Physician

Todd S Fergus, MD

According to 2025 Medicare claims, Todd Fergus, MD (NPI: 1083694111) practices cardiology in the Green Bay, WI market, with the plurality of this provider's patient population coming from Brown, WI. This provider's primary affiliated billing organization is ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS (NPI: 1285613638; TIN: 39-0817529) and primary practice location at 54301-3526. Fergus is affiliated with the HSHS ACO, L.L.C. (ACO ID: A2783), participating under the MSSP model.

Fergus' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 865 traditional Medicare patients, billed 2,175 HCPCS/CPT codes, and received $130,347 in Medicare payments. The top billing code was 93458 (Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist). Part D data shows 7,589 prescription claims across 1,202 beneficiaries totaling $1,403,303 in drug costs, led by Eliquis (Apixaban). 2020 DME data shows 30 claims. Open Payments data shows 1 records totaling $31. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $216,304 to $130,347. In contrast, Part D prescription costs have moved sharply higher in recent years, from $389,173 to $1,403,303. For DME billing, this smaller-volume category started with an early spike, then settled into a lower baseline, moving from $4,588 to $1,621.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,124	3,801	$216,304
2016	1,055	3,492	$216,570
2017	1,091	3,814	$203,161
2018	1,067	3,734	$191,786
2019	953	3,379	$181,750
2020	898	2,937	$147,075
2021	1,151	3,426	$196,032
2022	897	2,557	$150,294
2023	857	2,319	$134,184
2024	865	2,175	$130,347

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	787	6,502	$389,173
2016	820	6,396	$465,214
2017	856	6,081	$458,067
2018	916	6,332	$537,117
2019	923	6,311	$599,515
2020	969	6,618	$746,528
2021	1,154	7,581	$1,035,479
2022	1,193	7,972	$1,140,845
2023	1,179	7,442	$1,206,473
2024	1,202	7,589	$1,403,303

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	37	$4,541
2016	N/R	15	$1,824
2017	N/R	15	$913
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	30	$1,621
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
93458	Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	97	97	$153
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	141	141	$62
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	401	417	$47
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	146	159	$9
99152	Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes	115	121	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	387	25,699	$492,418
Xarelto	Rivaroxaban	277	16,822	$304,996
Jardiance	Empagliflozin	132	9,560	$183,599
Repatha Sureclick	Evolocumab	98	4,602	$86,638
Entresto	Sacubitril/Valsartan	35	2,445	$53,776

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$31	Novartis Pharmaceuticals Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Todd S. Fergus, MD?

Tedicare shows public-source Medicare data for Todd S. Fergus, MD (NPI 1083694111), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Todd S. Fergus, MD have ACO affiliation data?

Todd S. Fergus, MD is shown with ACO affiliation data for HSHS ACO, L.L.C. (MSSP, ACO ID A2783).

What billing organization is linked to Todd S. Fergus, MD?

Todd S. Fergus, MD is linked to ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS (billing NPI 1285613638) in the available physician profile data.

Does Todd S. Fergus, MD have Open Payments data?

Todd S. Fergus, MD has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.