Brigett Effenbeck, PA-C
NPI 1043980022ActiveIndividual· Family Medicine· Grand Island, NE
Family Medicine (PA-C) with Twin Rivers Urgent Care LLC and 1 other group, practicing in Grand Island, Nebraska. Their prescriptions cost Medicare Part D more than their services did: $97,423 for 1,418 claims, against $5,351 paid for services in 2024. Pfizer Inc. was the largest of 3 companies reporting payments in 2025, $43.17 in all, mostly food and beverage. Lists Fillmore County Hospital as a hospital affiliation.
Overview
| NPI | 1043980022 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 20, 2021 |
| Last updated in NPPES | Apr 16, 2026 |
| Certified by provider | Apr 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 2664 | NE |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 91 |
|---|---|
| Services billed | 132 across 20 procedure codes |
| Paid by Medicare | $5,351 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,418 · 2,544 30-day fills |
|---|---|
| Patients | 210 |
| Total drug cost | $97,423 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Twin Rivers Urgent Care LLCHastings, NE · 21 clinicians
- Fillmore County Medical Center PCGeneva, NE · 7 clinicians
Hospital affiliation
- Fillmore County HospitalGeneva, NE
Industry payments (Open Payments)
- 2025$43.17 · 3 payments from 3 companies
- 2024$117.77 · 6 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $15.26 | 1 |
| Amgen Inc. | $14.45 | 1 |
| Otsuka America Pharmaceutical, Inc. | $13.46 | 1 |
What the 2025 payments were for
- Food and Beverage$43.17 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 44 family medicine physicians in Grand Island · All family medicine physicians in Nebraska