Active NPI 1619963535 Individual Practitioner Male Practitioner

Dr. Erik Gunnar Enquist , MD

Urology • Westerly, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Erik Enquist, MD is a certified Urology practicing in Westerly, RI. With approximately 35 years of clinical experience since graduating from University Of Colorado School Of Medicine, Denver in 1991, Dr. Enquist delivers high-quality medical care to the local community at 35 WELLS ST.

Dr. Enquist is affiliated with Northeast Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

35 Wells St

Westerly, RI 028912922

Telephone 4015960964

Fax 4015968634

Associated Practice Facility / Clinic

🏢 Champion Urology Ltd Facility NPI 1013925965

Medicare Profile & Education

Medical School

University Of Colorado School Of Medicine, Denver

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Westerly, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs Matches City Avg

City Avg: 35.0 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

3 Specialists

Practicing in Westerly, RI (71 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Enquist (35 Years) 35 Yrs

Westerly Specialty Average (35.0 Years) 35.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	373	296	$268.00	$99.93
99213 Established patient office or other outpatient visit, typically 15 minutes	162	149	$182.00	$67.72
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	136	135	$51.00	$17.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	69	$268.00	$131.32
52000 Diagnostic exam of bladder and urethra using an endoscope	50	38	$855.00	$81.47
99213 Established patient office or other outpatient visit, typically 15 minutes	42	41	$182.00	$92.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$272.00	$85.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	12	$264.00	$121.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$415.00	$138.44
74420 Imaging of urinary tract	14	12	$640.00	$25.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$415.00	$171.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	312	232	$268.00	$130.70
99213 Established patient office or other outpatient visit, typically 15 minutes	282	229	$182.00	$92.55
52000 Diagnostic exam of bladder and urethra using an endoscope	50	43	$855.00	$80.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$272.00	$113.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$415.00	$170.36
74420 Imaging of urinary tract	13	11	$640.00	$24.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	301	213	$268.00	$133.91
99213 Established patient office or other outpatient visit, typically 15 minutes	292	226	$182.00	$94.92
52000 Diagnostic exam of bladder and urethra using an endoscope	53	44	$855.00	$83.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$272.00	$115.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$415.00	$175.25
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$246.00	$103.14
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$3308.00	$732.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	230	205	$182.00	$70.57
99213 Established patient office or other outpatient visit, typically 15 minutes	211	190	$182.00	$95.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	129	$268.00	$104.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	103	$268.00	$137.03
52000 Diagnostic exam of bladder and urethra using an endoscope	58	46	$855.00	$84.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	19	$191.86	$74.93
99221 Initial hospital inpatient care per day, typically 30 minutes	31	31	$256.06	$105.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$272.00	$87.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$415.00	$142.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$272.00	$116.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	454	308	$268.00	$83.49
99213 Established patient office or other outpatient visit, typically 15 minutes	278	217	$182.00	$53.98
99443 Telephone medical discussion with physician, 21-30 minutes	117	98	$140.00	$83.43
52000 Diagnostic exam of bladder and urethra using an endoscope	54	42	$855.00	$87.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$272.00	$78.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	20	$101.00	$41.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	18	$184.00	$76.70
99221 Initial hospital inpatient care per day, typically 30 minutes	22	21	$246.00	$108.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$333.00	$145.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	601	388	$182.00	$53.47
81003 Automated urinalysis test	258	212	$13.65	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	197	$170.00	$115.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	133	$268.02	$82.03
99213 Established patient office or other outpatient visit, typically 15 minutes	98	83	$125.00	$78.92
51798 Ultrasound measurement of bladder capacity after voiding	60	55	$78.75	$13.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	50	$272.00	$79.79
52000 Diagnostic exam of bladder and urethra using an endoscope	33	32	$855.00	$86.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$180.00	$115.37
52000 Diagnostic exam of bladder and urethra using an endoscope	20	20	$420.00	$203.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$360.00	$116.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	947	490	$13.65	$2.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	752	417	$170.00	$109.72
51798 Ultrasound measurement of bladder capacity after voiding	336	223	$78.75	$16.59
99213 Established patient office or other outpatient visit, typically 15 minutes	322	189	$125.00	$74.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$180.00	$110.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	110	96	$175.00	$148.37
36415 Insertion of needle into vein for collection of blood sample	100	73	$15.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	97	70	$50.00	$22.26
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	79	16	$623.79	$210.43
52000 Diagnostic exam of bladder and urethra using an endoscope	73	58	$420.00	$171.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	49	34	$50.00	$21.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	19	$85.50	$73.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	31	$220.50	$204.00
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	24	16	$150.00	$31.91
51726 Complex measurement of pressure of urine flow in bladder	18	18	$650.00	$277.50
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	12	$400.00	$53.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$60.00	$44.95
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$78.75	$76.34
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$2625.00	$739.66
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	12	$420.00	$62.03
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	11	$945.00	$253.05
55700 Biopsy of prostate gland	12	12	$500.00	$262.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,083	546	$13.65	$2.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	910	469	$170.00	$107.67
51798 Ultrasound measurement of bladder capacity after voiding	467	300	$78.75	$20.01
99213 Established patient office or other outpatient visit, typically 15 minutes	395	218	$125.00	$73.39
36415 Insertion of needle into vein for collection of blood sample	157	111	$15.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	152	107	$50.00	$24.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$180.00	$108.26
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	102	19	$623.79	$209.76
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	84	50	$50.00	$20.33
52000 Diagnostic exam of bladder and urethra using an endoscope	78	69	$420.00	$167.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	57	$220.50	$200.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	24	$85.50	$71.28
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	34	19	$150.00	$33.25
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	34	14	$140.00	$70.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$174.71	$144.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$60.00	$44.52
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	13	$945.00	$236.58
51726 Complex measurement of pressure of urine flow in bladder	13	13	$650.00	$274.65
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$2000.00	$418.82
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$78.75	$75.27

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License RI 10831

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License CT 040289

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003114204 (CT)

Medicaid State Provider ID

7009864 (RI)

Hospital & Practice Group Affiliations

Northeast Medical Group Inc

35 Wells St, Westerly, RI 028912962

Phone: 4015967736

Northeast Medical Group Inc

365 Montauk Ave, New London, CT 063204700

Phone: 8604443735

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Franklin Leddy , MD

Urology

NPI 1124014048

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 25, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 25, 2008

Registered at 35 WELLS ST, WESTERLY, RI 028912922 (Tel: 4015960964)

📍

Updated Business Mailing Address April 25, 2008

Registered at 35 WELLS ST, WESTERLY, RI 028912922 (Tel: 4015960964)

👤

Provider Name / Credentials Updated April 25, 2008

Recorded as ERIK ENQUIST, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2008

Urology (License #10831 in RI)

🟢

Initial NPI Registration & Enumeration September 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619963535

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 26, 2005

Last Update: April 25, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

35 Wells St

Westerly, RI 028912922

Phone: 4015960964

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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