DR. JAMES AUTERI FERGUSON M.D., MPH, CPH
NPI 1831553320
Hospitalist in East Islip, NY

Q: What is James Ferguson's NPI number?

The NPI number for James Ferguson is 1831553320. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Q: What is James Ferguson's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for James Ferguson was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

170 W MAIN ST, EAST ISLIP, NY 11730(631) 581-2049(631) 581-3354 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2025, Sep 5, 2019, Feb 28, 2018 and 3 more (6 updates tracked since 2016).

On this page

About Dr. James Auteri Ferguson M.d., Mph, Cph NPPES

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

DR. JAMES AUTERI FERGUSON M.D., MPH, CPH (NPI 1831553320) is an individual hospitalist provider in East Islip, New York, licensed in New York (301034) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831553320

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. JAMES AUTERI FERGUSONCredential: M.D., MPH, CPH

Location Address170 W MAIN STEast Islip, NY 11730

Mailing Address170 W Main StEast Islip, NY 11730-2216 · (631) 581-2049 · Fax (631) 581-3354

Phone(631) 581-2049

Fax(631) 581-3354

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 11, 2016

Last NPPES UpdateNovember 3, 20256 updates tracked since enumeration

NPPES CertifiedNovember 3, 2025

✔ NPI 1831553320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NY · 301034

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 57.028733 (OH), MD25033 (ME), 301034 (NY)

170 W MAIN ST, East Islip, NY 11730

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Secondary Practice Locations 2

Location 111100 Euclid Ave, Bolwell Suite 1200Cleveland, OH 44106-1716 · Phone (216) 844-3944 · Fax (216) 844-8591

Location 2221 Jericho TpkeSyosset, NY 11791-4515 · Phone (516) 496-6400

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 Auteri Ferguson M.d., Mph, Cph 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 ID9234413964

PECOS Enrollment IDI20191016001818, I20210614002744, I20210729001395

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

274 services118 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

113 services58 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

83 services83 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

71 services70 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

60 services60 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

59 services58 patients

Hospital Affiliations CMS Care Compare 5

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330286

Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County

Emergency services Birthing friendly

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH

3/5 CMS rating

OwnershipProprietary

CMS Certification Number360075

Location13207 Ravenna RoadChardon, OH 44024 · Geauga County

Emergency services Birthing friendly

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360078

Location6847 N ChestnutRavenna, OH 44266 · Portage County

Emergency services

Lake Health

Acute Care Hospitals · Concord, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360098

Location7590 Auburn RoadConcord, OH 44077 · Lake County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11730 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Other Providers at the Same Location NPPES 2

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

JAMES W FERGUSON MD LLC

Clinic/Center (Primary Care)

170 W MAIN ST
EAST ISLIP, NY 11730

Suffolk County (631) 581-2049

JAMES W FERGUSON MD

Family Medicine

170 W MAIN ST
EAST ISLIP, NY 11730

Suffolk County (631) 581-2049

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 1831553320. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is James Ferguson located?

James Ferguson practices at 170 W Main St, East Islip, NY 11730. The listed phone number is (631) 581-2049.

What is James Ferguson's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

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, Antidote Health Plan of Ohio, Inc. and CareSource 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 North Shore University Hospital, Good Samaritan Hospital Medical Center, Uh Regional Hospitals, University Hospitals Portage Medical Center and Lake Health.

When was this NPI record last updated?

The NPPES record for James Ferguson was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.