges located?

Logan Gorges practices at 800 Riverside Dr, Waupaca, WI 54981. The listed phone number is (715) 258-1000.

What is Logan Gorges's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Logan Gorges enrolled in Medicare?

Yes. Logan Gorges 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 Gorges's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Gorges reassigns Medicare benefits to 6 organizations: Thedacare Medical Center - Waupaca, Inc. (Waupaca, WI), Thedacare Medical Center - Wild Rose, Inc (Wild Rose, WI), Thedacare Medical Center - New London, Inc. (New London, WI), Thedacare Medical Center - Berlin, Inc. (Berlin, WI), Fox Valley Emergency Medicine S.C. (Neenah, WI) and 1 more organization, 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 Gorges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Logan Gorges accept?

Health plans from CareSource (Common Ground Healthcare) list Logan Gorges 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 Gorges affiliated with any hospitals?

According to CMS data, Logan Gorges is affiliated with Thedacare Regional Med Ctr - Neenah.

When was this NPI record last updated?

The NPPES record for Logan Gorges was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.