Individual provider Active NPI

Logan Ouderkirk

  • Surgery Physician
  • Wichita, KS
National Provider Identifier
1245723865
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2024027886 Issued in MO
Practice address
1010 N Kansas St
Wichita, KS 67214-3124
Phone
(316) 293-2665
NPI assigned
Jun 8, 2018
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 94-09564 KY
Surgery Physician 208600000X 2024027886 MO Primary

Addresses

Primary practice location

1010 N Kansas St
Wichita, KS 67214-3124

Mailing address

PO Box 7411626
Chicago, IL 60674-5626

Other practice location 1

525 Branson Landing Blvd Ste 307
Branson, MO 65616-2126
Phone (417) 348-8080

Other practice location 2

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (000) 000-0000

Other practice location 3

3800 S National Ave Ste 605
Springfield, MO 65807-5209
Phone (000) 000-0000

Other practice location 4

29 NW 1st Ln
LaMar, MO 64759-8105
Phone (000) 000-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240815003457 MO Practitioner - General Surgery 8325397730 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cox-Monett Hospital IncGroup PAC ID 0345236667, 69 clinicians

Practice addresses (Care Compare)

1000 E Hwy 60
Monett, MO 65708-8258
Phone (417) 354-1580

75 Smithson Dr
Suite a
Cassville, MO 65625-9429
Phone (417) 847-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.85 of 100Reported as group
Quality
63.56
Promoting interoperability
100
Improvement activities
40
Cost
72.62

Merit-based Incentive Payment System (MIPS)

Final score
93.53 of 100Reported as group
Quality
96.63
Promoting interoperability
100
Improvement activities
40
Cost
81.81

Merit-based Incentive Payment System (MIPS)

Final score
82.25 of 100Reported as group
Quality
64.73
Promoting interoperability
100
Improvement activities
40
Cost
76.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy50
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux23
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-09564KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Sep 9, 2024 Accepting new patients
Cox Barton County Hospital CurrentSince Sep 9, 2024 Accepting new patients
Skaggs Community Hospital Association CurrentSince Sep 9, 2024 Accepting new patients
Skaggs Community Hospital Association CurrentSince Sep 9, 2024 Accepting new patients
Skaggs Community Hospital Association Surgery CurrentSince Nov 1, 2025 Accepting new patients
Lester E. Cox Medical Centers Current Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Cox Monett Hospital Inc Surgery CurrentSince Sep 9, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince Sep 9, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince Sep 9, 2024 Accepting new patients
Cox Barton County Hospital Current Accepting new patients
Cox-Monett Hospital Inc Current Accepting new patients
Barton County Memorial Hospital Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

525 Branson Landing Blvd
Ste 307
Branson, MO 65616
Phone (417) 335-7736

75 Smithson Dr
Ste A
Cassville, MO 65625
Phone (417) 847-3500

29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

3800 S National Ave
Ste 600
Springfield, MO 65807
Phone (417) 269-1499

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

Organizations & group practices 16

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 16

Hospital & facility affiliations 4

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1245723865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411626",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606745626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-293-2665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Branson Landing Blvd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162126",
            "country_code": "US",
            "telephone_number": "417-348-8080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Branson Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 S National Ave Ste 605",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075209",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 NW 1st Ln",
            "address_purpose": "LOCATION",
            "city": "LaMar",
            "state": "MO",
            "postal_code": "647598105",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUDERKIRK",
        "first_name": "LOGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "94-09564",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2024027886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.