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EMILY JEAN BERGUSON PA-C
NPI 1881189934
Physician Assistant in Albany, NY

Active since June 29, 2018PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
23 HACKETT BLVD, ALBANY, NY 12208(518) 262-3341 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 6, 2021, Jun 29, 2018 (2 updates tracked since 2018).

About Emily Jean Berguson Pa-c NPPES

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

EMILY JEAN BERGUSON PA-C (NPI 1881189934) is an individual physician assistant in Albany, New York and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Albany Medical College Of Union University (2018).

NPPES Registry Identity

NPI1881189934
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMILY JEAN BERGUSONCredential: PA-C
Location Address23 HACKETT BLVDAlbany, NY 12208-3436
Mailing Address23 Hackett Blvd # Mc-108Albany, NY 12208-3436
Phone(518) 262-3341
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2018
Enumeration DateJune 29, 2018
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedDecember 6, 2021
✔ NPI 1881189934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
23 HACKETT BLVD, Albany, NY 12208
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily Jean Berguson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385993880
PECOS Enrollment IDI20180816001057
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 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
221 services149 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
120 services78 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
97 services64 patients
Complicated change of bladder tube 51710
A complicated change of a bladder tube refers to the process of replacing a tube that helps drain urine from your body. This procedure is typically needed when the existing tube is blocked, damaged, or infected. It's a more complex process if there are issues like tube displacement.
57 services20 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
55 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services34 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330094
Location71 Prospect AvenueHudson, NY 12534 · Columbia County
Emergency services

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims13 services$6.70 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
3 suppliers16 claims24 services$7.89 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers53 claims11,660 services$1.46 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers22 claims2,500 services$6.05 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
6 suppliers35 claims104 services$8.82 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
5 suppliers31 claims68 services$5.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

REBECCA LEIGH O'MALLEY MD
Urology
23 HACKETT BLVD
ALBANY, NY 12208
Albany County (518) 262-3341
DR. ROBERT CHARLES WELLIVER JR. MD
Urology
23 HACKETT BLVD
ALBANY, NY 12208
Albany County (518) 262-3341
KATHRYN DOHERTY
Student in an Organized Health Care Education/Training Program
23 HACKETT BLVD
ALBANY, NY 12208
Albany County (518) 262-3296
JEAN G. HOLLOWELL M.D.
Urology (Pediatric Urology)
23 HACKETT BLVD, MC 208
ALBANY, NY 12208
Albany County (518) 262-3341
DANA W PARAVELLA PHYSICIANS ASSISTANT
Physician Assistant
23 HACKETT BLVD
ALBANY, NY 12208
Albany County (518) 262-3341
AISHA O KAZEEM
Student in an Organized Health Care Education/Training Program
23 HACKETT BLVD
ALBANY, NY 12208
Albany County (518) 262-3296
AMANDA GRAFF PA-C
Physician Assistant
23 HACKETT BLVD
ALBANY, NY 12208
Albany County (518) 262-3341
BADAR M. MIAN M.D.
Urology
23 HACKETT BLVD
ALBANY, NY 12208
Albany County (518) 262-3341

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 Emily Berguson's NPI number?

The NPI number for Emily Berguson is 1881189934. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Emily Berguson located?

Emily Berguson practices at 23 Hackett Blvd, Albany, NY 12208. The listed phone number is (518) 262-3341.

What is Emily Berguson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emily Berguson enrolled in Medicare?

Yes. Emily Berguson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Emily Berguson affiliated with any hospitals?

According to CMS data, Emily Berguson is affiliated with Albany Medical Center Hospital, Columbia Memorial Hospital, Ellis Hospital, Samaritan Hospital Of Troy, New York and Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Emily Berguson was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.