ALESSANDRA BERTOLUCCI (MD) – Ophthalmology Physician, NPI 1174528996

ALESSANDRA BERTOLUCCI (MD) is a healthcare provider. based in Clifton, New Jersey. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 25MA07279200 (NJ). The NPI Number for ALESSANDRA BERTOLUCCI (MD) is 1174528996

Main info

Female
Sole Proprietor
38 Years Of Experience
Name
ALESSANDRA BERTOLUCCI (MD)
NPI
1174528996
Phone
(973) 472-6405
Address
1033 CLIFTON AVE STE 107
Enumeration Date
17 June 2005
Last Update Date
20 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2122410939
Graduation Year
1988 (38 years ago)
PAC ID
8123002631
Group Practice PAC ID
2264691070
Professional Enrollment ID
I20110722000105
Address ID
NY100034201NE310XXSTXX423
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

605 OPHTHALMOLOGY in NJ

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Provider Addresses for ALESSANDRA BERTOLUCCI (MD)

  • 1033 CLIFTON AVE STE 107

    CLIFTON, NJ 070133517

    Phone: (973) 472-6405

    Fax: (973) 472-6406

    Type: Mailing

  • 107, Clifton Avenue, Campello, Brockton, Plymouth County, Massachusetts, 02301, United States

    CLIFTON, NJ 070133517

    Phone: (973) 773-9882

    Fax: (973) 773-9883

    Type: Location

  • 1135, Clifton Avenue, Athenia, Clifton, Passaic County, New Jersey, 07013, United States

    SUITE 105

    CLIFTON, NJ 070133642

    Phone: (973) 773-9882

    Fax: (973) 773-9883

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $849.

Total Amount is formed as General ($849) + Research ($0) + Ownership ($0) = $849.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($249).

Total Amount

$849

General + Research + Ownership

Payments

33

Total payment records

General Amount

$849

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040614001088IOphthalmologyNJTBD
I20110722000105IOphthalmologyNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92134Imaging of retina1,615770$0
92014Established patient complete exam of visual system966655$0
92012Established patient problem focused exam of visual system945312$0
J0178Injection, aflibercept, 1 mg936103$0
92250Photography of the retina921689$0
View full utilization report →

Insurance plans in this area (ZIP 07013)

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Provider's Procedures

ALESSANDRA BERTOLUCCI (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYNJ92012Eye and medical examination for diagnosis and treatment, established patient1312

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264691070View full group profile
NameSpecialtyState
-NY
P S Y C H I A T R YNY
E N D O C R I N O L O G YFL
-NY
Internal Medicine, GastroenterologyNY
-NY
P S Y C H I A T R YNY
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseNY
Physician AssistantNY
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

Can I verify ALESSANDRA BERTOLUCCI (MD) with an NPI only?
You can start verification with NPI 1174528996 for ALESSANDRA BERTOLUCCI (MD), then check state licensing separately.
Does CMS list ALESSANDRA BERTOLUCCI (MD) as active?
Yes — ALESSANDRA BERTOLUCCI (MD) is active in the NPI listing used on this page.
What is ALESSANDRA BERTOLUCCI (MD)'s primary classification?
Ophthalmology Physician is the headline specialty for ALESSANDRA BERTOLUCCI (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for ALESSANDRA BERTOLUCCI (MD)?
ALESSANDRA BERTOLUCCI (MD)'s geographic hint is Clifton, New Jersey in our summary view.
Is the information about ALESSANDRA BERTOLUCCI (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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