DR. ETHAN JERNIGAN DO
NPI 1790305456
Emergency Medicine in Lawton, OK
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
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ethan Jernigan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Ethan Jernigan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cassville, MO 65625
- Reassigned Medicare billing, Missouri enrollment
- 151 clinicians in this Medicare group
Monett, MO 65708
- Reassigned Medicare billing, Missouri enrollment
- 457 clinicians in this Medicare group
Aurora, MO 65605
- Reassigned Medicare billing, Missouri enrollment
- 171 clinicians in this Medicare group
Springfield, MO 65804
- Reassigned Medicare billing, Missouri enrollment
- 169 clinicians in this Medicare group
Mountain View, MO 65548
- Reassigned Medicare billing, Missouri enrollment
- 126 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
LAWTON, OK 73505
LAWTON, OK 73505
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Ethan Jernigan located?
Ethan Jernigan practices at 3401 W Gore Blvd, Lawton, OK 73505. The listed phone number is (580) 355-8620.
What is Ethan Jernigan's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ethan Jernigan enrolled in Medicare?
Yes. Ethan Jernigan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ethan Jernigan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Jernigan reassigns Medicare benefits to 5 organizations: Mercy Hospital Cassville (Cassville, MO), Lester E Cox Medical Centers (Monett, MO), Mercy Hospital Aurora (Aurora, MO), Mercy Hospital Springfield (Springfield, MO) and Mercy St. Francis Hospital (Mountain View, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Jernigan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethan Jernigan accept?
Health plans from Health Advantage and Octave list Ethan Jernigan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 14 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.
# Dr. Ethan Jernigan, DO · NPI 1790305456
Emergency Medicine physician in Lawton, Oklahoma. Individual provider, active in the CMS NPPES registry since April 23, 2020.
## Identity
- **NPI:** 1790305456 (Entity type: Individual)
- **Enumerated:** April 23, 2020
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 7284 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 W GORE BLVD, Lawton, OK 73505-6332
- **Phone:** (580) 355-8620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mercy Hospital Cassville (NPI 1285676932, Cassville, MO); Lester E Cox Medical Centers (NPI 1235304148, Monett, MO); Mercy Hospital Aurora (NPI 1467543090, Aurora, MO); Mercy Hospital Springfield (NPI 1043242159, Springfield, MO); Mercy St. Francis Hospital (NPI 1023053477, Mountain View, MO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790305456) · Data from the CMS NPPES public registry.