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ERIK GUNNAR ENQUIST MD
NPI 1619963535
Urology in Westerly, RI

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
35 WELLS ST, WESTERLY, RI 02891(401) 596-0964(401) 596-8634 Get Directions Write a Review

NPPES record last updated: April 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Erik Gunnar Enquist Md NPPES

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

ERIK GUNNAR ENQUIST MD (NPI 1619963535) is an individual urology provider in Westerly, Rhode Island, licensed in Rhode Island (10831) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with South County Hospital Inc, and is a graduate of University Of Colorado School Of Medicine, Denver (1991).

NPPES Registry Identity

NPI1619963535
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameERIK GUNNAR ENQUISTCredential: MD
Location Address35 WELLS STWesterly, RI 02891-2922
Mailing Address35 Wells StWesterly, RI 02891-2922 · (401) 596-0964 · Fax (401) 596-8634
Phone(401) 596-0964
Fax(401) 596-8634
Sole ProprietorYes
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1991
Enumeration DateSeptember 26, 2005
Last NPPES UpdateApril 25, 2008
✔ NPI 1619963535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in RI · 10831✔ Licensed in CT · 040289
Definition
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.
35 WELLS ST, Westerly, RI 02891
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN340000349CT
Medicare UPINH30972
Medicare PIN007009864RI
Medicaid7009864RI
Medicaid003114204CT

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

Erik Gunnar Enquist Md 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 ID749269751
PECOS Enrollment IDI20040714001016, I20111209000792
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.

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.
373 services296 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.
162 services149 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.
69 services69 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
50 services38 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.
42 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

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

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410008
Location100 Kenyon AveWakefield, RI 02879 · Washington County
Emergency services Birthing friendly

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02891 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
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers14 claims2,740 services$1.55 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 2

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

FRANKLIN FRASER LEDDY MD
Urology
35 WELLS ST
WESTERLY, RI 02891
Washington County (401) 596-0964
SARA BETH CONNELL FNP-BC
Nurse Practitioner (Family)
35 WELLS ST
WESTERLY, RI 02891
Washington County (401) 596-7880

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 Erik Enquist's NPI number?

The NPI number for Erik Enquist is 1619963535. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Erik Enquist located?

Erik Enquist practices at 35 Wells St, Westerly, RI 02891. The listed phone number is (401) 596-0964.

What is Erik Enquist's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Erik Enquist enrolled in Medicare?

Yes. Erik Enquist 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 Erik Enquist affiliated with any hospitals?

According to CMS data, Erik Enquist is affiliated with South County Hospital Inc and Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Erik Enquist was last updated on April 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.