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DR. ARLENE BALDILLO D.O.
NPI 1124234331
Obstetrics & Gynecology in Honolulu, HI

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
321 N KUAKINI ST, SUITE 201, HONOLULU, HI 96817(808) 523-8611(808) 537-1594 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Arlene Baldillo D.o. NPPES

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

DR. ARLENE BALDILLO D.O. (NPI 1124234331) is an individual obstetrics & gynecology provider in Honolulu, Hawaii, licensed in Hawaii (DOS-1217) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2004).

NPPES Registry Identity

NPI1124234331
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ARLENE BALDILLOCredential: D.O.
Location Address321 N KUAKINI ST, SUITE 201Honolulu, HI 96817-2364
Mailing Address321 N Kuakini St, Suite 201Honolulu, HI 96817-2364 · (808) 523-8611 · Fax (808) 537-1594
Phone(808) 523-8611
Fax(808) 537-1594
Sole ProprietorYes
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2004
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 5, 2011
✔ NPI 1124234331 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 · DOS-1217✔ Licensed in MI · 5101016241
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.
321 N KUAKINI ST, Honolulu, HI 96817
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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. Arlene Baldillo D.o. 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 ID4183758659
PECOS Enrollment IDI20100819000307
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
238 services149 patients
Insertion of lower leg neurostimulator electrode 64566
The insertion of a lower leg neurostimulator electrode is a procedure where a small device is placed under your skin. This device sends mild electrical signals to nerves in the lower leg, helping to manage chronic pain. It's a safe, minimally invasive procedure.
113 services15 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
71 services71 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
51 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Kuakini Medical Center

Acute Care Hospitals · Honolulu, HI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120007
Location347 North Kuakini StreetHonolulu, HI 96817 · Honolulu County
Emergency services

Pali Momi Medical Center

Acute Care Hospitals · Aiea, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120026
Location98-1079 Moanalua RoadAiea, HI 96701 · Honolulu County
Emergency services
OwnershipVoluntary non-profit - Private
CMS Certification Number123300
Location1319 Punahou StreetHonolulu, HI 96826 · Honolulu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96817 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
26%38 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
17%64 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
51%53 patients3/55-star benchmark: 85%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
20%110 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
3%39 patients1/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

EMILY DIEP, M.D., LLC
Internal Medicine
321 N KUAKINI ST, SUITE NUMBER 715
HONOLULU, HI 96817
Honolulu County (808) 523-6461
ELIOT NOBUO TOMOMITSU M.D.
Pediatrics
321 N KUAKINI ST, SUITE #201
HONOLULU, HI 96817
Honolulu County (808) 523-8611
BARON K. F. CHING M.D.
Internal Medicine
321 N KUAKINI ST, 708
HONOLULU, HI 96817
Honolulu County (808) 536-7791
DR. STUART SUGIHARA M.D.
Internal Medicine (Pulmonary Disease)
321 N KUAKINI ST, STE 502
HONOLULU, HI 96817
Honolulu County (808) 531-9753
CHAELYN CULLEN
Nurse Practitioner
321 N KUAKINI ST
HONOLULU, HI 96817
Honolulu County (808) 772-4743
DIANE M. SAKAI MD
Internal Medicine
321 N KUAKINI ST, SUITE 514
HONOLULU, HI 96817
Honolulu County (808) 533-4274
JOSEPH K KOO MD
Internal Medicine (Infectious Disease)
321 N KUAKINI ST
HONOLULU, HI 96817
Honolulu County (808) 523-6461
DR. OSAMU FUKUYAMA M.D.
Internal Medicine (Cardiovascular Disease)
321 N KUAKINI ST, SUITE 504
HONOLULU, HI 96817
Honolulu County (808) 538-1125

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 Arlene Baldillo's NPI number?

The NPI number for Arlene Baldillo is 1124234331. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Arlene Baldillo located?

Arlene Baldillo practices at 321 N Kuakini St Suite 201, Honolulu, HI 96817. The listed phone number is (808) 523-8611.

What is Arlene Baldillo's specialty?

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

Is Arlene Baldillo enrolled in Medicare?

Yes. Arlene Baldillo 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 Arlene Baldillo accept?

Health plans from HMSA list Arlene Baldillo 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.

Is Arlene Baldillo affiliated with any hospitals?

According to CMS data, Arlene Baldillo is affiliated with The Queens Medical Center, Kuakini Medical Center, Pali Momi Medical Center and Kapiolani Medical Center For Women & Children.

When was this NPI record last updated?

The NPPES record for Arlene Baldillo was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.