Individual provider Active NPI

Gregory Emile Bertucci, MD

  • Ophthalmology Physician
  • Biloxi, MS
National Provider Identifier
1699744482
Registry record updated May 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
08302 Issued in MS
Practice address
431 Bertucci Blvd
Biloxi, MS 39531-2255
Phone
(228) 385-2020
Fax
(228) 388-9435
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2025

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 08302 MS Primary

Addresses

Primary practice location

431 Bertucci Blvd
Biloxi, MS 39531-2255

Mailing address

431 Bertucci Blvd
Biloxi, MS 39531-2255
Phone (228) 385-2020

Other identifiers 1

IdentifierTypeStateIssuer
00016927MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20120126000799 MS Practitioner - Ophthalmology 8729093703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1975
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)

15122 Dedeaux Rd
Gulfport, MS 39503-3120
Phone 2288321242313

431 Bertucci Blvd
Biloxi, MS 39531-2255
Phone (228) 385-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Eye Clinic, PLLC CurrentSince Jan 8, 1998 Accepting new patients
Tri County Eye Clinic, PLLC Ophthalmology CurrentSince Jan 9, 1998 Accepting new patients
Bertucci Eye Care Ophthalmology CurrentSince Dec 1, 2025 Accepting new patients

Locations

431 Bertucci Blvd
Biloxi, MS 39531
Phone (228) 385-2020

15122 Dedeaux Rd
Gulfport, MS 39503
Phone (228) 832-1242

Interoperability endpoints

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748131200000",
    "number": "1699744482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 BERTUCCI BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312255",
            "telephone_number": "228-385-2020",
            "fax_number": "228-388-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 BERTUCCI BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312255",
            "telephone_number": "228-385-2020",
            "fax_number": "228-388-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTUCCI",
        "first_name": "GREGORY",
        "middle_name": "EMILE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2025-05-25",
        "certification_date": "2025-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "08302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00016927",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.