1. Home
  2. Directory
  3. Utah
  4. Logan
  5. Obstetrics Gynecology
  6. NPI Profile

DR. JON W AHLSTROM MD
NPI 1437146065
Obstetrics & Gynecology in Logan, UT

Active since September 29, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 46D0716310 · Microscopy
550 E 1400 N, SUITE I, LOGAN, UT 84341(435) 753-1545 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jon W Ahlstrom Md NPPES

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

DR. JON W AHLSTROM MD (NPI 1437146065) is an individual obstetrics & gynecology provider in Logan, Utah, licensed in Oregon (CP209732) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 31, 2026, and is affiliated with Logan Regional Hospital.

NPPES Registry Identity

NPI1437146065
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JON W AHLSTROMCredential: MD
Location Address550 E 1400 N, SUITE ILogan, UT 84341-2406
Mailing Address550 E 1400 N, Suite ILogan, UT 84341-2406 · (435) 753-1545
Phone(435) 753-1545
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 29, 2005
Last NPPES UpdateApril 18, 2022
NPPES CertifiedApril 18, 2022
✔ NPI 1437146065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in OR · CP209732✔ Licensed in UT · 49187661205
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
550 E 1400 N, Logan, UT 84341
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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

Dr. Jon W Ahlstrom 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 ID9537067103
PECOS Enrollment IDI20050526000325
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 46D0716310

Jon W Ahlstrom MD, PC · Logan, UT
Active · expires Aug 31, 2026
CLIA Number46D0716310
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn W. Ahlstrom
Laboratory Phone(801) 753-1545
Laboratory LocationJon W Ahlstrom MD, PC550 East 1400 North #i, Logan, UT 84341
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 2

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.
23 services15 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.
23 services21 patients

Hospital Affiliations CMS Care Compare

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

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84341 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
74%263 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
90%815 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,158 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%432 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
81%1,392 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
34%1,156 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 95% · 1,135 patients
Patients tobacco: 3% · 30 patients
91%1,135 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,392 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
29%1,392 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
49%1,392 patients
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 20

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

TODD CRAE WILLIAMS OTR/L
Occupational Therapist (Pediatrics)
550 E 1400 N, SUITE W
LOGAN, UT 84341
Cache County (435) 716-6440
DR. JUSTIN DANE THORNTON D.D.S.
Dentist (Endodontics)
550 E 1400 N, SUITE F
LOGAN, UT 84341
Cache County (435) 755-6955
TRAVIS L SAUTTER DPM
Podiatrist (Foot & Ankle Surgery)
550 E 1400 N
LOGAN, UT 84341
Cache County (435) 752-9011
JAMES LEWIS JONES JR. ACNP
Nurse Practitioner (Acute Care)
550 E 1400 N, SUITE J
NORTH LOGAN, UT 84341
Cache County (435) 753-1171
RACHEL G. WILKINSON C.S.W
Social Worker (Clinical)
550 E 1400 N
LOGAN, UT 84341
Cache County (435) 716-1320
RACHEL LYNN HIGBEE PHARMD
Pharmacist
550 E 1400 N
LOGAN, UT 84341
Cache County (435) 753-8500
LEE S BROADBENT MD
Surgery
550 E 1400 N, SUITE D
LOGAN, UT 84341
Cache County (435) 752-7122
W BRYCE COOK DPM
Podiatrist
550 E 1400 N, STE B
LOGAN, UT 84341
Cache County (435) 752-9011

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 Jon Ahlstrom's NPI number?

The NPI number for Jon Ahlstrom is 1437146065. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Jon Ahlstrom located?

Jon Ahlstrom practices at 550 E 1400 N Suite I, Logan, UT 84341. The listed phone number is (435) 753-1545.

What is Jon Ahlstrom's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jon Ahlstrom enrolled in Medicare?

Yes. Jon Ahlstrom 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.

Does Jon Ahlstrom hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 46D0716310) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jon Ahlstrom accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Molina Healthcare and Providence Health Plan and 4 other insurers list Jon Ahlstrom 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 Jon Ahlstrom affiliated with any hospitals?

According to CMS data, Jon Ahlstrom is affiliated with Logan Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jon Ahlstrom was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.