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ERIC P. BERTHIAUME M.D.
NPI 1235223843
Internal Medicine - Gastroenterology in East Greenwich, RI

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
1407 SOUTH COUNTY TRAIL, BUILDING 4 SUITE 410, EAST GREENWICH, RI 02818(401) 886-4040(401) 886-4010 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eric P. Berthiaume M.d. NPPES

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

ERIC P. BERTHIAUME M.D. (NPI 1235223843) is an individual gastroenterology provider in East Greenwich, Rhode Island, licensed in Rhode Island (11821) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1999).

NPPES Registry Identity

NPI1235223843
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameERIC P. BERTHIAUMECredential: M.D.
Location Address1407 SOUTH COUNTY TRAIL, BUILDING 4 SUITE 410East Greenwich, RI 02818
Mailing Address33 Staniford StProvidence, RI 02905-3105 · (401) 886-4040 · Fax (401) 886-4010
Phone(401) 886-4040
Fax(401) 886-4010
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1999
Enumeration DateOctober 3, 2006
Last NPPES UpdateApril 20, 2012
✔ NPI 1235223843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in RI · 11821
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1407 SOUTH COUNTY TRAIL, East Greenwich, RI 02818
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Other Identifiers 1

Medicare PIN007060290RI

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

Eric P. Berthiaume M.d. 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 ID7315987120
PECOS Enrollment IDI20050510001217
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 10

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
66 services66 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
62 services46 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
47 services47 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
44 services44 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
41 services41 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02818 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY PULMONARY ASSOCIATES
Internal Medicine (Pulmonary Disease)
1407 SOUTH COUNTY TRAIL, BUILDING 4, 3RD FLOOR, SUITE 430A
EAST GREENWICH, RI 02818
Kent County (401) 886-7910
ERIC BERTHIAUME, MD, LLC
Internal Medicine (Gastroenterology)
1407 SOUTH COUNTY TRAIL, BUILDING 4 SUITE 410
EAST GREENWICH, RI 02818
Kent County (401) 886-4040
JOHN J. CRIBB M.D.
Internal Medicine (Gastroenterology)
1407 SOUTH COUNTY TRAIL, BUILDING 4 SUITE 410
EAST GREENWICH, RI 02818
Kent County (401) 886-4040
JOHN J. CRIBB, MD, INC.
Internal Medicine (Gastroenterology)
1407 SOUTH COUNTY TRAIL, BUILDING 4 SUITE 410
EAST GREENWICH, RI 02818
Kent County (401) 886-4040
ERIC P. BERTHIAUME MEDICAL INC.
Internal Medicine (Gastroenterology)
1407 SOUTH COUNTY TRAIL, BUILDING 4 SUITE 410
EAST GREENWICH, RI 02818
Kent County (401) 886-4040
BAYSIDE ENDOSCOPY CENTER LLC
Clinic/Center (Ambulatory Surgical)
1407 SOUTH COUNTY TRAIL, BUILDING #4, SUITE 411
EAST GREENWICH, RI 02818
Kent County (401) 274-1810
ANGELA FISHMAN, D.O., INC.
Internal Medicine (Gastroenterology)
1407 SOUTH COUNTY TRAIL, BUILDING 4 SUITE 410
EAST GREENWICH, RI 02818
Kent County (401) 886-4040

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 Eric Berthiaume's NPI number?

The NPI number for Eric Berthiaume is 1235223843. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Eric Berthiaume located?

Eric Berthiaume practices at 1407 South County Trail Building 4 Suite 410, East Greenwich, RI 02818. The listed phone number is (401) 886-4040.

What is Eric Berthiaume's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Eric Berthiaume enrolled in Medicare?

Yes. Eric Berthiaume 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 Eric Berthiaume affiliated with any hospitals?

According to CMS data, Eric Berthiaume is affiliated with Kent County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Eric Berthiaume was last updated on April 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.