DR. ETHAN JERNIGAN DO
NPI 1790305456
Emergency Medicine in Lawton, OK

Q: What is Ethan Jernigan's NPI number?

The NPI number for Ethan Jernigan is 1790305456. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Q: What is Ethan Jernigan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Jernigan was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2020PECOS Enrolled

3401 W GORE BLVD, LAWTON, OK 73505(580) 355-8620 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Sep 15, 2021, Apr 23, 2020 (3 updates tracked since 2020).

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About Dr. Ethan Jernigan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN JERNIGAN DO (NPI 1790305456) is an individual emergency medicine provider in Lawton, Oklahoma, licensed in Oklahoma (7284) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790305456

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. ETHAN JERNIGANCredential: DO

Location Address3401 W GORE BLVDLawton, OK 73505-6332

Mailing Address3401 W Gore BlvdLawton, OK 73505-6332

Phone(580) 355-8620

Sole ProprietorNo

Enumeration DateApril 23, 2020

Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1790305456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in OK · 7284✔ Licensed in MO · 2022048662

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3401 W GORE BLVD, Lawton, OK 73505

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Secondary Practice Locations 2

Location 13801 S National AveSpringfield, MO 65807-5210 · Phone (417) 269-9812

Location 21423 N Jefferson AveSpringfield, MO 65802-1917 · Phone (417) 269-9812

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ethan Jernigan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

167 services155 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

88 services84 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIEL SCOTT RIVERA

Pharmacist