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LARS OPTIMUS LOGDBERG M.D.
NPI 1417376369
Emergency Medicine - Emergency Medical Services in Avon, IN

Active since April 08, 2014PECOS EnrolledAccepts Medicare Assignment
1111 RONALD REAGAN PKWY, AVON, IN 46123(317) 217-3500(317) 217-3115 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 14, 2021, Feb 10, 2021 (2 updates tracked since 2021).

About Lars Optimus Logdberg M.d. NPPES

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

LARS OPTIMUS LOGDBERG M.D. (NPI 1417376369) is an individual emergency medical services provider in Avon, Indiana, licensed in Indiana (01079959A) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2014).

NPPES Registry Identity

NPI1417376369
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameLARS OPTIMUS LOGDBERGCredential: M.D.
Location Address1111 RONALD REAGAN PKWYAvon, IN 46123-7085
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 217-3500
Fax(317) 217-3115
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2014
Enumeration DateApril 8, 2014
Last NPPES UpdateJune 14, 20212 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
✔ NPI 1417376369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in IN · 01079959A
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1111 RONALD REAGAN PKWY, Avon, IN 46123
Open in Google Maps ↗

Secondary Practice Locations 2

Location 127005 76th AveNew Hyde Park, NY 11040-1402 · Phone (718) 470-7873 · Fax (718) 470-9113
Location 28244 E US Highway 36 Ste 1100Avon, IN 46123-9627 · Phone (317) 272-7500 · Fax (317) 272-7515

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Lars Optimus Logdberg 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 ID7517222102
PECOS Enrollment IDI20180601000441
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

2

Medicare enrollment records show Lars Logdberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hendricks County Hospital
1.5 mi
Podiatric
301 SATORI PKWY STE 150
Avon, IN 46123
  • Reassigned Medicare billing, Indiana enrollment
  • 401 clinicians in this Medicare group
NPI 1386276947 (317) 456-9028
Indiana University Health Care Associates, Inc
9.5 mi
General Practice
340 W TENTH ST
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
NPI 1902032832 (317) 278-3505

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
120 services118 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services46 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
37 services37 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
31 services30 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

JILL BROGHAMMER DO
Emergency Medicine
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 217-3000
KIMBERLY KEYES BARRETT PA-C
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 217-3000
KOLBIE SARA MASON PA-C
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 962-6300
JOANNA LEE HUNTER-SQUIRES M.D.
Surgery
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 944-7874
MRS. LINDA JOYCE PEDERSEN PT
Physical Therapist
1111 RONALD REAGAN PKWY, SUITE MG214
AVON, IN 46123
Hendricks County (317) 217-3070
TIMOTHY W JOHNSON PA
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 472-7317
ELIZABETH MARIE SULLIVAN DO
Emergency Medicine
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 217-3000
ADAM JONES PA-C
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 217-3000

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 Lars Logdberg's NPI number?

The NPI number for Lars Logdberg is 1417376369. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Where is Lars Logdberg located?

Lars Logdberg practices at 1111 Ronald Reagan Pkwy, Avon, IN 46123. The listed phone number is (317) 217-3500.

What is Lars Logdberg's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Lars Logdberg enrolled in Medicare?

Yes. Lars Logdberg 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 Lars Logdberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lars Logdberg reassigns Medicare benefits to 2 organizations: Hendricks County Hospital (Avon, IN) and Indiana University Health Care Associates, Inc (Indianapolis, IN). 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 Lars Logdberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lars Logdberg accept?

Health plans from CareSource list Lars Logdberg 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 Lars Logdberg was last updated on June 14, 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.