Edwin Robert Itenberg, D.O.
NPI 1255508487ActiveIndividual· Colon & Rectal Surgery· Southfield, MI
Colon & Rectal Surgery (D.O.) in Southfield, Michigan, trained at New York College of Osteo Medicine of New York Institute of Technology (class of 2006). In 2024 Medicare paid $40,269 for 120 patients, and Part D covered 294 of their prescriptions, 75% of them generic. Medtronic, Inc. reported $152.91 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1255508487 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | May 16, 2008 |
| Last updated in NPPES | Dec 5, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Colon & Rectal Surgery Primary | 208C00000X | 5101019112 | MI |
| Surgery | 208600000X | 5101019112 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Colorectal Surgery (Proctology) (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 120 |
|---|---|
| Services billed | 237 across 46 procedure codes |
| Paid by Medicare | $40,269 |
Part D prescriptions in 2024
| Prescriptions (claims) | 294 · 301 30-day fills |
|---|---|
| Patients | 114 |
| Total drug cost | $6,639 |
| Generic share | 75% of claims |
Education and affiliations
| Medical school | New York College of Osteo Medicine of New York Institute of Technology |
|---|---|
| Graduation year | 2006 |
| Medicare specialty | Colorectal Surgery (Proctology) |
| Secondary specialties | General Surgery |
| Telehealth | Offers telehealth |
Medical group
- Henry Ford Health SystemDetroit, MI · 2,570 clinicians
Hospital affiliations
- Henry Ford Health HospitalDetroit, MI
- Henry Ford Health West Bloomfield HospitalW Bloomfield, MI
- Henry Ford Macomb HospitalClinton Township, MI
Industry payments (Open Payments)
- 2025$152.91 · 1 payment from 1 company
- 2024$51.48 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $152.91 | 1 |
What the 2025 payments were for
- Food and Beverage$152.91 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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