Casey Douglas Logan, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD479164 Issued in PA

Practice address

2790 Mosside Blvd Ste 720
Monroeville, PA 15146-2757

Phone

(412) 372-2770

Fax

(412) 372-4656

NPI assigned

Apr 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Dermatology

Education

Georgetown University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Greensburg, PA
  • NPI 1720443211
  Medicare reassignment Care Compare group NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Indiana, PA
  • NPI 1588020721
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Colorado Springs, CO
  • NPI 1881305084
  NPD (past)

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1245727692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 MOSSIDE BLVD STE 720",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462757",
            "telephone_number": "412-372-2770",
            "fax_number": "412-372-4656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 W Pittsburgh St",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156012211",
            "country_code": "US",
            "telephone_number": "724-837-5810",
            "fax_number": "724-837-8938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2790 Mosside Blvd Ste 705",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151462757",
            "country_code": "US",
            "telephone_number": "412-372-2770",
            "fax_number": "412-372-4656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "CASEY",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD479164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1040784250001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1040784250002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Casey.Logan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2790 Mosside Blvd Ste 720",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151462757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Casey.Logan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "419 W Pittsburgh St",
            "city": "Greensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156012211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Casey.Logan@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2790 Mosside Blvd Ste 705",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151462757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacey L Litzinger, PA-C
• Dina K Livolsi, D.C.
• Abigail Lynn Lockwood, DNP, CNM
• Kelley L Lodovico, OTR
• Caysey Lofquist
• Jeffrey P. Lombard, DMD
• Christopher Luigi Lombardi, DOCTOR OF PHARMACY
• Susan Lomeo, RD, LDN
• Chelsea Long
• Kirsten Long

• Dermatology Physician in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.