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DR. LOGAN GANOE DDS
NPI 1437504420
Dentist - Oral and Maxillofacial Surgery in Billings, MT

Active since April 27, 2016PECOS Enrolled
96.6/100
CMS Quality Rating
625 HENRY CHAPPLE ST, BILLINGS, MT 59106(406) 259-7438(406) 259-9729 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Logan Ganoe Dds NPPES

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

DR. LOGAN GANOE DDS (NPI 1437504420) is an individual oral and maxillofacial surgery provider in Billings, Montana, licensed in Montana (21433) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437504420
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LOGAN GANOECredential: DDS
Location Address625 HENRY CHAPPLE STBillings, MT 59106-1839
Mailing Address2021 Chestnut St Apt 408Philadelphia, PA 19103-3377
Phone(406) 259-7438
Fax(406) 259-9729
Sole ProprietorNo
Enumeration DateApril 27, 2016
Last NPPES UpdateSeptember 15, 2021
NPPES CertifiedSeptember 13, 2021
✔ NPI 1437504420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MT · 21433
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
625 HENRY CHAPPLE ST, Billings, MT 59106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life 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 (PECOS)

Dr. Logan Ganoe Dds 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 59106 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

96.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

MT OMS SPECIALTY DENTAL SERVICES, PLLC
Dentist (Oral and Maxillofacial Surgery)
625 HENRY CHAPPLE ST
BILLINGS, MT 59106
Yellowstone County (406) 259-7438
GEORGE ROSS BLUM DDS
Dentist (Oral and Maxillofacial Surgery)
625 HENRY CHAPPLE ST
BILLINGS, MT 59106
Yellowstone County (406) 259-7438

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 Ganoe's NPI number?

The NPI number for Logan Ganoe is 1437504420. It was assigned to this individual provider in the NPPES registry on April 27, 2016.

Where is Logan Ganoe located?

Logan Ganoe practices at 625 Henry Chapple St, Billings, MT 59106. The listed phone number is (406) 259-7438.

What is Logan Ganoe's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Logan Ganoe enrolled in Medicare?

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

What insurance does Logan Ganoe accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Montana and 11 other insurers list Logan Ganoe 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 Logan Ganoe was last updated on September 15, 2021. 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.