DR. ANNE FERGUS DDS
NPI 1245455831
Dentist - Endodontics in Wauwatosa, WI
NPI Status: Active since April 17, 2007
Contact Information
2600 N MAYFAIR RD
SUITE 505
WAUWATOSA, WI
ZIP 53226
Phone: (414) 258-1500
Fax: (414) 258-9353
- Individual
- Female
- Dentist
- Endodontics
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About ANNE FERGUS
This page provides the complete NPI Profile along with additional information for Anne Fergus, a provider established in Wauwatosa, Wisconsin with a medical specialization in Dentist, focusing in endodontics . The healthcare provider is registered in the NPI registry with number 1245455831 assigned on April 2007. The practitioner's primary taxonomy code is 1223E0200X with license number 5002 (WI). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1245455831
- Provider Name
- DR. ANNE FERGUS DDS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2600 N MAYFAIR RD SUITE 505 WAUWATOSA, WI 53226
- Location Phone
- (414) 258-1500
- Location Fax
- (414) 258-9353
- Mailing Address
- 2600 N MAYFAIR RD STE 240 WAUWATOSA, WI 53226
- Mailing Phone
- (414) 258-1500
- Mailing Fax
- (414) 258-9353
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-17-2007
- Last Update Date
- 04-14-2016
- Code Navigator
A dentist like Anne Fergus is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Anne Fergus opted out of Medicare effective on 03-24-2016 until 03-24-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Endodontics
- Taxonomy Code
- 1223E0200X
- Type
- Dental Providers
- License No.
- 5002
- License State
- WI
- Taxonomy Description
- The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Guardian Basics for Families and Individuals - PPO
- Guardian Essentials for Families and Individuals - PPO
- Guardian Preventive Plus for Families and Individuals - PPO
- Guardian Select for Families and Individuals - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Anne Fergus is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-24-2016
Opt-Out End Date: 03-24-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53226 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 4 | 5 | 4 | 5 | 5 | 8 | 3 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 8 | 5 | 8 | 5 | 10 | 8 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 8 + 5 + 8 + 5 + 1 + 0 + 8 + 6 + 24 = 69 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 69 = 1 | 1 |
The NPI number 1245455831 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1366442691 | DR. JAMES H BARNETT M.D. Individual | Dermatology | 2600 N MAYFAIR RD SUITE 810 WAUWATOSA, WI 53226 (414) 771-1122 |
1740251164 | DR. BARBARA JEAN REINKE PHD Individual | Psychologist (Clinical) | 2600 N MAYFAIR RD SUITE 320 MILWAUKEE, WI 53226 (414) 258-5791 |
1497723035 | JOHN PATRICK WALSH MD Individual | Urology | 2600 N MAYFAIR RD SUITE 545 WAUWATOSA, WI 53226 (414) 476-0430 |
1407824998 | CYNTHIA L EBENHOCH DDS Individual | Dentist | 2600 N MAYFAIR RD SUITE 750 WAUWATOSA, WI 53226 (414) 257-3366 |
1144298266 | TIMOTHY R MIELKE DDS Individual | Dentist | 2600 N MAYFAIR RD SUITE 750 WAUWATOSA, WI 53226 (414) 257-3366 |
1255300398 | NATALIE R JOHNSON-STOECKL DDS Individual | Dentist | 2600 N MAYFAIR RD STE 750 WAUWATOSA, WI 53226 (414) 257-3366 |
1982673026 | JOHN R MALENSEK DDS Individual | Dentist | 2600 N MAYFAIR RD STE 750 WAUWATOSA, WI 53226 (414) 257-3366 |
1174585657 | WILLIAM R DAVIS MD Individual | Internal Medicine (Cardiovascular Disease) | 2600 N MAYFAIR RD #950 WAUWATOSA, WI 53226 (414) 456-1123 |
1851346613 | DR. JASON M MAILHOT DMD Individual | Dentist (Periodontics) | 2600 N MAYFAIR RD SUITE #340 WAUWATOSA, WI 53226 (414) 259-0660 |
1013963107 | JAY A. MET MD Individual | Ophthalmology | 2600 N MAYFAIR RD #350 MILWAUKEE, WI 53226 (414) 777-0110 |
1265478721 | RICHARD D. TURCOTT M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2600 N MAYFAIR RD SUITE 785 WAUWATOSA, WI 53226 (414) 258-5704 |
1629005103 | CAROLYN J. TURCOTT M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2600 N MAYFAIR RD SUITE 785 WAUWATOSA, WI 53226 (414) 258-5704 |
1982636726 | WILLIAM R DAVIS MD SC Organization | Internal Medicine (Cardiovascular Disease) | 2600 N MAYFAIR RD SUITE 950 WAUWATOSA, WI 53226 (414) 456-1123 |
1992720825 | CURT AMMEL LPC Individual | Counselor (Professional) | 2600 N MAYFAIR RD SUITE #305 WAUWATOSA, WI 53226 (414) 257-0233 |
1306861257 | PATRICIA BUJARD PH.D. Individual | Psychologist | 2600 N MAYFAIR RD SUITE #305 WAUWATOSA, WI 53226 (414) 257-0233 |
1003831959 | BERNADETTE DEMURI M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2600 N MAYFAIR RD SUITE #305 WAUWATOSA, WI 53226 (414) 257-0233 |
1063437986 | ASSOCIATED MENTAL HEALTH CONSULTANTS INC Organization | Psychiatry & Neurology (Psychiatry) | 2600 N MAYFAIR RD SUITE #305 WAUWATOSA, WI 53226 (414) 257-0233 |
1417976747 | MINDAS SILIUNAS M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2600 N MAYFAIR RD SUITE 305 WAUWATOSA, WI 53226 (414) 257-0233 |
1457370769 | KATHLEEN CICHANSKI PH.D. Individual | Psychologist | 2600 N MAYFAIR RD SUITE #305 WAUWATOSA, WI 53226 (414) 257-0233 |
1235158544 | SARAH FORD LCSW Individual | Social Worker (Clinical) | 2600 N MAYFAIR RD SUITE #305 WAUWATOSA, WI 53226 (414) 257-0233 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245455831, enumerated in the NPI registry as an "individual" on April 17, 2007
The provider is located at 2600 N Mayfair Rd Suite 505 Wauwatosa, Wi 53226 and the phone number is (414) 258-1500
The provider's speciality is Dentist with taxonomy code 1223E0200X with a focus in Endodontics
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on March 24, 2016 to opt-out of the Medicare program. The provider is excluded from the Medicare program until March 24, 2026.
This NPI record was last updated on April 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.