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TIMOTHY J FERGUSON M.D.
NPI 1205878451
Family Medicine in Glendora, CA

Active since June 12, 2006PECOS EnrolledCLIA 05D1093160 · Waiver
210 S. GRAND, GLENDORA, GLENDORA, CA 91741(626) 963-9402(626) 914-5316 Get Directions Write a Review

NPPES record last updated: September 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy J Ferguson M.d. NPPES

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

TIMOTHY J FERGUSON M.D. (NPI 1205878451) is an individual family medicine provider in Glendora, California, licensed in California (A036813) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through December 10, 2026.

NPPES Registry Identity

NPI1205878451
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY J FERGUSONCredential: M.D.
Location Address210 S. GRAND, GLENDORAGlendora, CA 91741-4205
Mailing Address210 S Grand Ave, GlendoraGlendora, CA 91741-4205 · (626) 335-3527 · Fax (626) 963-7972
Phone(626) 963-9402
Fax(626) 914-5316
Sole ProprietorYes
Enumeration DateJune 12, 2006
Last NPPES UpdateSeptember 10, 2008
✔ NPI 1205878451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A036813
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
210 S. GRAND, Glendora, CA 91741
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Other Identifiers 3

Medicare UPINA28186CA
MedicaidGR0023980CA
Medicare PINWA36813ACA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy J Ferguson M.d. 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1093160

Timothy J Ferguson, MD Inc · Glendora, CA
Active · expires Dec 10, 2026
CLIA Number05D1093160
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorTimothy J. Ferguson, MD
Laboratory Phone(626) 335-3527
Laboratory LocationTimothy J Ferguson, MD Inc210 S Grand Ave Ste 400, Glendora, CA 91741
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91741 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Timothy Ferguson's NPI number?

The NPI number for Timothy Ferguson is 1205878451. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Timothy Ferguson located?

Timothy Ferguson practices at 210 S. Grand Glendora, Glendora, CA 91741. The listed phone number is (626) 963-9402.

What is Timothy Ferguson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Ferguson enrolled in Medicare?

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

Does Timothy Ferguson hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1093160) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Timothy Ferguson was last updated on September 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.