JAMES FERGUSON M.D.
NPI 1811257850
Internal Medicine - Pulmonary Disease in East Greenwich, RI

Active since May 24, 2012PECOS EnrolledAccepts Medicare Assignment
1407 S COUNTY TRL STE 430A, EAST GREENWICH, RI 02818(401) 886-7910(401) 886-7913 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2026, Dec 17, 2021, Nov 4, 2021 and 3 more (6 updates tracked since 2016).

About James Ferguson M.d. NPPES

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

JAMES FERGUSON M.D. (NPI 1811257850) is an individual pulmonary disease provider in East Greenwich, Rhode Island, licensed in Rhode Island (MD14925) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1811257850
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJAMES FERGUSONCredential: M.D.
Location Address1407 S COUNTY TRL STE 430AEast Greenwich, RI 02818-1679
Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 737-7010 · Fax (401) 736-4546
Fax(401) 886-7913
Sole ProprietorYes
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2012
Enumeration DateMay 24, 2012
Last NPPES UpdateJune 2, 20266 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1811257850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in RI · MD14925
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1407 S COUNTY TRL STE 430A, East Greenwich, RI 02818

Secondary Practice Locations 4

Location 1101 Plain St Ste 4Providence, RI 02903-4829 · Phone (401) 886-7010 · Fax (401) 921-6955
Location 2111 Brewster StPawtucket, RI 02860-4400 · Phone (401) 729-2635 · Fax (401) 729-2157
Location 3455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 736-4546
Location 41405 S County Trl Ste 3AEast Greenwich, RI 02818-5081 · Phone (401) 886-7910 · Fax (401) 886-7913

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

James 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 ID1153548425
PECOS Enrollment IDI20150805009291
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 14

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 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.
274 services195 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
267 services266 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
206 services205 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.
171 services147 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
160 services73 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
150 services150 patients

Hospital Affiliations CMS Care Compare 5

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

Newport Hospital

Acute Care Hospitals · Newport, RI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410006
Location11 Friendship StreetNewport, RI 02840 · Newport County
Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02818 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers23 claims23 services$37.21 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers13 claims24 services$1.18 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers17 claims17 services$83.91 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers17 claims36 services$30.00 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers22 claims22 services$17.08 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers31 claims144 services$2.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
1407 S COUNTY TRL STE 430A
EAST GREENWICH, RI 02818
Nurse Practitioner (Family)
1407 S COUNTY TRL STE 430A
EAST GREENWICH, RI 02818
Nurse Practitioner (Family)
1407 S COUNTY TRL STE 430A
EAST GREENWICH, RI 02818
Internal Medicine (Pulmonary Disease)
1407 S COUNTY TRL STE 430A
EAST GREENWICH, RI 02818

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 1811257850. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Where is James Ferguson located?

James Ferguson practices at 1407 S County Trl Ste 430A, East Greenwich, RI 02818. The listed phone number is (401) 886-7910.

What is James Ferguson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

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.

Is James Ferguson affiliated with any hospitals?

According to CMS data, James Ferguson is affiliated with Newport Hospital, Rhode Island Hospital, Kent County Memorial Hospital, Women & Infants Hospital Of Rhode Island and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for James Ferguson was last updated on June 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.