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

Q: 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.

Q: 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.

Q: Is Logan Ganoe enrolled in Medicare?

No. Logan Ganoe has opted out of Medicare through May 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: 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.

Active since April 27, 2016Opted out of Medicare · through May 10, 2028

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 23, 2026.

On this page

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 has opted out of Medicare through May 10, 2028 and remains eligible to order and refer.

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

ⓘ

Opted out of Medicare

Dr. Logan Ganoe Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 10, 2024 through May 10, 2028.

Opt-Out Effective DateMay 10, 2024

Opt-Out In Effect ThroughMay 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Interoperability

Improvement Activities

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?

No. Logan Ganoe has opted out of Medicare through May 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

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.