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Elyssa Berg

NPI 1255745113ActiveIndividual· Emergency Medicine· Fort Defiance, AZ

Emergency Medicine in Fort Defiance, Arizona, trained at Yale University School of Medicine (class of 2014). Mostly services rather than prescriptions: Medicare paid $7,283 for 91 patients in 2024, with only 18 Part D claims.

Overview

NPI1255745113
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJun 18, 2014
Last updated in NPPESAug 11, 2026
Certified by providerAug 11, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Emergency Medicine Primary207P00000X4301113504MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Emergency Medicine (TX)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients91
Services billed100 across 4 procedure codes
Paid by Medicare$7,283

Part D prescriptions in 2024

Prescriptions (claims)18 · 18 30-day fills
Patients11
Total drug cost$111.23
Generic share94% of claims

Medicare sources and data years

Education and affiliations

Medical schoolYale University School of Medicine
Graduation year2014
Medicare specialtyEmergency Medicine

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Emergency Medicine providers in Fort Defiance

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