Philip L Bertucci, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

13141 Issued in MS

Practice address

15122 Dedeaux Rd
Gulfport, MS 39503-3120

Phone

(228) 832-1242

Fax

(228) 832-1285

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

Louisiana State University School of Medicine in New Orleans, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bertucci Eye CareGroup PAC ID 6901393602, 2 clinicians

Tri County Eye Clinic, PLLCGroup PAC ID 9830104819, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbertucci@direct.mhg.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bertucci Eye Care

  • Ophthalmology Physician
  • Gulfport, MS
  • NPI 1184417750
  Medicare reassignment Care Compare group NPD Authorized official
• Tri County Eye Clinic, PLLC

  • Ophthalmology Physician
  • Biloxi, MS
  • NPI 1700859881
  Medicare reassignment Care Compare group NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL, MS

  Medicare reassignment NPD
• Tri County Eye Clinic, PLLC

  • Corneal and Contact Management Optometrist
  • Gulfport, MS
  • NPI 1538337902
  NPD
• Popps Ferry Out-Patient Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Biloxi, MS
  • NPI 1053649558
  NPD (past)
• Carolina Eye Care of Sumter

  • Ophthalmology Physician
  • Sumter, SC
  • NPI 1447449335
  NPD (past)
• Park & Phillips Eye Care PA

  • Optometrist
  • Columbia, SC
  • NPI 1902828585
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748131200000",
    "number": "1194793299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15122 DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033120",
            "telephone_number": "228-832-1285",
            "fax_number": "228-832-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15122 DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033120",
            "telephone_number": "228-832-1242",
            "fax_number": "228-832-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTUCCI",
        "first_name": "PHILIP",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-05-25",
        "certification_date": "2025-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "13141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122437",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William J. Berglind, MD
• Ronald P. Bernadas, M.D.
• Peter Joseph Bernheim, M.D.
• Heather Lyn Berry, NP
• Bertucci Eye Care
• Elizabeth Evans Beverly, R.N.
• Jennifer Bickel
• Bienville Orthopaedic Specialists, LLC
• Bienville Therapy, LLC
• Bio-Medical Applications of Mississippi, Inc.

• Ophthalmology Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.