ETHAN L FERGUSON (MD) – Urology Physician, NPI 1043666191
Urology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
570 UROLOGY in OH
Provider Addresses for ETHAN L FERGUSON (MD)
9500 EUCLID AVE # NA-23
CLEVELAND, OH 441950001
Phone: (216) 444-2200
Type: Mailing
9500 Euclid Ave # Na-23
Cleveland, OH 441950001
Phone: (216) 444-2200
Type: Location
1701 N Senate Blvd
Indianapolis, IN 462021239
Phone: (888) 484-3258
Type: Location
535, Barnhill Drive, Indianapolis, Marion, Indiana, 46202, United States
SUITE 150
INDIANAPOLIS, IN 462025116
Phone:
Type: Mailing
1801 N SENATE BLVD STE 220
INDIANAPOLIS, IN 462021260
Phone: (317) 962-3700
Fax: (317) 962-2893
Type: Mailing
1801 N SENATE BLVD SUITE 220
INDIANAPOLIS, IN 46202
Phone: (317) 962-3700
Fax: (317) 962-2893
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,209.
Total Amount is formed as General ($1,209) + Research ($0) + Ownership ($0) = $1,209.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,002).
Total Amount
$1,209
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,209
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,002 |
| Calyxo, Inc. | $137 |
| Davol Inc. | $28 |
| Telix Pharmaceuticals | $22 |
| COLOPLAST CORP | $20 |
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: 2023-07-24
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20230724001918 | I | Urology | IN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 22 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 44195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | IN | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | OH | |
| Otolaryngology, Plastic And Reconstructive Surgery | IN | |
| A N E S T H E S I O L O G Y | KY | |
| Anesthesiology Assistant | IN | |
| Emergency Medicine, Pediatric Medicine | IN | |
| General Surgery | IN | |
| Neurology, Epileptologists | IN | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | IN |
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