DR. BRUCE L CASSIS D.D.S.
NPI 1679664510
Dentist in Fayetteville, WV

Active since September 27, 2006PECOS Enrolled
138 LIVELY ST, FAYETTEVILLE, WV 25840(304) 574-0424(304) 574-2102 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Bruce L Cassis D.d.s. NPPES

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

DR. BRUCE L CASSIS D.D.S. (NPI 1679664510) is an individual dentist in Fayetteville, West Virginia, licensed in West Virginia (2530) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679664510
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRUCE L CASSISCredential: D.D.S.
Location Address138 LIVELY STFayetteville, WV 25840-1148
Mailing Address138 Lively StFayetteville, WV 25840-1148 · (304) 574-0424 · Fax (304) 574-2102
Fax(304) 574-2102
Sole ProprietorYes
Enumeration DateSeptember 27, 2006
Last NPPES UpdateDecember 7, 2022
NPPES CertifiedDecember 7, 2022
✔ NPI 1679664510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WV · 2530
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
138 LIVELY ST, Fayetteville, WV 25840

Other Identifiers 1

Medicaid0136422000WV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bruce L Cassis D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Bruce Cassis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
138 LIVELY ST
Fayetteville, WV 25840
  • Reassigned Medicare billing, West Virginia enrollment

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25840 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 5

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

Dentist (General Practice)
138 LIVELY ST
FAYETTEVILLE, WV 25840
Dentist (General Practice)
138 LIVELY ST
FAYETTEVILLE, WV 25840
Dentist (General Practice)
138 LIVELY ST
FAYETTEVILLE, WV 25840
Dentist (General Practice)
138 LIVELY ST
FAYETTEVILLE, WV 25840
Dentist
138 LIVELY ST
FAYETTEVILLE, WV 25840

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 Bruce Cassis's NPI number?

The NPI number for Bruce Cassis is 1679664510. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Bruce Cassis located?

Bruce Cassis practices at 138 Lively St, Fayetteville, WV 25840. The listed phone number is (304) 574-0424.

What is Bruce Cassis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Bruce Cassis enrolled in Medicare?

Yes. Bruce Cassis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bruce Cassis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Cassis reassigns Medicare benefits to Cassis Dental Center, PLLC (Fayetteville, WV). 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 Bruce Cassis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bruce Cassis was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.