DR. EMILY FERGUSON (MD) – Family Medicine Physician, NPI 1710989520

DR. EMILY FERGUSON (MD) is a healthcare provider. based in Putnam, Connecticut. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036975 (CT). The NPI Number for DR. EMILY FERGUSON (MD) is 1710989520

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. EMILY FERGUSON (MD)
NPI
1710989520
Phone
(860) 963-0313
Address
41A Grove St
Enumeration Date
11 August 2005
Last Update Date
29 November 2022

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
8609282736
Graduation Year
1995 (31 years ago)
PAC ID
3173647013
Group Practice PAC ID
1355246950
Professional Enrollment ID
I20100831000004
Address ID
CT062601854PU330XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

822 FAMILY PRACTICE in CT

Provider Addresses for DR. EMILY FERGUSON (MD)

  • 41A Grove St

    Putnam, CT 062602107

    Phone: (860) 963-0313

    Type: Location

  • 41, Grove Street, Town of Southeast, Putnam County, New York, 10509, United States

    PUTNAM, CT 062602107

    Phone: (860) 963-0313

    Type: Mailing

  • 330 POMFRET ST

    PUTNAM, CT 062603803

    Phone: (860) 928-2736

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100831000004IFamily PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes16179$0
36415Insertion of needle into vein for collection of blood sample4738$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4545$0
G0008Administration of influenza virus vaccine3838$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use3332$0
View full utilization report →

Insurance plans in this area (ZIP 06260)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355246950View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. EMILY FERGUSON (MD)?
For DR. EMILY FERGUSON (MD), use NPI 1710989520 as the unique 10-digit identifier.
Would DR. EMILY FERGUSON (MD) appear as active to a payer?
You can treat DR. EMILY FERGUSON (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. EMILY FERGUSON (MD)?
DR. EMILY FERGUSON (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Connecticut is DR. EMILY FERGUSON (MD) registered?
Use Putnam, Connecticut as the headline location for DR. EMILY FERGUSON (MD) here.
Can I trust this NPI listing for DR. EMILY FERGUSON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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