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Logan Jacob Mann, PA-C

NPI 1104688803ActiveIndividual· Physician Assistant· Winchester, KY

Physician Assistant (PA-C) with Clark Emergency Physicians, practicing in Winchester, Kentucky. 66 Medicare patients in 2024, $6,238 paid; nearly all of their 112 Part D prescriptions were generic (94%). Lists Baptist Health Lexington as a hospital affiliation.

Overview

NPI1104688803
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJan 29, 2024
Last updated in NPPESJun 14, 2024
Certified by providerJun 14, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (KY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients66
Services billed78 across 11 procedure codes
Paid by Medicare$6,238

Part D prescriptions in 2024

Prescriptions (claims)112 · 114 30-day fills
Patients76
Total drug cost$1,005
Generic share94% of claims

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Winchester

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