1. Home
  2. Directory
  3. Hawaii
  4. Kahului
  5. Obstetrics Gynecology
  6. NPI Profile

DR. HOLLY BULLOCK MD, MPH
NPI 1063777274
Obstetrics & Gynecology in Kahului, HI

Active since July 13, 2012PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
100 HOOKELE ST STE 910, KAHULUI, HI 96732(808) 686-4690(808) 686-2127 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2025, Jan 24, 2019 (2 updates tracked since 2019).

About Dr. Holly Bullock Md, Mph NPPES

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

DR. HOLLY BULLOCK MD, MPH (NPI 1063777274) is an individual obstetrics & gynecology provider in Kahului, Hawaii, licensed in Hawaii (MD-25370) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wailuku, and is a graduate of Brody School Of Medicine At East Carolina University (2012).

NPPES Registry Identity

NPI1063777274
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. HOLLY BULLOCKCredential: MD, MPH
Location Address100 HOOKELE ST STE 910Kahului, HI 96732-3548
Mailing Address100 Hookele St Ste 910Kahului, HI 96732-3548 · (808) 686-4690 · Fax (808) 686-2127
Phone(808) 686-4690
Fax(808) 686-2127
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2012
Enumeration DateJuly 13, 2012
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1063777274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in HI · MD-25370✔ Licensed in AZ · 56555
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
100 HOOKELE ST STE 910, Kahului, HI 96732
Open in Google Maps ↗

Secondary Practice Location 1

Location 1221 Mahalani StWailuku, HI 96793-2526 · Phone (808) 244-9056

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Holly Bullock Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395037246
PECOS Enrollment IDI20250627001006
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96732 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

Other Providers at the Same Location NPPES

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

NANCY SIYANG MANGLALLAN-YANG MD
Obstetrics & Gynecology
100 HOOKELE ST STE 910
KAHULUI, HI 96732
Maui County (808) 686-4690

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 Holly Bullock's NPI number?

The NPI number for Holly Bullock is 1063777274. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Holly Bullock located?

Holly Bullock practices at 100 Hookele St Ste 910, Kahului, HI 96732. The listed phone number is (808) 686-4690.

What is Holly Bullock's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Holly Bullock enrolled in Medicare?

Yes. Holly Bullock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Holly Bullock accept?

Health plans from Blue Cross Blue Shield of Arizona list Holly Bullock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Bullock was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.