DR. LOGAN B LACKEY II M.D.
NPI 1740506419
Radiology - Diagnostic Radiology in Springfield, MO
About Dr. Logan B Lackey Ii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LOGAN B LACKEY II M.D. (NPI 1740506419) is an individual diagnostic radiology provider in Springfield, Missouri, licensed in Missouri (2016020760) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and maintains a secondary practice location in Quincy.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Dr. Logan B Lackey Ii M.d. 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.
Medicare Billing Reassignments
6Medicare enrollment records show Logan Lackey reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, MO 65804
- Reassigned Medicare billing, Missouri enrollment
- 2 clinicians in this Medicare group
Joplin, MO 64804
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1679517023 (Missouri)
- 171 clinicians in this Medicare group
Rolla, MO 65401
- Reassigned Medicare billing, Missouri enrollment
- 347 clinicians in this Medicare group
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 373 clinicians in this Medicare group
Hannibal, MO 63401
- Reassigned Medicare billing, Missouri and Illinois enrollments
- Also billed through NPI 1114471737 (Illinois)
- 192 clinicians in this Medicare group
Olympia Fields, IL 60461
- Reassigned Medicare billing, Illinois and Missouri enrollments
- 228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Blessing Hospital
Acute Care Hospitals · Quincy, ILIllini Community Hospital
Critical Access Hospitals · Pittsfield, ILFreeman Neosho Hospital
Critical Access Hospitals · Neosho, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
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 Lackey's NPI number?
The NPI number for Logan Lackey is 1740506419. It was assigned to this individual provider in the NPPES registry on April 20, 2010.
Where is Logan Lackey located?
Logan Lackey practices at 2055 S Fremont Ave Suite 120, Springfield, MO 65804. The listed phone number is (417) 820-2500.
What is Logan Lackey's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Logan Lackey enrolled in Medicare?
Yes. Logan Lackey 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 organizations bill Medicare for Logan Lackey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Logan Lackey reassigns Medicare benefits to 6 organizations: Breast Imaging Of The Ozarks LLC (Springfield, MO), Freeman-Oak Hill Health System (Joplin, MO), Miracl, LLC (Rolla, MO), Washington University (Saint Louis, MO), Blessing Hospital (Hannibal, MO) and 1 more organization, listed in the Medicare section above. 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 Logan Lackey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Logan Lackey accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Logan Lackey 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.
Is Logan Lackey affiliated with any hospitals?
According to CMS data, Logan Lackey is affiliated with Blessing Hospital, Illini Community Hospital and Freeman Neosho Hospital.
When was this NPI record last updated?
The NPPES record for Logan Lackey was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.
# Dr. Logan B Lackey II, M.D. · NPI 1740506419
Diagnostic Radiology physician in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since April 20, 2010.
## Identity
- **NPI:** 1740506419 (Entity type: Individual)
- **Enumerated:** April 20, 2010
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 2016020760 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2055 S FREMONT AVE, SUITE 120, Springfield, MO 65804-2206
- **Phone:** (417) 820-2500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Breast Imaging Of The Ozarks LLC (NPI 1417600412, Springfield, MO); Freeman-Oak Hill Health System (NPI 1891809679, Joplin, MO); Miracl, LLC (NPI 1205304300, Rolla, MO); Washington University (NPI 1962442475, Saint Louis, MO); Blessing Hospital (NPI 1043724875, Hannibal, MO); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northeastern Ohio University College Of Medicine, class of 2010
## Record status
- **NPPES last updated:** October 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1740506419) · Data from the CMS NPPES public registry.