DR. CASSANDRA KAY KISBY (M.D.) – Obstetrics & Gynecology Physician, NPI 1184064040

DR. CASSANDRA KAY KISBY (M.D.) is a healthcare provider. based in Rochester, Minnesota. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 2021-01208 (NC). The NPI Number for DR. CASSANDRA KAY KISBY (M.D.) is 1184064040

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASSANDRA KAY KISBY (M.D.)
NPI
1184064040
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
25 June 2013
Last Update Date
7 May 2025

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9196848111
Graduation Year
2013 (13 years ago)
PAC ID
6406098565
Group Practice PAC ID
8325412737
Professional Enrollment ID
I20210603000297
Address ID
NC277104000DU40XXXCIRX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:12State licenses:1Digital endpointsOther names

822 OBSTETRICS/GYNECOLOGY in MN

Provider Addresses for DR. CASSANDRA KAY KISBY (M.D.)

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

  • 5324 MCFARLAND RD STE 310

    DURHAM, NC 277076864

    Phone: (919) 401-1000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2023-03-21 • Largest payer in this snapshot: Axonics, Inc. ($113).

Total Amount

$113

General + Research + Ownership

Payments

1

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Axonics, Inc.$113
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: 2021-06-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210603000297IObstetrics/GynecologyNCTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes8566$0
51798Ultrasound measurement of bladder capacity after voiding6767$0
99205New patient office or other outpatient visit, 60-74 minutes4949$0
64566Insertion of lower leg neurostimulator electrode2115$0
99214Established patient office or other outpatient visit, 30-39 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 8325412737View full group profile
NameSpecialtyState
N E U R O L O G YAL
Diagnostic RadiologyFL
Certified Registered Nurse Anesthetist (Crna)NC
Hematology, PathologyNC
Infectious DiseaseNC
O B S T E T R I C S/ G Y N E C O L O G YNC
Physician AssistantTX
Rheumatology, Internal MedicineNC
Pediatric MedicineNC
O P H T H A L M O L O G YNC

Reviews

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Frequently asked questions

What federal number belongs to DR. CASSANDRA KAY KISBY (M.D.)?
The federal identifier for DR. CASSANDRA KAY KISBY (M.D.) is NPI 1184064040.
Is DR. CASSANDRA KAY KISBY (M.D.)'s NPI currently valid?
The extract we use shows DR. CASSANDRA KAY KISBY (M.D.) as active.
Can you summarize DR. CASSANDRA KAY KISBY (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. CASSANDRA KAY KISBY (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. CASSANDRA KAY KISBY (M.D.)?
We surface Rochester, Minnesota for DR. CASSANDRA KAY KISBY (M.D.) based on available NPPES addresses.
What if Rochester, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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