Medicare Enrolled

Dr. Edward Brettholz, MD

Gastroenterology · New York, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
232 E 30TH ST, New York, NY 10016
2128895544
In practice since 2006 (19 years)
NPI: 1093739393 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Brettholz from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Brettholz? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Brettholz

Dr. Edward Brettholz is a gastroenterology specialist in New York, NY, with 19 years of NPI registration. Based on federal Medicare data, Dr. Brettholz performed 736 Medicare services across 570 unique beneficiaries.

Between the years covered by Open Payments, Dr. Brettholz received a total of $338,762 from 55 pharmaceutical and/or device companies across 1213 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Brettholz is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 35% volume in NY $338,762 industry payments

Medicare Practice Summary

Medicare Utilization ↗
736
Medicare services
Top 35% in NY for gastroenterology
570
Unique beneficiaries
$91
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~39 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
206 $75 $175
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
199 $104 $240
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
63 $8 $30
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
50 $89 $305
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
45 $115 $1,415
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
45 $114 $1,550
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
40 $131 $370
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
31 $235 $1,950
Liver stiffness measurement
A non-invasive test that uses ultrasound or similar technology to measure the stiffness of liver tissue. This measurement helps assess the degree of liver fibrosis or scarring.
27 $24 $250
Hydrogen breath test
A test that measures hydrogen levels in your breath to help evaluate stomach and bowel symptoms.
19 $77 $300
Anoscopy
A diagnostic exam of the anus using a thin, lighted tube called an endoscope to look inside.
11 $111 $175
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$338,762
Total received (2018-2024)
Avg $48,395/year across 7 years
Top 1% in NY for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
55
Companies
1,213
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$325,285 (96.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,477 (4.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$19,745
2023
$6,087
2022
$31,534
2021
$28,502
2020
$14,007
2019
$80,690
2018
$158,198

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Phathom Pharmaceuticals, Inc.
$18,331
ABBVIE INC.
$640
Intra-Sana Laboratories
$237
Celgene Corporation
$174
PFIZER INC.
$65
IRONWOOD PHARMACEUTICALS, INC
$62
Intercept Pharmaceuticals, Inc.
$46
QOL Medical, LLC
$40
Takeda Pharmaceuticals U.S.A., Inc.
$32
GENZYME CORPORATION
$30
Merck Sharp & Dohme LLC
$29
CapsoVision, Inc.
$22
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$21
AIMMUNE THERAPEUTICS, INC.
$16
Top 3 companies account for 97.3% of 2024 payments
All-time payments by company (2018-2024) ›
Horizon Pharma plc
$118,382
Horizon Therapeutics plc
$58,770
Napo Pharmaceuticals Inc
$29,908
QOL Medical, LLC
$27,617
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$24,540
Synergy Pharmaceuticals Inc
$20,371
Phathom Pharmaceuticals, Inc.
$18,331
Takeda Pharmaceuticals U.S.A., Inc.
$14,449
Allergan Inc.
$11,786
AbbVie Inc.
$4,353
ABBVIE INC.
$1,765
AbbVie, Inc.
$1,245
Janssen Biotech, Inc.
$1,059
Celgene Corporation
$1,035
Gilead Sciences, Inc.
$704
PFIZER INC.
$605
Merck Sharp & Dohme Corporation
$336
Romark Laboratories, LC
$321
RedHill Biopharma Inc.
$309
Intercept Pharmaceuticals, Inc.
$303
Ferring Pharmaceuticals Inc.
$296
Intra-Sana Laboratories
$237
Ironwood Pharmaceuticals, Inc
$233
GENZYME CORPORATION
$208
Daiichi Sankyo Inc.
$200
Merck Sharp & Dohme LLC
$162
Dova Pharmaceuticals
$138
IRONWOOD PHARMACEUTICALS, INC
$119
Braintree Laboratories, Inc.
$93
Concordia Pharmaceuticals Inc.
$89
INTERCEPT PHARMACEUTICALS, INC.
$85
Prometheus Laboratories Inc.
$75
Regeneron Healthcare Solutions, Inc.
$71
Ardelyx, Inc.
$68
Eisai Inc.
$50
Organon LLC
$49
Laborie Medical Technologies Corp.
$37
Boehringer Ingelheim Pharmaceuticals, Inc.
$32
UCB, Inc.
$28
EMD Serono, Inc.
$24
CapsoVision, Inc.
$22
NESTLE HEALTHCARE NUTRITION INC.
$22
Nestle HealthCare Nutrition Inc.
$22
Janssen Scientific Affairs, LLC
$21
Biogen, Inc.
$20
Seqirus USA Inc
$20
W. L. Gore & Associates, Inc.
$20
Alfasigma USA, Inc.
$20
Amarin Pharma Inc.
$19
Bayer HealthCare Pharmaceuticals Inc.
$19
IDORSIA PHARMACEUTICALS US INC
$17
Endo Pharmaceuticals Inc.
$16
AIMMUNE THERAPEUTICS, INC.
$16
Currax Pharmaceuticals LLC
$13
E.R. Squibb & Sons, L.L.C.
$13
Top 3 companies account for 61.1% of all-time payments
Associated products mentioned in payments ›
ALINIA · APRISO · Alinia · Alinia Tablets 500mg 30 count bottle · Amitiza · Belviq · CLENPIQ · CONTRAVE · CREON · CYLTEZO · CapsoCam Plus · Cimzia · Creon · DIFICID · DONNATAL · DUPIXENT · Dexilant · Donnatal · Doptelet · ENTYVIO · Entyvio · Epclusa · Fluad · GORE CARDIOFORM Septal Occluder · HUMIRA · Humira · IBSRELA · INFLECTRA · INJECTAFER · ISENTRESS · LINZESS · Linzess · MOTEGRITY · MOTOFEN · MOVIPREP · Mavyret · Mytesi · NASCOBAL · OCALIVA · Ozanimod · PLENVU · PREPOPIK · PRIMARY CARE - DISEASE STATE · QUVIVIQ · REBYOTA · RELTONE 200 MG · RENFLEXIS · RINVOQ · SIMPONI · SIMPONI ARIA · SKYRIZI · SPINRAZA · STELARA · SUCRAID · SUPREP BOWEL PREP · SUTAB · Stivarga · Sucraid · TRULANCE · Talicia · Trulance · UCERIS TABLETS · VIBERZI · VOQUEZNA · Vascepa · Vemlidy · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (96%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in gastroenterology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 1% for gastroenterology in NY.

Looking for a gastroenterology specialist in New York?
Compare gastroenterologists in the New York area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologists within 10 mi
1,221
Per 100K population
75.0
County median income
$104,553
Nearest hospital
BELLEVUE HOSPITAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Brettholz is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 1% of NY peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Brettholz experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Brettholz performed 206 office visit, established patient (20-29 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Brettholz receive payments from pharmaceutical companies?
Yes. Dr. Brettholz received a total of $338,762 from 55 companies across 1,213 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Brettholz's costs compare to other gastroenterologists in New York?
Dr. Brettholz's average Medicare payment per service is $91. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Brettholz) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →