Cassidy Jezlyn Bummer, DDS
NPI 1558094813ActiveIndividual· Dentist, General Practice· Poplar, MT
Dentist, General Practice (DDS) in Poplar, Montana, licensed in MT, with an NPI issued in July 2022. Part D covered 41 prescriptions written in 2024, 93% of them generic.
Overview
| NPI | 1558094813 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jul 5, 2022 |
| Last updated in NPPES | Jul 29, 2025 |
| Certified by provider | Jul 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DEN-DEN-LIC-23705 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 41 · 41 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $138.56 |
| Generic share | 93% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, General Practice providers in Poplar
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