DR. GREGG JONATHAN BERDY M.D.
NPI 1376541540
Ophthalmology in Saint Louis, MO

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
75.65/100
CMS Quality Rating
12990 MANCHESTER RD, SUITE 200, SAINT LOUIS, MO 63131(314) 966-5000(314) 909-6666 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gregg Jonathan Berdy M.d. NPPES

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

DR. GREGG JONATHAN BERDY M.D. (NPI 1376541540) is an individual ophthalmology provider in Saint Louis, Missouri, licensed in Missouri (R1E17) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Missouri Baptist Sullivan Hospital, and is a graduate of Saint Louis University School Of Medicine (1983).

NPPES Registry Identity

NPI1376541540
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. GREGG JONATHAN BERDYCredential: M.D.
Location Address12990 MANCHESTER RD, SUITE 200Saint Louis, MO 63131-1860
Mailing Address12990 Manchester Rd, Suite 200Saint Louis, MO 63131-1860 · (314) 966-5000 · Fax (314) 909-6666
Fax(314) 909-6666
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1983
Enumeration DateJuly 12, 2005
Last NPPES UpdateMarch 30, 2015
NPI 1376541540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MO · R1E17
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
12990 MANCHESTER RD, Saint Louis, MO 63131

Other Identifiers 2

Medicare UPINB43217
Medicare ID-Type Unspecified2073MO

Accepted 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

Dr. Gregg Jonathan Berdy 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 ID4880799865
PECOS Enrollment IDI20100802000993
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 20

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.

Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
1,225 services481 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
570 services380 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
356 services346 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
284 services279 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
248 services232 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
139 services137 patients

Hospital Affiliations CMS Care Compare

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

Missouri Baptist Sullivan Hospital

Critical Access Hospitals · Sullivan, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number261337
Location751 Sappington Bridge RdSullivan, MO 63080 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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.

75.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.95
Promoting Interoperability89
Improvement Activities40
Cost28.06

Other Providers at the Same Location NPPES 18

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

Ophthalmology
12990 MANCHESTER RD, SUITE 200
SAINT LOUIS, MO 63131
Ophthalmology
12990 MANCHESTER RD, SUITE 202
ST LOUIS, MO 63131
Nurse Anesthetist, Certified Registered
12990 MANCHESTER RD
DES PERES, MO 63131
Surgery (Plastic and Reconstructive Surgery)
12990 MANCHESTER RD, STE 102
SAINT LOUIS, MO 63131
Optometrist
12990 MANCHESTER RD, SUITE 200
SAINT LOUIS, MO 63131
Optometrist
12990 MANCHESTER RD, SUITE 201
DES PERES, MO 63131
Ophthalmology
12990 MANCHESTER RD, STE 200
SAINT LOUIS, MO 63131
Clinic/Center (Endoscopy)
12990 MANCHESTER RD, SUITE 1
DES PERES, MO 63131

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 Gregg Berdy's NPI number?

The NPI number for Gregg Berdy is 1376541540. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Gregg Berdy located?

Gregg Berdy practices at 12990 Manchester Rd Suite 200, Saint Louis, MO 63131. The listed phone number is (314) 966-5000.

What is Gregg Berdy's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Gregg Berdy enrolled in Medicare?

Yes. Gregg Berdy 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 Gregg Berdy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Gregg Berdy 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 Gregg Berdy affiliated with any hospitals?

According to CMS data, Gregg Berdy is affiliated with Missouri Baptist Sullivan Hospital.

When was this NPI record last updated?

The NPPES record for Gregg Berdy was last updated on March 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.