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LOGAN BUDD MCDERMOTT MD
NPI 1417410762
Anesthesiology - Pediatric Anesthesiology in Jacksonville, FL

Active since April 12, 2019PECOS Enrolled
807 CHILDRENS WAY, JACKSONVILLE, FL 32207(904) 697-3600 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Logan Budd Mcdermott Md NPPES

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

LOGAN BUDD MCDERMOTT MD (NPI 1417410762) is an individual pediatric anesthesiology provider in Jacksonville, Florida, licensed in Florida (ME171376) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417410762
Entity TypeIndividualMale
Primary Taxonomy207LP3000X
Provider Legal NameLOGAN BUDD MCDERMOTTCredential: MD
Location Address807 CHILDRENS WAYJacksonville, FL 32207-8426
Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532 · (904) 697-4100
Phone(904) 697-3600
Sole ProprietorNo
Enumeration DateApril 12, 2019
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1417410762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
License✔ Licensed in FL · ME171376
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
807 CHILDRENS WAY, Jacksonville, FL 32207
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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 Budd Mcdermott Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

MR. HUGH E. GRIFFENKRANZ PA-C
Physician Assistant
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3737
JACQUELINE M NOE
Physician Assistant
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Duval County (904) 697-3600
ERIC P. SHERLIN R.PH
Pharmacist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3601
KELLY MARIE SUMMERS ARNP
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 697-3600
ROBERT C SPRECHER MD
Otolaryngology (Pediatric Otolaryngology)
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Duval County (904) 697-3694
DR. DOREEN RADJENOVIC ARNP
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 390-3759
GRACE ELIZABETH ALLEMAN SLP
Speech-Language Pathologist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (907) 697-3600
THE NEMOURS FOUNDATION
Pharmacy (Community/Retail Pharmacy)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Duval County (904) 697-4000

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 Mcdermott's NPI number?

The NPI number for Logan Mcdermott is 1417410762. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Logan Mcdermott located?

Logan Mcdermott practices at 807 Childrens Way, Jacksonville, FL 32207. The listed phone number is (904) 697-3600.

What is Logan Mcdermott's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Logan Mcdermott enrolled in Medicare?

Yes. Logan Mcdermott is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Logan Mcdermott was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.