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: July 19, 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
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

Secondary Practice Location 1

Location 1675 N 5th St Ste 200Lebanon, OR 97355-2875 · Phone (541) 451-6282

Accepted 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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
22 services15 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
21 services21 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Cache Valley Hospital

Acute Care Hospitals · North Logan, UT
OwnershipProprietary
CMS Certification Number460054
Location2380 North 400 EastNorth Logan, 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.

Physician Assistant
550 E 1400 N, SUITE R
LOGAN, UT 84341
Surgery
550 E 1400 N, SUITE D
LOGAN, UT 84341
Pharmacist
550 E 1400 N, SUITE JB
LOGAN, UT 84341
Specialist
550 E 1400 N, STE P
LOGAN, UT 84341
Pharmacist
550 E 1400 N, SUITE JB
LOGAN, UT 84341
Nurse Practitioner
550 E 1400 N, #X
LOGAN, UT 84341
Marriage & Family Therapist
550 E 1400 N, SUITE H
LOGAN, UT 84341
Dentist (Endodontics)
550 E 1400 N, SUITE F
LOGAN, UT 84341

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437146065, enumerated as an "individual" on September 29, 2005.

The provider is located at 550 E 1400 N SUITE I LOGAN, UT 84341 and the phone number is (435) 753-1545.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Kaiser Permanente, Moda. Please consult your insurance carrier or call the provider to verify.

Jon Ahlstrom is affiliated with: LOGAN REGIONAL HOSPITAL and CACHE VALLEY HOSPITAL.