Emily Clark Ence, PA-C
NPI 1063784478ActiveIndividual· Physician Assistant· La Jolla, CA
Physician Assistant (PA-C) with Monica Perlman MD Inc, practicing in La Jolla, California. Their prescriptions cost Medicare Part D more than their services did: $146,105 for 1,417 claims, against $16,152 paid for services in 2024. Gilead Sciences, Inc. was the largest of 12 companies reporting payments in 2025, $772.88 in all, mostly food and beverage.
Overview
| NPI | 1063784478 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 31, 2012 |
| Last updated in NPPES | Dec 4, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA52084 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 40 |
|---|---|
| Services billed | 398 across 34 procedure codes |
| Paid by Medicare | $16,152 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,417 · 3,110 30-day fills |
|---|---|
| Patients | 155 |
| Total drug cost | $146,105 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Monica Perlman MD IncSan Diego, CA · 364 clinicians
Industry payments (Open Payments)
- 2025$772.88 · 34 payments from 12 companies
- 2024$1,544 · 70 payments from 20 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Gilead Sciences, Inc. | $233.95 | 13 |
| Phadia US Inc. | $94.04 | 1 |
| Hologic Sales and Service, LLC | $76.07 | 3 |
| Lilly USA, LLC | $57.90 | 3 |
| Sanofi Pasteur Inc. | $55.59 | 3 |
What the 2025 payments were for
- Food and Beverage$772.88 · 34 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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