MRS. TAMELLA BUSS CASSIS (MD) – Dermatology Physician, NPI 1962408088
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
166 DERMATOLOGY in KY
Provider Addresses for MRS. TAMELLA BUSS CASSIS (MD)
9301 DAYFLOWER ST
SUITE 100
PROSPECT, KY 400597585
Phone: (502) 326-8588
Fax: (502) 326-8589
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 130 Open Payments records for all available years, with a total value of $3,080.
Total Amount is formed as General ($3,080) + Research ($0) + Ownership ($0) = $3,080.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($533).
Total Amount
$3,080
General + Research + Ownership
Payments
130
Total payment records
General Amount
$3,080
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $533 |
| Merz North America, Inc. | $382 |
| Janssen Biotech, Inc. | $272 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $230 |
| ABBVIE INC. | $180 |
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: 2005-05-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050525000213 | I | Dermatology | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,773 | 258 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 607 | 526 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 430 | 338 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 216 | 181 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 166 | 154 | $0 |
Insurance plans in this area (ZIP 40059)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | KY | 11101 | Biopsy of each additional growth of skin and/or tissue | 13 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY |
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