Jacqueline Marie Fergerson, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

226008 Issued in NY

Practice address

1160 Tompkins St
Cortland, NY 13045-3578

Phone

(607) 753-7528

Fax

(607) 756-8163

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Ophthalmology

Education

State University of Ny Upstate Medical University, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cortland Ophthalmological Care PLLCGroup PAC ID 3072510312, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guthrie Cortland Regional Medical Center Hospital, Cortland, NY, CCN 330175
• Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drfergerson@cortlandeye.medentdirect.com

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.

• Cortland Ophthalmological Care, PLLC

  • Ophthalmology Physician
  • Cortland, NY
  • NPI 1508952540
  Medicare reassignment Care Compare group NPD
• Ophthalmology Medical Service Group Inc

  • Ophthalmology Physician
  • Syracuse, NY
  • NPI 1225072051
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cayuga Medical Center at Ithaca

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1962422733
  Care Compare affiliation
• Guthrie Cortland Medical Center

  • General Acute Care Hospital
  • Cortland, NY
  • NPI 1740287531
  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1285687475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 TOMPKINS ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453578",
            "telephone_number": "607-753-7528",
            "fax_number": "607-756-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 TOMPKINS ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453578",
            "telephone_number": "607-753-7528",
            "fax_number": "607-756-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGERSON",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "226008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02656146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Fasanelli, FNP-C
• Tayra Fedorka, L.AC.
• Nicholas Feia, MHC-LP
• Karen S Felker-Harrity, RN
• Stefanie Fellows
• Michael A Fernandez, DPT
• Jerrold Samuel Ferraro, PHD
• Molly M Ferris, M.S.P.T.
• Catherine Feuerherm
• Ayla Fialko, D.AC., L.AC.

• Ophthalmology Physician in Cortland, NY
• Providers in Cortland, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.