DANIEL FERGUSON M.D.
NPI 1871570747
Internal Medicine in Slippery Rock, PA

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
621 KELLY BLVD, SLIPPERY ROCK, PA 16057(724) 794-4009(724) 794-4099 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Daniel Ferguson M.d. NPPES

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

DANIEL FERGUSON M.D. (NPI 1871570747) is an individual internal medicine provider in Slippery Rock, Pennsylvania, licensed in Pennsylvania (MD040440L) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Pottstown Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1871570747
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDANIEL FERGUSONCredential: M.D.
Location Address621 KELLY BLVDSlippery Rock, PA 16057
Mailing Address621 Kelly BlvdSlippery Rock, PA 16057-8523 · (724) 794-4009 · Fax (724) 794-4099
Fax(724) 794-4099
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateDecember 30, 2005
Last NPPES UpdateOctober 9, 2020
NPPES CertifiedOctober 9, 2020
NPI 1871570747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD040440L
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

621 KELLY BLVD, Slippery Rock, PA 16057

Other Identifiers 1

Medicaid0012360630003PA

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

Daniel 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 ID1153353875
PECOS Enrollment IDI20050902000082
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.

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.
244 services148 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.
165 services122 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
117 services117 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
22 services18 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
14 services14 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16057 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers21 claims56 services$5.22 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers13 claims13 services$62.83 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers18 claims18 services$46.47 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers19 claims19 services$14.82 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers18 claims18 services$11.90 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
9 suppliers29 claims148 services$1.79 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 5

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

Nurse Practitioner (Primary Care)
621 KELLY BLVD
SLIPPERY ROCK, PA 16057
Internal Medicine
621 KELLY BLVD
SLIPPERY ROCK, PA 16057
Nurse Practitioner (Family)
621 KELLY BLVD
SLIPPERY ROCK, PA 16057
Internal Medicine
621 KELLY BLVD
SLIPPERY ROCK, PA 16057
Internal Medicine
621 KELLY BLVD
SLIPPERY ROCK, PA 16057

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 Daniel Ferguson's NPI number?

The NPI number for Daniel Ferguson is 1871570747. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Daniel Ferguson located?

Daniel Ferguson practices at 621 Kelly Blvd, Slippery Rock, PA 16057. The listed phone number is (724) 794-4009.

What is Daniel Ferguson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Daniel Ferguson enrolled in Medicare?

Yes. Daniel 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 Daniel Ferguson affiliated with any hospitals?

According to CMS data, Daniel Ferguson is affiliated with Pottstown Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Ferguson was last updated on October 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.