Eric Berthiaume, M.D.
NPI 1235223843 · Gastroenterology Physician · East Greenwich, RI
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eric Berthiaume, M.D. is a Gastroenterology Physician provider in East Greenwich, RI (NPI 1235223843).
Provider details
- NPI number
- 1235223843
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 11821 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
348 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 66 | $142 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 62 | $78 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 47 | $248 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 44 | $129 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 41 | $109 |
| 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 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 348 | 104 |
| Pantoprazole Sodium | 77 | 23 |
| Dicyclomine Hcl | 62 | 17 |
| Colestipol Hcl | 34 | 17 |
| Mesalamine | 31 | — |
| Azathioprine | 29 | — |
| Linaclotidebrand: Linzess | 26 | — |
| Lipase/Protease/Amylase |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$842 across 43 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2012-04-20
Frequently asked questions
- What is Eric Berthiaume's NPI number?
- Eric Berthiaume's National Provider Identifier (NPI) is 1235223843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Eric Berthiaume's specialty?
- Eric Berthiaume is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Eric Berthiaume located?
- Eric Berthiaume's practice location on file with NPPES is 1407 South County Trail, East Greenwich, RI 02818.
- What is Eric Berthiaume's phone number?
- The practice phone number listed in the NPPES registry for Eric Berthiaume is (401) 886-4040.
- Does Eric Berthiaume accept Medicare?
- Eric Berthiaume is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Eric Berthiaume's NPI active?
- Yes — Eric Berthiaume's NPI (1235223843) is active in the NPPES registry as of the last update on 2012-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.