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LOGAN ROBERT VIDAL DO
NPI 1306133210
Family Medicine in San Diego, CA

Active since June 30, 2011PECOS EnrolledAccepts Medicare Assignment
88.63/100
CMS Quality Rating
VAMC 3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161(858) 552-8585 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Logan Robert Vidal Do NPPES

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

LOGAN ROBERT VIDAL DO (NPI 1306133210) is an individual family medicine provider in San Diego, California, licensed in Florida (OS12575) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Broadlawns Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1306133210
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLOGAN ROBERT VIDALCredential: DO
Location AddressVAMC 3350 LA JOLLA VILLAGE DRSan Diego, CA 92161-0001
Mailing Address300 W May StMarengo, IA 52301-1261
Phone(858) 552-8585
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 30, 2011
Last NPPES UpdateDecember 17, 2019
✔ NPI 1306133210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · OS12575✔ Licensed in IA · 4347✔ Licensed in IA · R-9308
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
VAMC 3350 LA JOLLA VILLAGE DR, San Diego, CA 92161
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Logan Robert Vidal Do 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 ID9931343886
PECOS Enrollment IDI20130917000087
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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services46 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
33 services31 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
22 services21 patients

Hospital Affiliations CMS Care Compare

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

Broadlawns Medical Center

Acute Care Hospitals · Des Moines, IA
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160101
Location1801 Hickman RoadDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92161 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

88.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.38
Promoting Interoperability100
Improvement Activities40
Cost67.07

Other Providers at the Same Location NPPES

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

MS. JULIE TAMARA GROSSMAN FNP
Registered Nurse
VAMC 3350 LA JOLLA VILLAGE DR, CODE 111B
SAN DIEGO, CA 92161
San Diego County (858) 552-8585

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 Vidal's NPI number?

The NPI number for Logan Vidal is 1306133210. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Logan Vidal located?

Logan Vidal practices at Vamc 3350 La Jolla Village Dr, San Diego, CA 92161. The listed phone number is (858) 552-8585.

What is Logan Vidal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Logan Vidal enrolled in Medicare?

Yes. Logan Vidal 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.

What insurance does Logan Vidal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Logan Vidal 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 Vidal affiliated with any hospitals?

According to CMS data, Logan Vidal is affiliated with Broadlawns Medical Center.

When was this NPI record last updated?

The NPPES record for Logan Vidal was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.