MR. BRETT L FERGUSON (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1770562738
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
31 MAXILLOFACIAL SURGERY in MO
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Provider Addresses for MR. BRETT L FERGUSON (DDS)
2310, Holmes Street, Hospital Hill, Kansas City, Jackson County, Missouri, 64108, United States
STE 800
KANSAS CITY, MO 641082634
Phone: (816) 218-2500
Fax: (816) 421-7379
Type: Mailing
2101, Charlotte Street, Hospital Hill, Kansas City, Jackson County, Missouri, 64108, United States
KANSAS CITY, MO 641082727
Phone: (816) 404-0500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-11-17 • Largest payer in this snapshot: Dentsply Sirona Inc ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dentsply Sirona Inc | $14 |
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: 2010-08-04
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 |
|---|---|---|---|---|
| I20100804000058 | I | Maxillofacial Surgery | MO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 13 | $0 |
| 70355 | X-ray of lower jaws, upper jaws and teeth | 14 | 12 | $0 |
Insurance plans in this area (ZIP 64108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | DC | |
| D E R M A T O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Internal Medicine | MO | |
| - | MO | |
| P S Y C H I A T R Y | MO | |
| P S Y C H I A T R Y | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | PA | |
| P S Y C H I A T R Y | MO |
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