DR. IAN FERGUSON (MD) – Dermatology Physician, NPI 1467912550

DR. IAN FERGUSON (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 2020016711 (MO). The NPI Number for DR. IAN FERGUSON (MD) is 1467912550

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. IAN FERGUSON (MD)
NPI
1467912550
Phone
(415) 233-1587
Address
4355 LACLEDE AVE # A
Enumeration Date
23 March 2019
Last Update Date
5 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4253852009
Graduation Year
2019 (7 years ago)
PAC ID
2668890682
Group Practice PAC ID
5890863492
Professional Enrollment ID
I20230913000037
Address ID
WA980121797MI15906BLVD402

Contacts

Secure Messaging
fergusonian@wustl.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Other namesUpdated within 12 months

337 DERMATOLOGY in MO

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Provider Addresses for DR. IAN FERGUSON (MD)

  • 4355 LACLEDE AVE # A

    SAINT LOUIS, MO 631082248

    Phone: (415) 233-1587

    Type: Mailing

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    CB 8123

    ST. LOUIS, MO 63110

    Phone: (314) 362-5000

    Type: Location

  • 14090 Fryelands Blvd SE Ste 218

    Monroe, WA 982722763

    Phone: (425) 385-2009

    Fax: (425) 939-0807

    Type: Location

  • 1793 13TH ST SE

    SALEM, OR 973022541

    Phone: (503) 362-8385

    Fax: (503) 362-8435

    Type: Mailing

  • 15906 MILL CREEK BLVD STE 105

    MILL CREEK, WA 980121797

    Phone: (425) 385-2009

    Fax: (425) 939-0807

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $1,716.

Total Amount is formed as General ($1,716) + Research ($0) + Ownership ($0) = $1,716.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GENZYME CORPORATION ($290).

Total Amount

$1,716

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,716

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: 2023-09-13

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
I20230913000037IDermatologyWATBD

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
11102Biopsy of related skin growth, first growth4038$0
17003Destruction of precancer skin growth, 2-14 growths3211$0
99203New patient office or other outpatient visit, 30-44 minutes3131$0
99213Established patient office or other outpatient visit, 20-29 minutes2828$0
17000Destruction of precancer skin growth, 1 growth2828$0
View full utilization report →

Insurance plans in this area (ZIP 63108)

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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: 5890863492View full group profile

Reviews

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Frequently asked questions

What is DR. IAN FERGUSON (MD)'s NPI number?
DR. IAN FERGUSON (MD)'s NPI is 1467912550 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. IAN FERGUSON (MD)?
For scheduling context, DR. IAN FERGUSON (MD) is shown as active in the registry.
What kind of doctor is DR. IAN FERGUSON (MD)?
DR. IAN FERGUSON (MD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. IAN FERGUSON (MD)?
Travel planning: use Saint Louis, Missouri as the reference point for DR. IAN FERGUSON (MD), then confirm.
Can I trust this NPI listing for DR. IAN 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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