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MS. SUSAN CALLAWAY FERGUSON MD
NPI 1093756678
Internal Medicine - Addiction Medicine in Oakland, CA

Active since June 08, 2006PECOS Enrolled
616 16TH ST, OAKLAND, CA 94612(510) 451-4270(510) 451-4285 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Susan Callaway Ferguson Md NPPES

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

MS. SUSAN CALLAWAY FERGUSON MD (NPI 1093756678) is an individual addiction medicine provider in Oakland, California, licensed in California (A68471) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093756678
Entity TypeIndividualFemale
Primary Taxonomy207RA0401X
Provider Legal NameMS. SUSAN CALLAWAY FERGUSONCredential: MD
Location Address616 16TH STOakland, CA 94612
Mailing Address616 16th StOakland Ca, CA 94612 · (510) 451-4270 · Fax (510) 451-4285
Phone(510) 451-4270
Fax(510) 451-4285
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateMarch 4, 2014
✔ NPI 1093756678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in CA · A68471
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License A68471 (CA)
616 16TH ST, Oakland, CA 94612
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Other Identifiers 1

Medicare UPINI16659CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Susan Callaway Ferguson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Ferguson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifelong Medical Care
2.8 mi
Geriatric Medicine
3260 SACRAMENTO ST
Berkeley, CA 94702
  • Reassigned Medicare billing, California enrollment
  • 241 clinicians in this Medicare group
NPI 1689670002 (510) 428-4500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims31 services$5.33 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$13.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$62.87 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers22 claims22 services$200.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

MS. MARIA ANTOINETTE CULCASI LCSW
Social Worker (Clinical)
616 16TH ST, DOWNTOWN OAKLAND CLINIC
OAKLAND, CA 94612
Alameda County (510) 451-4270
KRISTEN LYNN SMOL PA-C
Physician Assistant
616 16TH ST
OAKLAND, CA 94612
Alameda County (510) 563-4300
LIFELONG MEDICAL CARE
Clinic/Center
616 16TH ST, SUITE 1
OAKLAND, CA 94612
Alameda County (510) 451-4270
KIRSTEN FLAGG
Nurse Practitioner (Family)
616 16TH ST
OAKLAND, CA 94612
Alameda County (510) 451-1273
MATTHEW DAY L.C.S.W.
Social Worker (Clinical)
616 16TH ST
OAKLAND, CA 94612
Alameda County (510) 451-4270
CRYSTAL MARIE GREEN
Social Worker (Clinical)
616 16TH ST
OAKLAND, CA 94612
Alameda County (510) 981-4100
MS. DONNA REIMANN PEDROZA LCSW
Social Worker (Clinical)
616 16TH ST, DOWNTOWN OAKLAND CLINIC
OAKLAND, CA 94612
Alameda County (510) 451-4270
LIFELONG MEDICAL CARE
Case Manager/Care Coordinator
616 16TH ST
OAKLAND, CA 94612
Alameda County (510) 451-4270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Ferguson's NPI number?

The NPI number for Susan Ferguson is 1093756678. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Susan Ferguson located?

Susan Ferguson practices at 616 16th St, Oakland, CA 94612. The listed phone number is (510) 451-4270.

What is Susan Ferguson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Susan Ferguson enrolled in Medicare?

Yes. Susan Ferguson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Ferguson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Ferguson reassigns Medicare benefits to Lifelong Medical Care (Berkeley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Ferguson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Ferguson was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.