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MICHAEL BERTUCCI M.D.
NPI 1023469681
Hospitalist in New Orleans, LA

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
1401 FOUCHER ST FL 2, NEW ORLEANS, LA 70115(504) 210-4472(504) 210-4473 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2021, May 26, 2021, Jun 24, 2016 (3 updates tracked since 2016).

About Michael Bertucci M.d. NPPES

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

MICHAEL BERTUCCI M.D. (NPI 1023469681) is an individual hospitalist provider in New Orleans, Louisiana, licensed in Louisiana (320671) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with West Jefferson Medical Center, and maintains a secondary practice location in Florence.

NPPES Registry Identity

NPI1023469681
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMICHAEL BERTUCCICredential: M.D.
Location Address1401 FOUCHER ST FL 2New Orleans, LA 70115-3515
Mailing Address3600 Prytania St, Ste 35New Orleans, LA 70115-3678 · (504) 897-8412 · Fax (504) 249-5311
Phone(504) 210-4472
Fax(504) 210-4473
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2016
Enumeration DateJune 24, 2016
Last NPPES UpdateJuly 2, 20213 updates tracked since enumeration
NPPES CertifiedJuly 2, 2021
✔ NPI 1023469681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in LA · 320671
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MMD.39911LL (SC)
1401 FOUCHER ST FL 2, New Orleans, LA 70115
Open in Google Maps ↗

Secondary Practice Location 1

Location 1555 E Cheves StFlorence, SC 29506-2617 · Phone (843) 777-2800

Other Identifiers 1

Medicaid2533223LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

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

Michael Bertucci M.d. 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 ID3678867850
PECOS Enrollment IDI20191209001788
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
234 services85 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
168 services55 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
76 services73 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70115 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
Most-billed visit code 99214
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.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.77
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers11 claims11 services$14.93 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers13 claims13 services$63.32 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 4

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

JOHN B. IMMS M.D.
Emergency Medicine
1401 FOUCHER ST FL 2
NEW ORLEANS, LA 70115
Orleans Parish (504) 210-4472
VALERIE LEIGH WILLIAMS M.D.
Obstetrics & Gynecology
1401 FOUCHER ST FL 2
NEW ORLEANS, LA 70115
Orleans Parish (504) 897-8210
ALEXANDER GLASER M.D.
Internal Medicine (Cardiovascular Disease)
1401 FOUCHER ST FL 2
NEW ORLEANS, LA 70115
Orleans Parish (504) 210-4472
MR. STRATTON REICHEN
Hospitalist
1401 FOUCHER ST FL 2
NEW ORLEANS, LA 70115
Orleans Parish (504) 210-4472

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 Michael Bertucci's NPI number?

The NPI number for Michael Bertucci is 1023469681. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Michael Bertucci located?

Michael Bertucci practices at 1401 Foucher St Fl 2, New Orleans, LA 70115. The listed phone number is (504) 210-4472.

What is Michael Bertucci's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Michael Bertucci enrolled in Medicare?

Yes. Michael Bertucci 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.

What insurance does Michael Bertucci accept?

Health plans from HMO Louisiana list Michael Bertucci as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Bertucci affiliated with any hospitals?

According to CMS data, Michael Bertucci is affiliated with West Jefferson Medical Center, Touro Infirmary and East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Michael Bertucci was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.