Dr. Erik Gunnar Enquist , MD
Urology • Westerly, RI
35 Wells St
Westerly, RI 028912922
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on September 26, 2005; this date does not establish years in practice.
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Published CMS data list 932 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 373 service units.
- 99213 — Established patient outpatient office visit: 162 service units.
- 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 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 11 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 3,235 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tamsulosin Hcl — 840 prescription fills, including refills.
- Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) — 267 prescription fills, including refills.
- Oxybutynin Chloride — 255 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 32 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Urology in Rhode Island (2024, 41 clinicians with data). Median for this group: 958. Middle half: 470 to 1,791.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,065 in 2020 to 932 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
35 Wells St
Westerly, RI 028912922
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Northeast Medical Group Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Colorado School Of Medicine, Denver
1991
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
586 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $78,091 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $54,575 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
6,015 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$256,355 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $109.92 in 2024
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2024.
Years since graduation
35 years (graduated 1991)
CMS Doctors and Clinicians data list 1991 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Enquist has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Enquist as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Westerly and Rhode Island
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Urology in Rhode Island (2024, 41 clinicians with data). Median for this group: 958. Middle half: 470 to 1,791.
Too few clinicians listed under Urology in Westerly have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Urology in Rhode Island (2024, 41 clinicians with data). Median for this group: $75,333. Middle half: $37,491 to $119,964.
Too few clinicians listed under Urology in Westerly have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Urology in Rhode Island (2024, 41 clinicians with data). Median for this group: $54,593. Middle half: $28,226 to $88,255.
Too few clinicians listed under Urology in Westerly have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Urology in Rhode Island (2024, 47 clinicians with data). Median for this group: 746. Middle half: 337 to 1,646.
Too few clinicians listed under Urology in Westerly have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Urology in Rhode Island (2024, 47 clinicians with data). Median for this group: $67,188. Middle half: $8,632 to $200,992.
Too few clinicians listed under Urology in Westerly have Medicare Part D data for 2024 to compare.
3 active clinicians are listed under Urology with a practice address in Westerly, RI (66 in Rhode Island).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 12% from 1,065 in 2020 to 932 in 2024.
- 2020: 1,065
- 2021: 895
- 2022: 739
- 2023: 733
- 2024: 932
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $80,339 in 2020 and $78,091 in 2024.
- 2020: $80,339
- 2021: $85,476
- 2022: $91,028
- 2023: $81,332
- 2024: $78,091
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Paid by Medicare
Paid by Medicare stayed about the same: $58,170 in 2020 and $54,575 in 2024.
- 2020: $58,170
- 2021: $61,677
- 2022: $65,270
- 2023: $59,468
- 2024: $54,575
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 20% from 2,685 in 2020 to 3,235 in 2024.
- 2020: 2,685
- 2021: 2,569
- 2022: 2,500
- 2023: 2,553
- 2024: 3,235
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30-day fills
30-day fills increased 31% from 4,594 in 2020 to 6,015 in 2024.
- 2020: 4,594
- 2021: 4,463
- 2022: 4,237
- 2023: 4,502
- 2024: 6,015
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Part D drug cost
Part D drug cost increased 12% from $228,021 in 2020 to $256,355 in 2024.
- 2020: $228,021
- 2021: $216,773
- 2022: $207,861
- 2023: $203,285
- 2024: $256,355
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $494.17 in 2019 to $109.92 in 2024.
- 2019: $494.17
- 2020: $14.71
- 2024: $109.92
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $109.92.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| PROGENICS PHARMACEUTICALS, INC. |
Food and Beverage
In-kind items and services
|
PYLARIFY | General | $109.92 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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373 | 296 | $268.00 | $99.93 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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162 | 149 | $182.00 | $67.72 |
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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
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136 | 135 | $51.00 | $17.16 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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69 | 69 | $268.00 | $131.32 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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50 | 38 | $855.00 | $81.47 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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42 | 41 | $182.00 | $92.90 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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33 | 33 | $272.00 | $85.02 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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23 | 12 | $264.00 | $121.92 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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19 | 19 | $415.00 | $138.44 |
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74420
Imaging of urinary tract following injection of a contrast agent
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14 | 12 | $640.00 | $25.16 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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11 | 11 | $415.00 | $171.22 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 840 | 60,104 | $13,676.15 | 225 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 267 | 8,351 | $2,370.75 | 101 |
| Oxybutynin Chloride | Oxybutynin Chloride | 255 | 15,133 | $4,056.48 | 84 |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 240 | 10,788 | $7,930.11 | 53 |
| Cephalexin | Cephalexin | 218 | 8,845 | $1,649.07 | 44 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 213 | 2,065 | $1,321.58 | 163 |
| Finasteride | Finasteride | 210 | 16,969 | $2,689.11 | 79 |
| Gemtesa | Vibegron | 163 | 6,512 | $103,299.08 | 32 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 148 | 8,843 | $5,264.99 | 40 |
| Myrbetriq | Mirabegron | 109 | 5,515 | $83,697.62 | 29 |
| Testosterone Cypionate | Testosterone Cypionate | 102 | 4,708 | $2,301.11 | 20 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 69 | 5,394 | $2,154.81 | 24 |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 37 | 1,750 | $3,763.66 | — |
| Cefuroxime | Cefuroxime Axetil | 33 | 235 | $315.36 | 27 |
| Potassium Citrate Er | Potassium Citrate | 33 | 1,920 | $3,899.15 | — |
| Trospium Chloride | Trospium Chloride | 30 | 1,321 | $759.66 | — |
| Solifenacin Succinate | Solifenacin Succinate | 30 | 1,834 | $1,714.79 | — |
| Testosterone | Testosterone | 27 | 525 | $1,501.50 | — |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 22 | 176 | $158.30 | 19 |
| Mirabegron Er | Mirabegron | 22 | 670 | $8,573.72 | — |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 20 | 149 | $320.92 | 16 |
| Terazosin Hcl | Terazosin Hcl | 16 | 1,130 | $344.46 | — |
| Bicalutamide | Bicalutamide | 16 | 780 | $580.18 | — |
| Doxazosin Mesylate | Doxazosin Mesylate | 15 | 1,350 | $440.27 | — |
| Tolterodine Tartrate | Tolterodine Tartrate | 15 | 608 | $289.38 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208800000X
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.
NUCC Taxonomy Code: 208800000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20111209000792
CT
0749269751
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
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
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Urology
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated September 26, 2005.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Mailing Address
35 Wells St
Westerly, RI 028912922
Phone: 4015960964