DR. KELLY LEIGH BUSSEY D.D.S.
NPI 1538355011
Dentist - Endodontics in Virginia Beach, VA

Q: What is Kelly Bussey's NPI number?

The NPI number for Kelly Bussey is 1538355011. It was assigned to this individual provider in the NPPES registry on September 19, 2007.

Q: What is Kelly Bussey's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: Is Kelly Bussey enrolled in Medicare?

No. Kelly Bussey has opted out of Medicare through March 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kelly Bussey was last updated on September 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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 September 19, 2007Opted out of Medicare · through Mar 4, 2028

477 VIKING DR, SUTIE #215, VIRGINIA BEACH, VA 23452(757) 486-5428(757) 486-4826 Get Directions Write a Review

NPPES record last updated: September 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kelly Leigh Bussey D.d.s. NPPES

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

DR. KELLY LEIGH BUSSEY D.D.S. (NPI 1538355011) is an individual endodontics provider in Virginia Beach, Virginia, licensed in Virginia (0401410052) and active in the NPI registry since September 2007. She has opted out of Medicare through March 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1538355011

Entity TypeIndividualFemale

Primary Taxonomy1223E0200X

Provider Legal NameDR. KELLY LEIGH BUSSEYCredential: D.D.S.

Location Address477 VIKING DR, SUTIE #215Virginia Beach, VA 23452-7349

Mailing Address477 Viking Dr, Sutie #215Virginia Beach, VA 23452-7349 · (757) 486-5428 · Fax (757) 486-4826

Phone(757) 486-5428

Fax(757) 486-4826

Sole ProprietorNo

Enumeration DateSeptember 19, 2007

✔ NPI 1538355011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in VA · 0401410052

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

477 VIKING DR, Virginia Beach, VA 23452

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kelly Leigh Bussey D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 4, 2016 through March 4, 2028.

Opt-Out Effective DateMarch 4, 2016

Opt-Out In Effect ThroughMarch 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23452 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALBERT B. KONIKOFF DDS

Dentist (Periodontics)

477 VIKING DR
VIRGINIA BEACH, VA 23452

Virginia Beach City (757) 486-8181

DR. DONALD KENNETH LIEBELL D.C.

Chiropractor

477 VIKING DR, SUITE 203
VIRGINIA BEACH, VA 23452

Virginia Beach City (757) 631-9799

DR. CHESTER VAUGHN MAYO D.M.D.

Dentist (Endodontics)

477 VIKING DR, SUITE #215
VIRGINIA BEACH, VA 23452

Virginia Beach City (757) 486-5428

DR. BRYAN M KONIKOFF DDS

Dentist (Periodontics)

477 VIKING DR, SUITE 190
VIRGINIA BEACH, VA 23452

Virginia Beach City (757) 486-8181

PREMIER OPHTHALMOLOGY, PLC

Ophthalmology

477 VIKING DR, SUITE 110
VIRGINIA BEACH, VA 23452

Virginia Beach City (757) 340-8383

LIEBELL CHIROPRACTIC INC.

Chiropractor

477 VIKING DR, SUITE 203
VIRGINIA BEACH, VA 23452

Virginia Beach City (757) 631-9799

BREITEN MARK LIEBELL DC

Chiropractor

477 VIKING DR
VIRGINIA BEACH, VA 23452

Virginia Beach City (757) 631-9799

DR. WILLIAM BUSSEY D.D.S.

Dentist (Endodontics)

477 VIKING DR, SUITE #215
VIRGINIA BEACH, VA 23452

Virginia Beach City (757) 486-5155

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 Kelly Bussey's NPI number?

The NPI number for Kelly Bussey is 1538355011. It was assigned to this individual provider in the NPPES registry on September 19, 2007.

Where is Kelly Bussey located?

Kelly Bussey practices at 477 Viking Dr Sutie #215, Virginia Beach, VA 23452. The listed phone number is (757) 486-5428.

What is Kelly Bussey's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Kelly Bussey enrolled in Medicare?

No. Kelly Bussey has opted out of Medicare through March 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kelly Bussey accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kelly Bussey 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 Kelly Bussey was last updated on September 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.