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DR. JAMES DANIEL FERGUSON O.D.
NPI 1548269202
Optometrist in Highland, IN

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
8417 KENNEDY AVE, HIGHLAND, IN 46322(219) 838-2020(219) 838-0454 Get Directions Write a Review

NPPES record last updated: July 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Daniel Ferguson O.d. NPPES

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

DR. JAMES DANIEL FERGUSON O.D. (NPI 1548269202) is an individual optometrist in Highland, Indiana, licensed in Indiana (18002583A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and is a graduate of Illinois College Of Optometry At Chicago (1992).

NPPES Registry Identity

NPI1548269202
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES DANIEL FERGUSONCredential: O.D.
Location Address8417 KENNEDY AVEHighland, IN 46322-1139
Mailing Address8417 Kennedy AveHighland, IN 46322-1139 · (219) 838-2020 · Fax (219) 838-0454
Phone(219) 838-2020
Fax(219) 838-0454
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1992
Enumeration DateJuly 15, 2005
Last NPPES UpdateJuly 20, 2007
✔ NPI 1548269202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IN · 18002583A
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
8417 KENNEDY AVE, Highland, IN 46322
Open in Google Maps ↗

Other Identifiers 2

Other000000229339IN · Blue Cross/blue Shield
Medicare ID-Type Unspecified185680IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. James Daniel Ferguson O.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 ID7113935271
PECOS Enrollment IDI20060330000694
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 11

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
470 services284 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
218 services194 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services117 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
99 services54 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
79 services76 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
78 services74 patients

Hospital Affiliations CMS Care Compare

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

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150008
Location4321 Fir StreetEast Chicago, IN 46312 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46322 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 3

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

JAMES D. FERGUSON OD PC
Eyewear Supplier
8417 KENNEDY AVE
HIGHLAND, IN 46322
Lake County (219) 838-2020
LIAM JAMES FERGUSON
Optometrist
8417 KENNEDY AVE
HIGHLAND, IN 46322
Lake County (219) 838-2020
JAMES D. FERGUSON OD PC
Optometrist
8417 KENNEDY AVE
HIGHLAND, IN 46322
Lake County (219) 838-2020

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 James Ferguson's NPI number?

The NPI number for James Ferguson is 1548269202. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is James Ferguson located?

James Ferguson practices at 8417 Kennedy Ave, Highland, IN 46322. The listed phone number is (219) 838-2020.

What is James Ferguson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is James Ferguson enrolled in Medicare?

Yes. James 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 James Ferguson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list James 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 James Ferguson affiliated with any hospitals?

According to CMS data, James Ferguson is affiliated with St Catherine Hospital Inc.

When was this NPI record last updated?

The NPPES record for James Ferguson was last updated on July 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.