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Active NPI 1295376523 Individual Practitioner Female Practitioner

Emily Montana Bergeron , PHYSICIAN ASSISTANT

Physician Assistant • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Emily Bergeron, PHYSICIAN ASSISTANT is a certified Physician Assistant practicing in Tulsa, OK. With approximately 5 years of clinical experience since completing medical education in 2021, Emily Bergeron delivers high-quality medical care to the local community at 1417 W 78TH ST APT 1213.

Emily Bergeron is affiliated with Ies Er Oklahoma Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1417 W 78th St Apt 1213

Tulsa, OK 741324633

Telephone 9189559302

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tulsa, OK

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -4.9 yrs vs City Avg
City Avg: 9.9 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
400 Specialists

Practicing in Tulsa, OK (1911 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bergeron (5 Years) 5 Yrs
Tulsa Specialty Average (9.9 Years) 9.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
19 19 $1118.21 $96.67
99285 Emergency department visit for life threatening or functioning severity
15 15 $1650.37 $139.91

Medical Specialties & State Licenses

CMS Verified: 2022-01-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License OK 4722

Definition to come...

Hospital & Practice Group Affiliations

Ies Er Oklahoma Llc

6161 S Yale Ave, Tulsa, OK 741361902

Phone: 9184942200

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address January 04, 2022

Registered at 4337 E 57TH ST, TULSA, OK 741354237 (Tel: 9189559302)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2022

Physician Assistant (License #4722 in OK)

NPI Profile Active October 08, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2019

Registered at 1417 W 78TH ST APT 1213, TULSA, OK 741324633 (Tel: 9189559302)

📍
Updated Business Mailing Address October 08, 2019

Registered at 1417 W 78TH ST APT 1213, TULSA, OK 741324633 (Tel: 9189559302)

👤
Provider Name / Credentials Updated October 08, 2019

Recorded as EMILY BERGERON, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2019

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 08, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295376523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2019
Last Update: January 04, 2022
Sole Proprietor: Yes

Mailing Address

4337 E 57th St

Tulsa, OK 741354237

Phone: 9189559302

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.