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DR. PETER FERGUS M.D.
NPI 1639157936
Internal Medicine - Cardiovascular Disease in Green Bay, WI

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1727 SHAWANO AVE, STE 201, GREEN BAY, WI 54303(920) 272-1050(920) 272-1051 Get Directions Write a Review

NPPES record last updated: March 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peter Fergus M.d. NPPES

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

DR. PETER FERGUS M.D. (NPI 1639157936) is an individual cardiovascular disease provider in Green Bay, Wisconsin, licensed in Wisconsin (19406) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1970).

NPPES Registry Identity

NPI1639157936
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PETER FERGUSCredential: M.D.
Location Address1727 SHAWANO AVE, STE 201Green Bay, WI 54303-3273
Mailing Address1727 Shawano Ave, Ste 201Green Bay, WI 54303-3273 · (920) 272-1050 · Fax (920) 272-1051
Phone(920) 272-1050
Fax(920) 272-1051
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1970
Enumeration DateJanuary 6, 2006
Last NPPES UpdateMarch 6, 2015
✔ NPI 1639157936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in WI · 19406
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1727 SHAWANO AVE, Green Bay, WI 54303
Open in Google Maps ↗

Other Identifiers 3

Medicaid30979800WI
Other110149556WI · Railroad Medicare
Medicare UPINB52750WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Security Health Plan.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. Peter Fergus 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 ID5294624854
PECOS Enrollment IDI20040615000043
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 6

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
141 services82 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
123 services86 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.
84 services75 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
81 services32 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
81 services32 patients
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.
68 services52 patients

Hospital Affiliations CMS Care Compare 2

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

MERNA GHOBRIAL MD
Student in an Organized Health Care Education/Training Program
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 436-1375
RACHEL D KROLL PT, DPT
Physical Therapist
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700
SIMIL S. GALA M.D.
Internal Medicine (Interventional Cardiology)
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700
TODD S FERGUS MD
Internal Medicine (Cardiovascular Disease)
1727 SHAWANO AVE, SUITE 201
GREEN BAY, WI 54303
Brown County (920) 496-8877
ERIC J HALLQUIST MD
Student in an Organized Health Care Education/Training Program
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (490) 431-1810
CONNIE BLOEDEL CERTIFIED DIETICIAN
Dietitian, Registered
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 272-1010
DR. MANAL S SOLIMAN M.D.
Family Medicine
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700
DR. JAMES CHRISTOPHER HANSEN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1727 SHAWANO AVE
GREEN BAY, WI 54303
Brown County (920) 496-4700

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 Peter Fergus's NPI number?

The NPI number for Peter Fergus is 1639157936. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Peter Fergus located?

Peter Fergus practices at 1727 Shawano Ave Ste 201, Green Bay, WI 54303. The listed phone number is (920) 272-1050.

What is Peter Fergus's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Peter Fergus enrolled in Medicare?

Yes. Peter Fergus 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 Peter Fergus accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Peter Fergus 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 Peter Fergus affiliated with any hospitals?

According to CMS data, Peter Fergus is affiliated with St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Fergus was last updated on March 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.