BREE FERGUSON
NPI 1063061331
Physician Assistant - Medical in Coeur D Alene, ID

Q: What is Bree Ferguson's NPI number?

The NPI number for Bree Ferguson is 1063061331. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Q: What is Bree Ferguson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Bree Ferguson was last updated on April 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 09, 2019PECOS EnrolledAccepts Medicare Assignment

94.91/100

CMS Quality Rating

700 W IRONWOOD DR STE 378, COEUR D ALENE, ID 83814(208) 625-3555(208) 765-1494 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2024, Jul 5, 2021, Sep 9, 2019 (3 updates tracked since 2019).

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About Bree Ferguson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREE FERGUSON (NPI 1063061331) is an individual medical provider in Coeur D Alene, Idaho, licensed in Idaho (PA-20419) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063061331

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameBREE FERGUSON

Location Address700 W IRONWOOD DR STE 378Coeur D Alene, ID 83814-4401

Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-3555 · Fax (208) 764-1494

Phone(208) 625-3555

Fax(208) 765-1494

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 9, 2019

Last NPPES UpdateApril 15, 20243 updates tracked since enumeration

NPPES CertifiedApril 15, 2024

✔ NPI 1063061331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ID · PA-20419

700 W IRONWOOD DR STE 378, Coeur D Alene, ID 83814

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bree Ferguson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830593318

PECOS Enrollment IDI20210805000716

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number130049

Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.91/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.83

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims660 services$6.55 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier11 claims660 services$0.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYDNEY ELIZABETH DISSELKAMP FNP

Nurse Practitioner