DR. CASSANDRA LYNNE STACY D.M.D.
NPI 1033179577
Dentist - Oral and Maxillofacial Surgery in Eagan, MN

Q: What is Cassandra Stacy's NPI number?

The NPI number for Cassandra Stacy is 1033179577. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Q: What is Cassandra Stacy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Cassandra Stacy was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2006PECOS Enrolled

2130 CLIFF RD STE 100, EAGAN, MN 55122(651) 452-6933 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Cassandra Lynne Stacy D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CASSANDRA LYNNE STACY D.M.D. (NPI 1033179577) is an individual oral and maxillofacial surgery provider in Eagan, Minnesota, licensed in Minnesota (D12052) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (2001).

NPPES Registry Identity

NPI1033179577

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameDR. CASSANDRA LYNNE STACYCredential: D.M.D.

Location Address2130 CLIFF RD STE 100Eagan, MN 55122-2486

Mailing Address2130 Cliff Rd Ste 100Eagan, MN 55122-2486 · (651) 452-6933

Phone(651) 452-6933

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2001

Enumeration DateMarch 27, 2006

Last NPPES UpdateNovember 6, 2024

NPPES CertifiedNovember 6, 2024

✔ NPI 1033179577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in MN · D12052

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2130 CLIFF RD STE 100, Eagan, MN 55122

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Other Identifiers 1

Medicaid116645000MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cassandra Lynne Stacy D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032151816

PECOS Enrollment IDI20050523001187

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Cassandra Stacy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dakota Valley Oral And Maxillofacial Surgery, PLLC

Same address

Oral and Maxillofacial Surgery

2130 CLIFF RD, SUITE 100
Saint Paul, MN 55122

Reassigned Medicare billing, Minnesota enrollment
6 clinicians in this Medicare group

NPI 1366568206 (651) 452-6933

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassandra Stacy's NPI number?

The NPI number for Cassandra Stacy is 1033179577. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Cassandra Stacy located?

Cassandra Stacy practices at 2130 Cliff Rd Ste 100, Eagan, MN 55122. The listed phone number is (651) 452-6933.

What is Cassandra Stacy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Cassandra Stacy enrolled in Medicare?

Yes. Cassandra Stacy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cassandra Stacy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassandra Stacy reassigns Medicare benefits to Dakota Valley Oral And Maxillofacial Surgery, PLLC (Saint Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cassandra Stacy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cassandra Stacy accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Cassandra Stacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cassandra Stacy was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.