Individual provider Active NPI

Michael S Tsipursky, MD

  • Retina Specialist (Ophthalmology) Physician
  • Bonita Springs, FL
National Provider Identifier
1437315033
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
FLME131309 Issued in FL
Practice address
28901 Trails Edge Blvd Ste 202
Bonita Springs, FL 34134-7588
Phone
(239) 544-3122
Fax
(239) 544-3128
NPI assigned
Aug 3, 2008
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 131309 FL
Ophthalmology Physician 207W00000X 41856 AZ
Ophthalmology Physician 207W00000X 036128042 IL
Retina Specialist (Ophthalmology) Physician 207WX0107X FLME131309 FL Primary

Addresses

Primary practice location

28901 Trails Edge Blvd Ste 202
Bonita Springs, FL 34134-7588

Mailing address

28901 Trails Edge Blvd Ste 202
Bonita Springs, FL 34134-7588
Phone (239) 544-3122

Other practice location 1

9431 Corkscrew Palms Cir
Estero, FL 33928-6275
Phone (239) 544-3122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220713003301 FL Practitioner - Ophthalmology 1557413135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Chicago College of Medicine and Surgery, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Retina Institute LLCGroup PAC ID 7911353032, 2 clinicians

Practice addresses (Care Compare)

28901 Trails Edge Blvd
Suite 202
Bonita Springs, FL 34134-7588
Phone (239) 544-3122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41856AZMDOphthalmology Physician
131309FLMDOphthalmology Physician
FLME131309FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Manatee, LLP Ophthalmology CurrentSince Jul 11, 2022 Accepting new patients
Eye Associates of Manatee LLP CurrentSince Jul 11, 2022 Accepting new patients
Advanced Retina Institute LLC Retina Specialist CurrentSince Jan 1, 2023 Accepting new patients
Surgicare Center LLC Past Accepting new patients

Locations

28901 Trails Edge Blvd
Ste 202
Bonita Springs, FL 34134
Phone (239) 220-1083

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

9431 Corkscrew Palms Cir
Estero, FL 33928
Phone (239) 544-3122

4101 Evans Ave
Fort Myers, FL 33901
Phone (239) 335-1765

877 111th Ave N
Ste 2
Naples, FL 34108
Phone (239) 591-2949

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: michael.tsipursky.p3@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: michael.tsipurskymd.p1@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: mtsipursky@tsipurskymd.intellechartdirect.net

Organizations & group practices 4

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

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": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1437315033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28901 TRAILS EDGE BLVD STE 202",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347588",
            "telephone_number": "239-544-3122",
            "fax_number": "239-544-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28901 TRAILS EDGE BLVD STE 202",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347588",
            "telephone_number": "239-544-3122",
            "fax_number": "239-544-3128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9431 Corkscrew Palms Cir",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339286275",
            "country_code": "US",
            "telephone_number": "239-544-3122",
            "fax_number": "239-544-3128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSIPURSKY",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-03",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "131309",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "41856",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036128042",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "FLME131309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.