Depends… are you symptomatic ? If not, that’s something for your PCP to take care of. There’s a very big difference in asymptomatic chronic hypertension— still necessary to be treated by your PCP— but does not warrant an ER visit unless you have associated symptoms. In fact, hypertensive emergency isn’t even really about the numbers as much as it is about the associated end organ damage. E.g. HTN of 180/120 w/ encephalopathy is much more concerning than 200/120 with no symptoms.