WILMER PAUL ORJUELA DDS
NPI 1104173087
Dentist - Oral and Maxillofacial Surgery in Edinburg, TX

Active since August 09, 2012PECOS Enrolled
1560 E CANTON RD STE G, EDINBURG, TX 78542(956) 415-0343 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wilmer Paul Orjuela Dds NPPES

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

WILMER PAUL ORJUELA DDS (NPI 1104173087) is an individual oral and maxillofacial surgery provider in Edinburg, Texas, licensed in Texas (28777) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104173087
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameWILMER PAUL ORJUELACredential: DDS
Location Address1560 E CANTON RD STE GEdinburg, TX 78542-2995
Mailing Address2509 Drakensburg AveEdinburg, TX 78539-0127 · (956) 687-7141
Sole ProprietorNo
Enumeration DateAugust 9, 2012
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1104173087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 28777
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1560 E CANTON RD STE G, Edinburg, TX 78542

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilmer Paul Orjuela Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Wilmer Orjuela reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oral and Maxillofacial Surgery
2405 CORNERSTONE BLVD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78542 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 2

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1560 E CANTON RD STE G
EDINBURG, TX 78542
Dentist (Oral and Maxillofacial Surgery)
1560 E CANTON RD STE G
EDINBURG, TX 78542

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 Wilmer Orjuela's NPI number?

The NPI number for Wilmer Orjuela is 1104173087. It was assigned to this individual provider in the NPPES registry on August 9, 2012.

Where is Wilmer Orjuela located?

Wilmer Orjuela practices at 1560 E Canton Rd Ste G, Edinburg, TX 78542. The listed phone number is (956) 415-0343.

What is Wilmer Orjuela's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Wilmer Orjuela enrolled in Medicare?

Yes. Wilmer Orjuela is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wilmer Orjuela's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilmer Orjuela reassigns Medicare benefits to Oral And Craniofacial Center (Edinburg, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wilmer Orjuela's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wilmer Orjuela accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 19 other insurers list Wilmer Orjuela 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 Wilmer Orjuela was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.