Emily Montana Bergeron, PHYSICIAN ASSISTANT
NPI 1295376523ActiveIndividual· Physician Assistant· Tulsa, OK
Physician Assistant (PHYSICIAN ASSISTANT) with Ies ER Oklahoma LLC, practicing in Tulsa, Oklahoma. 42 Medicare patients in 2024, $3,372 paid; nearly all of their 58 Part D prescriptions were generic (93%). Lists Ascension St John Medical Center as a hospital affiliation.
Overview
| NPI | 1295376523 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | Yes |
| NPI issued | Oct 8, 2019 |
| Last updated in NPPES | Jan 4, 2022 |
| Certified by provider | Jan 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | 4722 | OK |
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 (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 42 |
|---|---|
| Services billed | 45 across 10 procedure codes |
| Paid by Medicare | $3,372 |
Part D prescriptions in 2024
| Prescriptions (claims) | 58 · 62 30-day fills |
|---|---|
| Patients | 40 |
| Total drug cost | $1,086 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Ies ER Oklahoma LLCMuskogee, OK · 143 clinicians
Hospital affiliation
- Ascension St John Medical CenterTulsa, OK
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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