Active NPI
Gregg Jonathan Berdy, M.D.
- Ophthalmology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- R1E17
- Practice address
- 12990 Manchester Rd
Suite 200
Saint Louis, MO 63131-1860 - Phone
- (314) 966-5000
- Fax
- (314) 909-6666
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | R1E17 | MO | Primary |
Addresses
Primary practice location
12990 Manchester Rd
Suite 200
Saint Louis, MO 63131-1860
Mailing address
12990 Manchester Rd
Suite 200
Saint Louis, MO 63131-1860
Phone (314) 966-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Saint Louis University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3513 Harry S Truman Blvd
Ophthalmology Consultants
Saint Charles, MO 63301-4077
Phone (636) 688-7500
Hospital & facility affiliations
- Missouri Baptist Sullivan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.58 of 100
- Quality
- 80.09
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 61.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 75 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1E17 | MO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmology Consultants, LLC | Ophthalmology | Current | Accepting new patients |
| Ophthalmology Consultants, LLC | Ophthalmology | Current | Accepting new patients |
Locations
3513 Harry S Truman Blvd
Saint Charles, MO 63301
Phone (636) 688-7500
12990 Manchester Rd
Ste 200
Saint Louis, MO 63131
Phone (314) 966-5000
12990 Manchester Rd
Ste 201
Saint Louis, MO 63131
Phone (314) 909-0633
12990 Manchester Rd
Ste 20
Saint Louis, MO 63131
Phone (314) 966-5000
621 S New Ballas Rd
Ste 5006B
Saint Louis, MO 63141
Phone (314) 251-5300
965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054
Interoperability endpoints
- gregg.berdy.p2@direct.ocltd.nextgenshare.com
- g.berdy@oaassc.emadirect.md
- gregg.berdy.p1@direct.ocltd.nextgenshare.com
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Des Peres, MO
- NPI 1508899543
-
- Durable Medical Equipment & Medical Supplies
- Saint Louis, MO
- NPI 1659799575
Ophthalmology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sullivan, MO
- NPI 1295743169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1376541540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12990 MANCHESTER RD",
"address_2": "SUITE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631311860",
"telephone_number": "314-966-5000",
"fax_number": "314-909-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12990 MANCHESTER RD",
"address_2": "SUITE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631311860",
"telephone_number": "314-966-5000",
"fax_number": "314-909-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERDY",
"first_name": "GREGG",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "R1E17",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.