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GREGORY EMILE BERTUCCI MD
NPI 1699744482
Ophthalmology in Biloxi, MS

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
82.01/100
CMS Quality Rating
431 BERTUCCI BLVD, BILOXI, MS 39531(228) 385-2020(228) 388-9435 Get Directions Write a Review

NPPES record last updated: May 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gregory Emile Bertucci Md NPPES

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

GREGORY EMILE BERTUCCI MD (NPI 1699744482) is an individual ophthalmology provider in Biloxi, Mississippi, licensed in Mississippi (08302) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1975).

NPPES Registry Identity

NPI1699744482
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameGREGORY EMILE BERTUCCICredential: MD
Location Address431 BERTUCCI BLVDBiloxi, MS 39531-2255
Mailing Address431 Bertucci BlvdBiloxi, MS 39531-2255 · (228) 385-2020 · Fax (228) 388-9435
Phone(228) 385-2020
Fax(228) 388-9435
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1975
Enumeration DateMarch 15, 2006
Last NPPES UpdateMay 25, 2025
NPPES CertifiedMay 25, 2025
✔ NPI 1699744482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MS · 08302
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.
431 BERTUCCI BLVD, Biloxi, MS 39531
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Other Identifiers 1

Medicaid00016927MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gregory Emile Bertucci Md 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 ID8729093703
PECOS Enrollment IDI20120126000799
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gregory Bertucci reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tri County Eye Clinic, PLLC
Same address
Ophthalmology
431 BERTUCCI BLVD
Biloxi, MS 39531
  • Reassigned Medicare billing, Mississippi enrollment
  • 4 clinicians in this Medicare group
NPI 1700859881 (228) 385-2020
Bertucci Eye Care
7.4 mi
Ophthalmology
15122 DEDEAUX RD
Gulfport, MS 39503
  • Reassigned Medicare billing, Mississippi enrollment
  • 2 clinicians in this Medicare group
NPI 1184417750 (228) 832-1242

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

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.
411 services311 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
206 services166 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.
111 services110 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
52 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
31 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39531 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

82.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.75
Promoting Interoperability98
Improvement Activities40
Cost53.95

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
99%133 patients4/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
97%114 patients4/55-star benchmark: 100%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%1,338 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
94%372 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
90%39 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
89%3,815 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,143 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
61%38 patients3/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
6%735 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%2,281 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
75%87 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
100%218 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,281 patients5/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%63 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CHARLES CURTIS GIPSON M.D.
Optometrist
431 BERTUCCI BLVD
BILOXI, MS 39531
Harrison County (228) 385-2020
POPPS FERRY OUT-PATIENT SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
431 BERTUCCI BLVD
BILOXI, MS 39531
Harrison County (228) 385-2020
DR. CAMERON S GRIFFITH MD
Ophthalmology
431 BERTUCCI BLVD
BILOXI, MS 39531
Harrison County (228) 385-2020
TRI COUNTY EYE CLINIC, PLLC
Ophthalmology
431 BERTUCCI BLVD
BILOXI, MS 39531
Harrison County (228) 385-2020

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 Gregory Bertucci's NPI number?

The NPI number for Gregory Bertucci is 1699744482. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Gregory Bertucci located?

Gregory Bertucci practices at 431 Bertucci Blvd, Biloxi, MS 39531. The listed phone number is (228) 385-2020.

What is Gregory Bertucci's specialty?

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

Is Gregory Bertucci enrolled in Medicare?

Yes. Gregory 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.

Which organizations bill Medicare for Gregory Bertucci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Bertucci reassigns Medicare benefits to 2 organizations: Tri County Eye Clinic, PLLC (Biloxi, MS) and Bertucci Eye Care (Gulfport, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gregory Bertucci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Bertucci accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 8 other insurers list Gregory 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.

When was this NPI record last updated?

The NPPES record for Gregory Bertucci was last updated on May 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.