Individual provider Active NPI

Gregg Jonathan Berdy, M.D.

  • Ophthalmology Physician
  • Saint Louis, MO
National Provider Identifier
1376541540
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R1E17 Issued in MO
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

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000993 MO Practitioner - Ophthalmology 4880799865 Reassigns benefits to 1 organization

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
Ophthalmology Consultants LLCGroup PAC ID 6800884008, 22 clinicians

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 Hospital, Sullivan, MO, CCN 261337

Merit-based Incentive Payment System (MIPS)

Final score
79.58 of 100Reported as group
Quality
80.09
Promoting interoperability
88
Improvement activities
40
Cost
61.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R1E17MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Consultants, LLC Ophthalmology CurrentSince Jan 1, 2021 Accepting new patients
Ophthalmology Consultants, LLC Ophthalmology CurrentSince Jan 1, 2021 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

  • Direct secure messaging: gregg.berdy.p2@direct.ocltd.nextgenshare.com
  • Direct secure messaging: g.berdy@oaassc.emadirect.md
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.