Individual provider Active NPI

Daniel Ferguson, M.D.

  • Ophthalmology Physician
  • West Allis, WI
National Provider Identifier
1124097936
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
47850 Issued in WI
Practice address
10150 W National Ave
West Allis, WI 53227-2145
Phone
(414) 321-7520
Fax
(414) 321-9383
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 47850 WI Primary

Addresses

Primary practice location

10150 W National Ave
West Allis, WI 53227-2145

Mailing address

10150 W National Ave
West Allis, WI 53227-2145
Phone (414) 321-7520

Other identifiers 1

IdentifierTypeStateIssuer
34672300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20050628001090 WI Practitioner - Ophthalmology 6406892629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Wisconsin School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Specialists SCGroup PAC ID 4082667233, 6 clinicians

Practice addresses (Care Compare)

2323 N Mayfair Rd
Suite 200
Wauwatosa, WI 53226-1506
Phone (414) 258-4550

2601 S 102ND St
West Allis, WI 53227-2109
Phone (414) 321-7520

633 W Wisconsin Ave
Suite 1400
Milwaukee, WI 53203-1922
Phone (414) 298-0099

Merit-based Incentive Payment System (MIPS)

Final score
83.51 of 100Reported as group
Quality
80.1
Improvement activities
40
Cost
71.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery403
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Specialists, S.C. Ophthalmology CurrentSince Aug 1, 2005 Accepting new patients

Locations

633 W Wisconsin Ave
Ste 1400
Milwaukee, WI 53203
Phone (414) 298-0099

2323 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 257-1161

2323 N Mayfair Rd
Ste 200
Wauwatosa, WI 53226
Phone (414) 258-4550

2601 S 102nd St
West Allis, WI 53227
Phone (414) 321-7520

2356 S 102nd St
West Allis, WI 53227
Phone (414) 336-3000

Interoperability endpoints

  • Direct secure messaging: dfergusonmd@eyecarespecialists.direct.eyemdemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1124097936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 W NATIONAL AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272145",
            "telephone_number": "414-321-7520",
            "fax_number": "414-321-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 W NATIONAL AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272145",
            "telephone_number": "414-321-7520",
            "fax_number": "414-321-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "47850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34672300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.