DR. MATTHEW DAVID LOGAN DO
NPI 1568040947
Internal Medicine in Charlotte, NC

Q: What is Matthew Logan's NPI number?

The NPI number for Matthew Logan is 1568040947. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Matthew Logan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Logan was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment

10635 PARK RD STE I, CHARLOTTE, NC 28210(704) 495-6334 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2026, Jun 26, 2025, Mar 29, 2021 (3 updates tracked since 2021).

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About Dr. Matthew David Logan Do NPPES

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

DR. MATTHEW DAVID LOGAN DO (NPI 1568040947) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (2025-02044) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Inverness, and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2021).

NPPES Registry Identity

NPI1568040947

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MATTHEW DAVID LOGANCredential: DO

Location Address10635 PARK RD STE ICharlotte, NC 28210-8408

Mailing Address5960 Fairview Rd Ste 500Charlotte, NC 28210-3113 · (704) 495-6334

Phone(704) 495-6334

Sole ProprietorNo

Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2021

Enumeration DateMarch 29, 2021

Last NPPES UpdateJune 2, 20263 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1568040947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 2025-02044

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10635 PARK RD STE I, Charlotte, NC 28210

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Secondary Practice Location 1

Location 1502 W Highland BlvdInverness, FL 34452-4720 · Phone (352) 726-1551

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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. Matthew David Logan Do 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 ID7416302021

PECOS Enrollment IDI20250725002316

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 28210 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 19

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

MRS. DALENA MAE CUSTER PA-C

Physician Assistant