NPIMap

Individual provider Active NPI

Stephen Paul Cassis, MD

  • Ophthalmology Physician
  • Charleston, WV
National Provider Identifier
1093709289
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12950 Issued in WV
Practice address
301 49TH St SE
Suite a
Charleston, WV 25304-1909
Phone
(304) 925-3937
Fax
(304) 925-4336
NPI assigned
Sep 2, 2005
Last updated
Feb 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 12950 WV Primary

Addresses

Primary practice location

301 49TH St SE
Suite a
Charleston, WV 25304-1909

Mailing address

301 49TH St SE
Suite a
Charleston, WV 25304-1909
Phone (304) 925-3937

Other identifiers 1

IdentifierTypeStateIssuer
0010455000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110610000660 WV Practitioner - Ophthalmology 5597653683 Receives reassigned benefits from 1 practitioner
Practice locations: Logan, WV; Spencer, WV; South Charleston, WV; Madison, WV; Charleston, WV; Beckley, WV

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
West Virginia University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-6267

301 49TH St
Suite a
Charleston, WV 25304-1909
Phone (304) 925-3937

301 49TH St SE
Suite a
Charleston, WV 25304-1909

701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.77 of 100Reported as individual
Quality
20
Improvement activities
40
Cost
75.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1478
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12950WVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen P Cassis MD Ophthalmology PastSince Jan 1, 1994 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1093709289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 49TH ST SE",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041909",
            "telephone_number": "304-925-3937",
            "fax_number": "304-925-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 49TH ST SE",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041909",
            "telephone_number": "304-925-3937",
            "fax_number": "304-925-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIS",
        "first_name": "STEPHEN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "12950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010455000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.