Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Logan Gregory Davis

Individual provider Physician Assistant · NPI 1932575040

Logan Gregory Davis is a Physician Assistant in Wilkes Barre, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Ucmg LLC, a 258-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2015
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Practice location Address checks out

677 Kidder St
Wilkes Barre, PA 18702
Phone: (570) 825-2046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1932575040
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 12, 2015
Last updated in NPPESFebruary 21, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ucmg Llc — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients245
Services billed 616 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Ucmg LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 258 clinicians in the practice; 12 are shown here.

Other providers in Wilkes Barre