SUSAN RENE FERGUSON (PA-C) – Medical Physician Assistant, NPI 1659635829
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SUSAN RENE FERGUSON (PA-C)
5982 BERRYHILL RD
SUITE B
MILTON, FL 325704001
Phone: (850) 626-9626
Type: Mailing
141 MACK BAYOU LOOP STE 101
SANTA ROSA BEACH, FL 324597194
Phone: (850) 863-5990
Fax: (850) 862-0041
Type: Location
417A RACETRACK RD NW STE 2
FORT WALTON BEACH, FL 325474604
Phone: (850) 863-5990
Fax: (850) 862-0041
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $970.
Total Amount is formed as General ($970) + Research ($0) + Ownership ($0) = $970.
Last reported payment date: 2024-05-30 • Largest payer in this snapshot: ABBVIE INC. ($408).
Total Amount
$970
General + Research + Ownership
Payments
38
Total payment records
General Amount
$970
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-06-16
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 |
|---|---|---|---|---|
| I20210616001985 | I | Physician Assistant | VA | 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 | 154 | 124 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 64 | 64 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 23 | 22 | $0 |
Insurance plans in this area (ZIP 32570)
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