DR. THEODORE P. LOGAN MD
NPI 1427054873
Psychiatry & Neurology - Psychiatry in Rockland, ME

Q: What is Theodore Logan's NPI number?

The NPI number for Theodore Logan is 1427054873. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is Theodore Logan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Logan was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

12 UNION ST, ROCKLAND, ME 04841(207) 701-4400(207) 701-4487 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Theodore P. Logan Md NPPES

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

DR. THEODORE P. LOGAN MD (NPI 1427054873) is an individual psychiatry provider in Rockland, Maine, licensed in Maine (MD12617) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1427054873

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. THEODORE P. LOGANCredential: MD

Location Address12 UNION STRockland, ME 04841-2739

Mailing Address300 Southborough Dr, Suite 201South Portland, ME 04106-6914 · (207) 661-2018 · Fax (207) 661-2033

Phone(207) 701-4400

Fax(207) 701-4487

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateJune 21, 2005

Last NPPES UpdateMarch 21, 2017

✔ NPI 1427054873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in ME · MD12617

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPediatricsTaxonomy 208000000X · License 012617 (ME)

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License MD12617 (ME)

12 UNION ST, Rockland, ME 04841

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Other Identifiers 4

Other047853ME · Anthem Star Number

Medicaid255750099ME

Medicare UPIN00039MME

Medicare PINE400329760ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Dr. Theodore P. Logan Md 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 ID4284649641

PECOS Enrollment IDI20060207000610

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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

87 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04841 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

$162.77 typical visit price

range $53.26 – $162.77

Typical copayment $40.69 (range $13.31 – $40.69)

Most-billed visit code 99205

Established Patient

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

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.

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.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

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.

SUSAN F SEALY LCSW, CADC

Social Worker (Clinical)