Doctor profile · Federal record
Dr. Edward Brettholz, MD
Gastroenterology Physician (CMS: Gastroenterology) · New York, NY
- NPI 1093739393
- MIPS 75.0 / 100 · 2023
- 47 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
232 E 30Th St
New York, NY 100168202
(212) 889-5544
fax (212) 481-1089 - Mailing address
-
316 E 30Th St, 2Nd Floor
New York, NY 100168366
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- January 24, 2011
- Year of graduation
- 1979 — 47 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- New York #165247
- Medicaid
- NY #01683036
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093739393. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
736
Distinct HCPCS
10
Medicare allowed
$92,188
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 206 | 131 | $105 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 199 | 133 | $147 | |
36415 |
Insertion of needle into vein for collection of blood sample | 63 | 47 | $8 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 50 | 50 | $131 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 45 | 45 | $144 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 45 | 45 | $146 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 40 | 40 | $193 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 31 | 31 | $293 | |
91200 |
Measurement of liver stiffness | 27 | 20 | $36 | |
91065 |
Measurement of hydrogen in breath to test for stomach and bowel symptoms | 19 | 17 | $101 |
In context: peer comparison
Among 165 peers in this city , average services per provider: 69. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$19,745
Transactions
103
Manufacturers
14
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Phathom Pharmaceuticals, Inc. | 38 | $18,330.72 | |
| ABBVIE INC. | 41 | $639.99 | |
| Intra-Sana Laboratories | 3 | $236.86 | |
| Celgene Corporation | 6 | $173.73 | |
| PFIZER INC. | 3 | $65.45 | |
| IRONWOOD PHARMACEUTICALS, INC | 3 | $62.09 | |
| Intercept Pharmaceuticals, Inc. | 2 | $46.37 | |
| QOL Medical, LLC | 1 | $39.80 | |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $31.60 | |
| GENZYME CORPORATION | 1 | $30.35 | |
| Merck Sharp & Dohme LLC | 1 | $28.89 | |
| CapsoVision, Inc. | 1 | $22.49 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 1 | $21.14 | |
| AIMMUNE THERAPEUTICS, INC. | 1 | $15.57 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
813
Patients
306
Total drug cost
$237,902
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 294 | 98 | $5,600 |
| Famotidine | Generic | 195 | 80 | $4,240 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates) | Brand | 87 | 85 | $7,164 |
| Pantoprazole Sodium | Generic | 67 | 20 | $1,413 |
| Linzess (Linaclotide) | Brand | 37 | 0 | $35,634 |
| Lansoprazole | Generic | 26 | 11 | $1,337 |
| Lubiprostone | Generic | 26 | 0 | $8,287 |
| Vemlidy (Tenofovir Alafenamide) | Brand | 24 | 0 | $36,349 |
| Hydrocortisone | Generic | 16 | 12 | $342 |
| Mesalamine Er (Mesalamine) | Brand | 15 | 0 | $3,787 |
Hospital affiliations
Frequently asked questions
What is Dr. Edward Brettholz's medical specialty?
Dr. Edward Brettholz practices Gastroenterology Physician in New York, NY.
Where does Dr. Edward Brettholz practice?
Dr. Edward Brettholz practices at 232 E 30Th St, New York, NY 100168202. Office phone: 2128895544.
What is Dr. Edward Brettholz's NPI?
Dr. Edward Brettholz's National Provider Identifier (NPI) is 1093739393, issued by NPPES.
Does Dr. Edward Brettholz accept Medicare assignment?
Dr. Edward Brettholz does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Edward Brettholz commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.