EDRICK JORDAN FERGUSON M.D.
NPI 1659365872
Radiology - Diagnostic Radiology in Canton, IL

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
210 W WALNUT ST, CANTON, IL 61520(309) 647-5240 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2024, Jun 19, 2023 (2 updates tracked since 2023).

About Edrick Jordan Ferguson M.d. NPPES

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

EDRICK JORDAN FERGUSON M.D. (NPI 1659365872) is an individual diagnostic radiology provider in Canton, Illinois, licensed in Illinois (036170509) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and maintains a secondary practice location in Murfreesboro.

NPPES Registry Identity

NPI1659365872
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameEDRICK JORDAN FERGUSONCredential: M.D.
Location Address210 W WALNUT STCanton, IL 61520-2444
Mailing Address611 W Park StUrbana, IL 61801-2500
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateSeptember 2, 2005
Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
NPI 1659365872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in IL · 036170509 Licensed in OH · 35079693
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 26307 (TN)
210 W WALNUT ST, Canton, IL 61520

Secondary Practice Location 1

Location 12804 Battleground Dr, MurfreesboroMurfreesboro, TN 37129-6492 · Phone (804) 519-3993 · Fax (423) 837-9547

Other Identifiers 7

Medicaid1508037TN
Other000000270956OH · Anthem
Other4191954TN · Blue Cross Blue Shield
OtherP00468253Railroad Medicare
Medicaid30885811TN
Medicaid2383924OH
Other4166295TN · Bcbs Provider Number

Accepted 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

Edrick Jordan 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 ID6800787011
PECOS Enrollment IDI20240827000108
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 63

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
403 services403 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
399 services399 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
356 services339 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
230 services173 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
184 services167 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
136 services131 patients

Hospital Affiliations CMS Care Compare 5

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Mason District Hospital

Critical Access Hospitals · Havana, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141313
Location615 North Promenade Street,p O Box 530Havana, IL 62644 · Mason County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61520 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

Nurse Anesthetist, Certified Registered
210 W WALNUT ST
CANTON, IL 61520
Nurse Anesthetist, Certified Registered
210 W WALNUT ST
CANTON, IL 61520
Nurse Practitioner (Psychiatric/Mental Health)
210 W WALNUT ST
CANTON, IL 61520
Nurse Anesthetist, Certified Registered
210 W WALNUT ST
CANTON, IL 61520
Skilled Nursing Facility
210 W WALNUT ST
CANTON, IL 61520
General Acute Care Hospital (Critical Access)
210 W WALNUT ST
CANTON, IL 61520
Physical Therapy Assistant
210 W WALNUT ST
CANTON, IL 61520
Occupational Therapist
210 W WALNUT ST
CANTON, IL 61520

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 Edrick Ferguson's NPI number?

The NPI number for Edrick Ferguson is 1659365872. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Edrick Ferguson located?

Edrick Ferguson practices at 210 W Walnut St, Canton, IL 61520. The listed phone number is (309) 647-5240.

What is Edrick Ferguson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Edrick Ferguson enrolled in Medicare?

Yes. Edrick 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 Edrick Ferguson accept?

Health plans from McLaren Health Plan Community list Edrick 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 Edrick Ferguson affiliated with any hospitals?

According to CMS data, Edrick Ferguson is affiliated with Graham Hospital Association, St Mary Medical Center, Saint Francis Medical Center, Methodist Medical Center Of Illinois and Mason District Hospital.

When was this NPI record last updated?

The NPPES record for Edrick Ferguson was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.