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LOGAN RENEE GRUBB MD
NPI 1558092924
Family Medicine in Springfield, IL

Active since June 17, 2022PECOS EnrolledAccepts Medicare Assignment
3132 OLD JACKSONVILLE RD STE 200, SPRINGFIELD, IL 62704(217) 862-0800(217) 862-0871 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Logan Renee Grubb Md NPPES

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

LOGAN RENEE GRUBB MD (NPI 1558092924) is an individual family medicine provider in Springfield, Illinois, licensed in Illinois (036173042) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558092924
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLOGAN RENEE GRUBBCredential: MD
Location Address3132 OLD JACKSONVILLE RD STE 200Springfield, IL 62704-7401
Mailing Address3132 Old Jacksonville Rd Ste 200Springfield, IL 62704-7401 · (217) 862-0800 · Fax (217) 862-0871
Phone(217) 862-0800
Fax(217) 862-0871
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 17, 2022
Last NPPES UpdateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1558092924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036173042
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3132 OLD JACKSONVILLE RD STE 200, Springfield, IL 62704
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Other Identifiers 1

Other036173042IL · Il Md License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Logan Renee Grubb 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 ID9133500614
PECOS Enrollment IDI20250905001701
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.

Medicare Billing Reassignment

Medicare enrollment records show Logan Grubb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorial Physician Services
Same address
Family Medicine
3132 OLD JACKSONVILLE RD
Springfield, IL 62704
  • Reassigned Medicare billing, Illinois enrollment
  • 150 clinicians in this Medicare group
NPI 1174877930 (217) 862-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

ANNE M MEIER
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
BRIANA L VENABLE LCPC
Counselor (Professional)
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
MACKENZIE A HEYWOOD
Pediatrics
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
MS. AMY LEIGH BUDINGER THERAPIST
Counselor
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
MORGAN M BARNEY PA-C
Physician Assistant
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
AMANDA LEIGH RUYLE-RYAN GNP
Nurse Practitioner (Gerontology)
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
MADELYN ELIZABETH O'MALLEY
Family Medicine
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
LINDSEY R RENO FNP-BC
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800

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 Grubb's NPI number?

The NPI number for Logan Grubb is 1558092924. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Logan Grubb located?

Logan Grubb practices at 3132 Old Jacksonville Rd Ste 200, Springfield, IL 62704. The listed phone number is (217) 862-0800.

What is Logan Grubb's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Logan Grubb enrolled in Medicare?

Yes. Logan Grubb 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.

Which organization bills Medicare for Logan Grubb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Grubb reassigns Medicare benefits to Memorial Physician Services (Springfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Logan Grubb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Logan Grubb affiliated with any hospitals?

According to CMS data, Logan Grubb is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Logan Grubb was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.