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POLLY J FERGUSON
NPI 1154316842
Pediatrics - Pediatric Rheumatology in Iowa City, IA

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment
200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-1608(319) 356-7659 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Polly J Ferguson NPPES

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

POLLY J FERGUSON (NPI 1154316842) is an individual pediatric rheumatology provider in Iowa City, Iowa, licensed in Iowa (34521) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1154316842
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NamePOLLY J FERGUSON
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 356-1608 · Fax (319) 356-7659
Phone(319) 356-1608
Fax(319) 356-7659
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateSeptember 19, 2005
Last NPPES UpdateNovember 30, 2007
✔ NPI 1154316842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in IA · 34521
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
200 HAWKINS DR, Iowa City, IA 52242
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINH21767
Other46383IA · Wellmark Bcbs
Medicare PINI6509IA
Medicaid0267203IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Polly J 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 ID547400426
PECOS Enrollment IDI20130717000867
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 Polly Ferguson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State University Of Iowa
Same address
Dentist
200 HAWKINS DRIVE, 51300 POMERANTZ FAMILY PAVILION
Iowa City, IA 52242
  • Reassigned Medicare billing, Iowa enrollment
  • 2,190 clinicians in this Medicare group
NPI 1114905387 (319) 356-2743

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

Other Providers at the Same Location NPPES 20

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

SANGIL LEE M.D.
Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2233
RAMI G. EL ABIAD M.D.
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-4901
GRERK SUTAMTEWAGUL MD
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Johnson County (319) 356-1616
DR. KALEB TANNER VEIT D.O.
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2320
OMAR JABER M.D
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 471-8958
JENNIFER MANCUSO MS, CGC
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Johnson County (319) 384-7983
ASHLEY KAISER M.D.
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Johnson County (319) 356-2294
MRS. NANCY JANE MILLICE
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242
Johnson County (319) 356-3825

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 Polly Ferguson's NPI number?

The NPI number for Polly Ferguson is 1154316842. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Polly Ferguson located?

Polly Ferguson practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-1608.

What is Polly Ferguson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Polly Ferguson enrolled in Medicare?

Yes. Polly Ferguson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Polly Ferguson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Polly Ferguson reassigns Medicare benefits to State University Of Iowa (Iowa City, IA). 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 Polly Ferguson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Polly Ferguson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 2 other insurers list Polly Ferguson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Polly Ferguson was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.