Individual provider Active NPI

Jeremy James Logan, MD

  • Diagnostic Radiology Physician
  • Bend, OR
National Provider Identifier
1053383729
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
81641-20 Issued in WI
Practice address
1460 NE Medical Center Dr
Bend, OR 97701-6061
Phone
(541) 382-6633
Fax
(541) 383-4577
NPI assigned
Feb 6, 2006
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 81641-20 WI Primary
Diagnostic Radiology Physician 2085R0202X MD219095 OR
Diagnostic Radiology Physician 2085R0202X MD2005-0545 NM

Addresses

Primary practice location

1460 NE Medical Center Dr
Bend, OR 97701-6061

Mailing address

1460 NE Medical Center Dr
Bend, OR 97701-6061
Phone (541) 382-6633

Other practice location 1

4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857
Phone (505) 332-6900

Other practice location 2

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other identifiers 3

IdentifierTypeStateIssuer
202003153OtherPRESBYTERIAN HEALH/SALUD
992108MedicaidAZ
83852MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, WI, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051006000010 NM Practitioner - Diagnostic Radiology 9638101827 Reassigns benefits to 10 organizations
I20230131001803 WI Practitioner - Diagnostic Radiology 9638101827 Reassigns benefits to 9 organizations
I20240424001564 OR Practitioner - Diagnostic Radiology 9638101827 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Health DistrictGroup PAC ID 4284629221, 56 clinicians
Cascade Medical Imaging LLCGroup PAC ID 9537140108, 40 clinicians

Practice addresses (Care Compare)

10109 San Bernardino Dr NE
Albuquerque, NM 87122-3211
Phone (541) 947-2114

1460 NE Medical Ctr Dr
Bend, OR 97701-6061
Phone (541) 382-6633

700 S J St
Lakeview, OR 97630-1623
Phone (541) 947-2114

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.6 of 100Reported as group
Quality
62.55
Promoting interoperability
100
Improvement activities
40
Cost
76.03

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2005-0545NMMDDiagnostic Radiology Physician
81641-20WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oregon Magnetic Resonance Imaging LLC Diagnostic Radiology CurrentSince Apr 28, 2024 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Sep 1, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Jan 23, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 23, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 23, 2023 Accepting new patients
Central Oregon Magnetic Resonance Imaging LLC Diagnostic Radiology Current Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Central Oregon Magnetic Resonance Imaging LLC Diagnostic Radiology CurrentSince Apr 28, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 23, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Jan 23, 2023 Accepting new patients
Lake Health District CurrentSince Mar 1, 2025 Accepting new patients
MCHS Hospitals, Inc. CurrentSince Jan 23, 2023 Accepting new patients
Unm Medical Group, Inc. CurrentSince May 30, 2008 Accepting new patients
Central Oregon Radiology Assoc PC Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Morrow County Health District CurrentSince Apr 28, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 23, 2023 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Sep 1, 2025 Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 23, 2023 Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology CurrentSince Apr 28, 2024 Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology CurrentSince Apr 28, 2024 Accepting new patients
Morrow County Health District CurrentSince Apr 28, 2024 Accepting new patients
Unm Medical Group Inc CurrentSince May 30, 2008 Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology Current Accepting new patients
Marshfield Clinic Inc CurrentSince Jan 1, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 23, 2023 Accepting new patients
University of New Mexico Past Accepting new patients

Locations (25 of 28)

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

1460 NE Medical Center Dr
Bend, OR 97701
Phone (541) 598-3218

1460 NE Medical Center Dr
Ste 170
Bend, OR 97701

1460 NE Medical Center Dr
Ste 180
Bend, OR 97701
Phone (541) 408-7691

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

1693 SW Chandler Ave
Ste 120
Bend, OR 97702
Phone (541) 388-0673

1693 SW Chandler Ave
Ste 140
Bend, OR 97702
Phone (541) 388-0673

2200 NE Neff Rd
Ste 200
Bend, OR 97701
Phone (541) 322-2331

2500 NE Neff Rd
#1
Bend, OR 97701

2500 NE Neff Rd
Ste 120
Bend, OR 97701

61270 SE Coombs Pl
Ste 100
Bend, OR 97702
Phone (541) 408-9310

61270 SE Coombs Pl
Ste 150
Bend, OR 97702
Phone (541) 408-9313

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

700 S J St
Lakeview, OR 97630
Phone (541) 947-2114

470 NE A St
Madras, OR 97741
Phone (541) 383-3668

384 SE Combs Flat Rd
Ste 1100
Prineville, OR 97754
Phone (541) 598-3221

1253 NW Canal Blvd
Ste 100
Redmond, OR 97756
Phone (541) 548-8131

1253 NW Canal Blvd
Ste 101
Redmond, OR 97756
Phone (541) 516-3804

1523 NW Canal Blvd
Ste 101
Redmond, OR 97756
Phone (541) 316-8791

1531 NW Canal Blvd
Ste 100
Redmond, OR 97756
Phone (541) 923-4202

1531 NW Canal Blvd
Ste 110
Redmond, OR 97756

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Organizations & group practices 29

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 29

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1053383729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016061",
            "telephone_number": "541-382-6633",
            "fax_number": "541-383-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016061",
            "telephone_number": "541-382-6633",
            "fax_number": "541-383-4577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4411 The 25 Way NE",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871095857",
            "country_code": "US",
            "telephone_number": "505-332-6900",
            "fax_number": "505-332-6921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "JEREMY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "81641-20",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD219095",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2005-0545",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALH/SALUD",
            "identifier": "202003153",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "992108",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83852",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.