DR. MARK EDWARD FERGUSON (O.D.) – Optometrist, NPI 1598897456

DR. MARK EDWARD FERGUSON (O.D.) is a healthcare provider. based in Godfrey, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046008331 (IL). The NPI Number for DR. MARK EDWARD FERGUSON (O.D.) is 1598897456

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK EDWARD FERGUSON (O.D.)
NPI
1598897456
Phone
(618) 466-8787
Address
3300 GODFREY RD
Enumeration Date
9 March 2007
Last Update Date
2 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184668787
Graduation Year
1990 (36 years ago)
PAC ID
3779667613
Group Practice PAC ID
2961586805
Professional Enrollment ID
I20080229000688
Address ID
IL620352558GO3300XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. MARK EDWARD FERGUSON (O.D.)

  • 3300 GODFREY RD

    GODFREY, IL 620352558

    Phone: (618) 466-8787

    Fax: (618) 466-4703

    Type: Location

  • 40 KINGSLEY WAY

    GLEN CARBON, IL 620341548

    Phone: (618) 288-7350

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $377.

Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($250).

Total Amount

$377

General + Research + Ownership

Payments

23

Total payment records

General Amount

$377

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-02-29

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
I20080229000688IOptometryILTBD

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 minutes5757$0
92250Photography of the retina2020$0
View full utilization report →

Insurance plans in this area (ZIP 62035)

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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: 2961586805View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YMO
O P T O M E T R YIL

Reviews

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Frequently asked questions

How do payers reference DR. MARK EDWARD FERGUSON (O.D.)?
For DR. MARK EDWARD FERGUSON (O.D.), use NPI 1598897456 as the unique 10-digit identifier.
Is DR. MARK EDWARD FERGUSON (O.D.) still an active registrant?
DR. MARK EDWARD FERGUSON (O.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. MARK EDWARD FERGUSON (O.D.)?
DR. MARK EDWARD FERGUSON (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. MARK EDWARD FERGUSON (O.D.) registered?
Use Godfrey, Illinois as the headline location for DR. MARK EDWARD FERGUSON (O.D.) here.
When was this NPI issued?
Enumeration for DR. MARK EDWARD FERGUSON (O.D.) is noted as March 9, 2007 where the registry provides it.

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