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LOGAN ANDERSON DO
NPI 1356916209
Family Medicine in Jerome, ID

Active since May 24, 2021PECOS EnrolledAccepts Medicare Assignment
132 5TH AVE W STE 1&2, JEROME, ID 83338(208) 814-9800 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 25, 2024, Mar 6, 2024, May 24, 2021 (3 updates tracked since 2021).

About Logan Anderson Do NPPES

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

LOGAN ANDERSON DO (NPI 1356916209) is an individual family medicine provider in Jerome, Idaho, licensed in Idaho (O-1750) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Rocky Vista University College Of Osteopathic Med (2021).

NPPES Registry Identity

NPI1356916209
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLOGAN ANDERSONCredential: DO
Location Address132 5TH AVE W STE 1&2Jerome, ID 83338-1871
Mailing Address132 5th Ave W Ste 1&2Jerome, ID 83338-1871 · (208) 814-9800
Phone(208) 814-9800
Sole ProprietorNo
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2021
Enumeration DateMay 24, 2021
Last NPPES UpdateJune 25, 20243 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1356916209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · O-1750
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.
132 5TH AVE W STE 1&2, Jerome, ID 83338
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan, Select Health.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 Anderson 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 ID9830591635
PECOS Enrollment IDI20230630000835
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 Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Luke's Clinic LLC
9.7 mi
Family Medicine
775 POLE LINE RD W
Twin Falls, ID 83301
  • Reassigned Medicare billing, Idaho enrollment
  • Medicare enrollment name: St Lukes Clinic LLC
  • 322 clinicians in this Medicare group
NPI 1790718229 (208) 814-1000

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 3

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Jerome

Critical Access Hospitals · Jerome, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131310
Location709 North Lincoln AvenueJerome, ID 83338 · Jerome County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83338 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Reported Quality Measures

Cervical Cancer Screening
52%25 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
79%39 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
54%26 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
100%105 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
76%68 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
67%27 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
46%74 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 62 patients
Patients screened: 98% · 62 patients
100%26 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

DEMSIE M BUTLER MD
Family Medicine
132 5TH AVE W STE 1&2
JEROME, ID 83338
Jerome County (208) 814-9800

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 Anderson's NPI number?

The NPI number for Logan Anderson is 1356916209. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Where is Logan Anderson located?

Logan Anderson practices at 132 5th Ave W Ste 1&2, Jerome, ID 83338. The listed phone number is (208) 814-9800.

What is Logan Anderson's specialty?

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

Is Logan Anderson enrolled in Medicare?

Yes. Logan Anderson 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 Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Anderson reassigns Medicare benefits to St Luke's Clinic LLC (Twin Falls, ID). 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 Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Logan Anderson accept?

Health plans from PacificSource Health Plans, Providence Health Plan and Select Health list Logan Anderson 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 Anderson affiliated with any hospitals?

According to CMS data, Logan Anderson is affiliated with St Lukes Magic Valley Medical Center, St Luke's Regional Medical Center and St Luke's Jerome.

When was this NPI record last updated?

The NPPES record for Logan Anderson was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.