Donald Fagerson MD SC – Psychiatry Physician, NPI 1497877963

Donald Fagerson MD SC is a healthcare provider. based in Inverness, Illinois. specializing in Psychiatry Physician. The organization holds a License No. 036-085741 (IL). The NPI Number for Donald Fagerson MD SC is 1497877963

Main info

Organization
Name
Donald Fagerson MD SC
NPI
1497877963
Phone
(847) 358-1588
Address
1644 W COLONIAL PKWY
Authorized Official
DR. DONALD L FAGERSON PRESIDENT MD
Enumeration Date
4 April 2007
Last Update Date
23 April 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Donald Fagerson MD SC

  • 1644 W COLONIAL PKWY

    INVERNESS, IL 600671207

    Phone: (847) 358-1588

    Fax: (847) 358-1542

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (285 days ago).

Enrollment records

1

Earliest due date

2025-08-31

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
O20041008001430OClinic/Group PracticeIL2025-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60067)

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Reviews

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Frequently asked questions

Can I cross-check Donald Fagerson MD SC using NPI 1497877963?
NPI 1497877963 belongs to Donald Fagerson MD SC; compare other details if you need extra assurance.
Is there an active status for Donald Fagerson MD SC?
For scheduling context, Donald Fagerson MD SC is shown as active in the registry.
What expertise is attributed to Donald Fagerson MD SC?
Donald Fagerson MD SC's specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Donald Fagerson MD SC located near Inverness?
Donald Fagerson MD SC currently maps to Inverness, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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