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LOGAN RICHARD DANCE M.D.
NPI 1740592823
Radiology - Diagnostic Radiology in Salt Lake City, UT

Active since July 06, 2010PECOS EnrolledAccepts Medicare Assignment
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 487-0451 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Logan Richard Dance M.d. NPPES

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

LOGAN RICHARD DANCE M.D. (NPI 1740592823) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (10154010-1205) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2010).

NPPES Registry Identity

NPI1740592823
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameLOGAN RICHARD DANCECredential: M.D.
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 487-0451
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2010
Enumeration DateJuly 6, 2010
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1740592823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in UT · 10154010-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113
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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 Richard Dance 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.

PECOS PAC ID5698043651
PECOS Enrollment IDI20170615000230
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

5

Medicare enrollment records show Logan Dance reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
Same address
Neonatal-Perinatal Medicine
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1497473375 (801) 442-5000
University Of Utah Pediatric Services
Same address
Pediatric Otolaryngology
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1063876100 (801) 587-6336
Tellica Imaging, LLC
300 mi
Radiology
8505 W OVERLAND RD
Boise, ID 83709
  • Reassigned Medicare billing, Utah enrollment
  • 116 clinicians in this Medicare group
NPI 1760197198 (208) 417-5100
University Of Chicago
1,258 mi
Urgent Care
47 W POLK ST STE G1
Chicago, IL 60605
  • Reassigned Medicare billing, Illinois and Indiana enrollments
  • Also billed through NPI 1821048786 (Indiana)
  • 150 clinicians in this Medicare group
NPI 1477262046 (773) 702-1061
The University Of Chicago Medical Center
1,259 mi
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530

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 84113 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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.

KEEGAN MARIE RYAN PT, DPT
Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4980
IHC HEALTH SERVICES INC
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MADELINE ANN THAYER NP
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
DR. JEFFREY S PRINCE MD
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 487-0451
MICHELLE PLOUTZ
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ALICIA DONALDSON APRN
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
HANNAH MARIE WINEBAUM MS, OTR/L
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MARK EDWARD HAMAKER M.D.
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-3922

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 Dance's NPI number?

The NPI number for Logan Dance is 1740592823. It was assigned to this individual provider in the NPPES registry on July 6, 2010.

Where is Logan Dance located?

Logan Dance practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 487-0451.

What is Logan Dance's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Logan Dance enrolled in Medicare?

Yes. Logan Dance 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 Dance's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Dance reassigns Medicare benefits to 5 organizations: Ihc Health Services Inc (Salt Lake City, UT), University Of Utah Pediatric Services (Salt Lake City, UT), Tellica Imaging, LLC (Boise, ID), University Of Chicago (Chicago, IL) and The University Of Chicago Medical Center (Chicago, IL). 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 Dance's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Logan Dance was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.