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DR. JONATHAN ROY LOGAN M.D.
NPI 1629018387
Emergency Medicine in Fairmont, WV

Active since June 08, 2006PECOS Enrolled
1325 LOCUST AVE, FAIRMONT, WV 26554(304) 367-7100 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jonathan Roy Logan M.d. NPPES

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

DR. JONATHAN ROY LOGAN M.D. (NPI 1629018387) is an individual emergency medicine provider in Fairmont, West Virginia, licensed in Virginia (0101243177) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629018387
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JONATHAN ROY LOGANCredential: M.D.
Location Address1325 LOCUST AVEFairmont, WV 26554-1435
Mailing Address6005 Wooland Bluffs DriveMorgantown, WV 26508
Phone(304) 367-7100
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateNovember 17, 2021
NPPES CertifiedNovember 17, 2021
✔ NPI 1629018387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in VA · 0101243177✔ Licensed in WV · 20682
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1325 LOCUST AVE, Fairmont, WV 26554
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Other Identifiers 1

Medicaid1000450-000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Roy Logan M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jonathan Logan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ingleside Emergency Group, LLC
118 mi
Emergency Medicine
1 ARH LN
Low Moor, VA 24457
  • Reassigned Medicare billing, Virginia enrollment
  • 92 clinicians in this Medicare group
NPI 1144712662 (540) 862-6011
Emergency Physicians Of Southern Virginia LLP
198 mi
Emergency Medicine
200 HOSPITAL DR
Galax, VA 24333
  • Reassigned Medicare billing, Virginia enrollment
  • 68 clinicians in this Medicare group
NPI 1417187667 (276) 236-8181
Emergency Coverage, LLC
294 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Virginia enrollment
  • 679 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26554 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 20

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

AMANDA PULEO DO
Emergency Medicine
1325 LOCUST AVE
FAIRMONT, WV 26554
Marion County (304) 534-7810
KATHRYN NICOLE PREAST FNP-BC
Nurse Practitioner (Family)
1325 LOCUST AVE
FAIRMONT, WV 26554
Marion County (814) 494-2542
MICHAEL L FERREBEE, M.D., PLLC
Emergency Medicine
1325 LOCUST AVE
FAIRMONT, WV 26554
Marion County (304) 367-7510
MARION LUNG CLINIC
Internal Medicine (Pulmonary Disease)
1325 LOCUST AVE, SUITE 35
FAIRMONT, WV 26554
Marion County (304) 363-7773
FAIRMONT GENERAL HOSPITAL, INC.
Home Health
1325 LOCUST AVE
FAIRMONT, WV 26554
Marion County (304) 367-7174
WHITE HALL PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
1325 LOCUST AVE
FAIRMONT, WV 26554
Marion County (304) 368-9355
DR. RYAN MICHAEL HAYHURST PHARMD
Pharmacy (Institutional Pharmacy)
1325 LOCUST AVE
FAIRMONT, WV 26554
Marion County (304) 534-7810
ROBERT M. MCCOY, MD, INC
Clinical Medical Laboratory
1325 LOCUST AVE
FAIRMONT, WV 26554
Marion County (304) 367-7384

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 Jonathan Logan's NPI number?

The NPI number for Jonathan Logan is 1629018387. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Jonathan Logan located?

Jonathan Logan practices at 1325 Locust Ave, Fairmont, WV 26554. The listed phone number is (304) 367-7100.

What is Jonathan Logan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jonathan Logan enrolled in Medicare?

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

Which organizations bill Medicare for Jonathan Logan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Logan reassigns Medicare benefits to 3 organizations: Ingleside Emergency Group, LLC (Low Moor, VA), Emergency Physicians Of Southern Virginia LLP (Galax, VA) and Emergency Coverage, LLC (Newport, TN). Each 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 Jonathan Logan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Logan accept?

Health plans from Oscar Health and Oscar Insurance Company list Jonathan Logan 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 Jonathan Logan was last updated on November 17, 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.