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DR. SHELDON OTHNEIL FERGUSON MD
NPI 1194246983
Internal Medicine in New York, NY

Active since June 30, 2017PECOS EnrolledAccepts Medicare Assignment
506 MALCOLM X BLVD, NEW YORK, NY 10037(212) 939-2291 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2020, Jun 30, 2017 (2 updates tracked since 2017).

About Dr. Sheldon Othneil Ferguson Md NPPES

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

DR. SHELDON OTHNEIL FERGUSON MD (NPI 1194246983) is an individual internal medicine provider in New York, New York, licensed in Arizona (60057) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Sunrise Hospital And Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1194246983
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHELDON OTHNEIL FERGUSONCredential: MD
Location Address506 MALCOLM X BLVDNew York, NY 10037-1802
Mailing Address15 W 139th St Apt 2gNew York, NY 10037-1511
Phone(212) 939-2291
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 30, 2017
Last NPPES UpdateSeptember 10, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
✔ NPI 1194246983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 60057
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
506 MALCOLM X BLVD, New York, NY 10037
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Dr. Sheldon Othneil Ferguson Md 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 ID2062832850
PECOS Enrollment IDI20201016000405
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 4

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.
623 services191 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
225 services204 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
159 services144 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
140 services78 patients

Hospital Affiliations CMS Care Compare

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

Sunrise Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290003
Location3186 S Maryland PkwyLas Vegas, NV 89109 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10037 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers55 claims55 services$15.94 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
5 suppliers56 claims56 services$80.85 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 20

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

DR. DONNA BRACKEN MD
Anesthesiology
506 MALCOLM X BLVD
NEW YORK, NY 10037
New York County (212) 939-1000
MRS. KARLA LATOYA MCGREGOR OTR
Occupational Therapist
506 MALCOLM X BLVD
NEW YORK, NY 10037
New York County (212) 939-4435
DR. VANESSA CLARKE M.D.
Anesthesiology
506 MALCOLM X BLVD, WP 522
NEW YORK, NY 10037
New York County (212) 939-2740
HARLEM HOSPITAL
General Acute Care Hospital
506 MALCOLM X BLVD, WOMEN PAVILION BLG., RM 364
NEW YORK, NY 10037
New York County (212) 939-3307
MUHAMMED N RAHMAN B.S,B.S(PHARMACY)
Pharmacist (Oncology)
506 MALCOLM X BLVD
NEW YORK, NY 10037
New York County (212) 939-1761
DR. JORGE VENEGAS M.D.
Obstetrics & Gynecology (Gynecology)
506 MALCOLM X BLVD, WP 522
NEW YORK, NY 10037
New York County (212) 939-2740
DR. JOE-CEPHUS BREWSTER MD
Psychiatry & Neurology (Psychiatry)
506 MALCOLM X BLVD, WP-522
NEW YORK, NY 10037
New York County (212) 939-2740
DR. ROSHINI GOPINATHAN MD
Surgery
506 MALCOLM X BLVD, WP-522
NEW YORK, NY 10037
New York County (212) 939-2740

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 Sheldon Ferguson's NPI number?

The NPI number for Sheldon Ferguson is 1194246983. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Sheldon Ferguson located?

Sheldon Ferguson practices at 506 Malcolm X Blvd, New York, NY 10037. The listed phone number is (212) 939-2291.

What is Sheldon Ferguson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sheldon Ferguson enrolled in Medicare?

Yes. Sheldon 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.

What insurance does Sheldon Ferguson accept?

Health plans from Blue Cross Blue Shield of Arizona list Sheldon 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.

Is Sheldon Ferguson affiliated with any hospitals?

According to CMS data, Sheldon Ferguson is affiliated with Sunrise Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Sheldon Ferguson was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.