DR. SANCIA FERGUSON M.D
NPI 1497070601
Internal Medicine - Rheumatology in Madison, WI

Q: What is Sancia Ferguson's NPI number?

The NPI number for Sancia Ferguson is 1497070601. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Q: What is Sancia Ferguson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Sancia Ferguson was last updated on January 25, 2021. 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.

Active since March 30, 2010PECOS EnrolledAccepts Medicare Assignment

345 W WASHINGTON AVE, MADISON, WI 53703(608) 417-8300(608) 417-8301 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2021, Jan 29, 2020, Nov 13, 2015 (3 updates tracked since 2015).

On this page

About Dr. Sancia Ferguson M.d NPPES

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

DR. SANCIA FERGUSON M.D (NPI 1497070601) is an individual rheumatology provider in Madison, Wisconsin, licensed in Wisconsin (72518) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of University Of Minnesota Medical School (2010).

NPPES Registry Identity

NPI1497070601

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameDR. SANCIA FERGUSONCredential: M.D

Location Address345 W WASHINGTON AVEMadison, WI 53703-2996

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 417-8300

Fax(608) 417-8301

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2010

Enumeration DateMarch 30, 2010

Last NPPES UpdateJanuary 25, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2021

✔ NPI 1497070601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in WI · 72518

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

345 W WASHINGTON AVE, Madison, WI 53703

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.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. Sancia Ferguson M.d 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 ID9133434228

PECOS Enrollment IDI20200206001369

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 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

65 services51 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

20 services20 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520089

Location202 S Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number520098

Location600 Highland AvenueMadison, WI 53792 · Dane County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53703 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

GENA M VANKIRK RD

Dietitian, Registered

345 W WASHINGTON AVE
MADISON, WI 53703

Dane County (608) 417-8300

PIER MAXWELL KEMNITZER APNP

Nurse Practitioner

345 W WASHINGTON AVE
MADISON, WI 53703

Dane County (608) 417-8300

DR. KENNETH PATRICK L LIGARAY M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

345 W WASHINGTON AVE
MADISON, WI 53703

Dane County (608) 417-8300

ABIGAIL LIEDL APSW

Social Worker

345 W WASHINGTON AVE
MADISON, WI 53703

Dane County (608) 280-2095

HOLLY L. GERHARD RD

Dietitian, Registered

345 W WASHINGTON AVE, SUITE 100
MADISON, WI 53703

Dane County (608) 417-8300

TERRYANN CHRUDIMSKY LDN

Dietitian, Registered

345 W WASHINGTON AVE
MADISON, WI 53703

Dane County (608) 417-8300

CARLEEN L HANSON MD

Pediatrics

345 W WASHINGTON AVE, SUITE 100
MADISON, WI 53703

Dane County (608) 417-8300

HURST CANDID WISCONSIN, SERVICE CORPORATION

Dentist (Orthodontics and Dentofacial Orthopedics)

345 W WASHINGTON AVE
MADISON, WI 53703

Dane County (860) 481-7631

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 Sancia Ferguson's NPI number?

The NPI number for Sancia Ferguson is 1497070601. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Where is Sancia Ferguson located?

Sancia Ferguson practices at 345 W Washington Ave, Madison, WI 53703. The listed phone number is (608) 417-8300.

What is Sancia Ferguson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sancia Ferguson enrolled in Medicare?

Yes. Sancia 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 Sancia Ferguson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Quartz and Security Health Plan list Sancia 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 Sancia Ferguson affiliated with any hospitals?

According to CMS data, Sancia Ferguson is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Sancia Ferguson was last updated on January 25, 2021. 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.