KIMBERLY TRIPLETT FERGUSON MD
NPI 1306409602
Pediatrics in Jacksonville, FL
NPI Status: Active since April 22, 2019
Contact Information
2121 PARK ST
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 387-6200
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About KIMBERLY FERGUSON
This page provides the complete NPI Profile along with additional information for Kimberly Ferguson, a pediatrician established in Jacksonville, Florida with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1306409602 assigned on April 2019. The practitioner's primary taxonomy code is 208000000X with license number ME163617 (FL). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1306409602
- Provider Name
- KIMBERLY TRIPLETT FERGUSON MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2121 PARK ST JACKSONVILLE, FL 32204
- Location Phone
- (904) 387-6200
- Mailing Address
- 2121 PARK ST JACKSONVILLE, FL 32204
- Mailing Phone
- (904) 387-6200
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-22-2019
- Last Update Date
- 08-01-2023
- Code Navigator
A pediatrician like Kimberly Ferguson is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 2200 Childrens Way
Nashville, TN 37232
(615) 936-2555
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME163617
- License State
- FL
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kimberly Ferguson 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), a Home Health Agency (HHA) and Power Mobility Devices.
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
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: Yes
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 32204 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $87.62
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $21.9
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.16
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $24.79
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* 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.
Reviews for KIMBERLY TRIPLETT FERGUSON MD
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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 | 3 | 0 | 6 | 4 | 0 | 9 | 6 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 8 | 0 | 18 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 8 + 0 + 1 + 8 + 6 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1306409602 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1922091156 | DR. ANNE T EGAN MD Individual | Pediatrics (Adolescent Medicine) | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1285627570 | DR. WENDY V SAPOLSKY MD Individual | Pediatrics (Adolescent Medicine) | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1649263922 | ROBERT F COLYER JR. MD Individual | Pediatrics (Adolescent Medicine) | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1093708125 | DR. THOMAS J CONNOLLY MD05/25 Individual | Pediatrics (Adolescent Medicine) | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1962495168 | DR. JAMES W CHEEK MD Individual | Pediatrics (Adolescent Medicine) | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1659364867 | DR. RAOUL A SANCHEZ MD Individual | Pediatrics (Adolescent Medicine) | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1366435570 | DR. KIMBERLY H SANCHEZ DAL PORTO MD Individual | Pediatrics (Adolescent Medicine) | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1366435547 | DR. JULIE REEDER BAKER MD Individual | Pediatrics (Adolescent Medicine) | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1891014916 | MRS. KATHERINE R MERSHON ARNP Individual | Nurse Practitioner (Pediatrics) | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1790052496 | MS. CARI ELIZABETH TRAPPE ARNP Individual | Nurse Practitioner (Pediatrics) | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1194072934 | LINDSAY J WOLF ARNP Individual | Nurse Practitioner (Pediatrics) | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1841547601 | LEAH JONES COPHAM ARNP Individual | Nurse Practitioner (Pediatrics) | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1073698213 | DR. ANDREAE AREY SHAW M.D. Individual | Pediatrics | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1346477882 | CLARA CHANLEY H DUDLEY M.D. Individual | Pediatrics | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1114365764 | MICHELLE C MCCREARY MD Individual | Pediatrics | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1629061932 | DR. AMY WINTERBOTHAM HARDMAN MD Individual | Pediatrics (Adolescent Medicine) | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1184914053 | MRS. LETISHA RENEE BRAZILE JEFFERSON MD Individual | Pediatrics | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1679729263 | DR. CAROLINE PARKER WILLIAMS M.D. Individual | Pediatrics | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1508228248 | DERRICK GLENN OWENS M.D. Individual | Pediatrics | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
| 1275205627 | THE CARITHERS PEDIATRIC GROUP Organization | Pediatrics (Adolescent Medicine) | 2121 PARK ST JACKSONVILLE, FL 32204 (904) 387-6200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306409602, enumerated in the NPI registry as an "individual" on April 22, 2019
The provider is located at 2121 Park St Jacksonville, Fl 32204 and the phone number is (904) 387-6200
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Aetna CVS Health, Florida Blue (BlueCross. 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), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $87.62 with an average copayment of $21.9 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 22, 2019. 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].
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