DR. KERON ALICIA FERGUSON (M.D.) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1215007125
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
30 UNDERSEA AND HYPERBARIC MEDICINE in FL
Provider Addresses for DR. KERON ALICIA FERGUSON (M.D.)
222 Broadway
Suite 301
Kissimmee, FL 34741
Phone: (407) 846-8180
Fax: (407) 201-7966
Type: Location
222 BROADWAY SUITE 301
ATTN: CREDENTIALING
KISSIMMEE, FL 34741
Phone: (407) 846-8180
Fax: (800) 517-6794
Type: Mailing
2400 MAITLAND CENTER PKWY STE 310
MAITLAND, FL 327517442
Phone: (407) 426-4800
Fax: (407) 426-4820
Type: Location
Cariño's Cafe, 222, Broadway Avenue, Kissimmee, Osceola County, Florida, 34741, United States
SUITE 301
KISSIMMEE, FL 34741
Phone: (407) 846-8180
Fax: (407) 201-7966
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $462.
Total Amount is formed as General ($462) + Research ($0) + Ownership ($0) = $462.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Smith+Nephew, Inc. ($173).
Total Amount
$462
General + Research + Ownership
Payments
30
Total payment records
General Amount
$462
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $173 |
| Next Science LLC | $67 |
| MIMEDX Group, Inc. | $47 |
| Integra LifeSciences Corporation | $47 |
| Solventum Corporation | $24 |
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: 2007-08-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070801000657 | I | Family Practice | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 580 | 107 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 498 | 24 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 443 | 83 | $0 |
| 97598 | Removal of tissue from wound, each additional 20.0 sq cm | 337 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 135 | 64 | $0 |
Insurance plans in this area (ZIP 34741)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | FL | 11042 | Removal of skin and tissue first 20 sq cm or less | 658 | 97 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Peripheral Vascular Disease, Family Practice | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA |
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