DR. ELLIOT R WILLIS-ORLANDO DDS
NPI 1164288684
Dentist - General Practice in Waimea, HI

Q: What is Elliot Willis-orlando's NPI number?

The NPI number for Elliot Willis-orlando is 1164288684. It was assigned to this individual provider in the NPPES registry on February 22, 2024. The provider is also known as Elliot R Willis Dds.

Q: What is Elliot Willis-orlando's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since February 22, 2024PECOS Enrolled

4643 B WAIMEA CANYON ROAD, WAIMEA, HI 96796(808) 240-0150(808) 338-9646 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2026, Aug 3, 2026, Apr 1, 2025 and 2 more (5 updates tracked since 2024).

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About Dr. Elliot R Willis-orlando Dds NPPES

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

DR. ELLIOT R WILLIS-ORLANDO DDS (NPI 1164288684) is an individual general practice provider in Waimea, Hawaii, licensed in Hawaii (DT-3183) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164288684

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ELLIOT R WILLIS-ORLANDOCredential: DDS

Location Address4643 B WAIMEA CANYON ROADWaimea, HI 96796

Mailing Address4643 B Waimea Canyon RoadWaimea, HI 96796 · (808) 240-0150 · Fax (808) 338-9646

Phone(808) 240-0150

Fax(808) 338-9646

Sole ProprietorNo

Enumeration DateFebruary 22, 2024

Last NPPES UpdateAugust 10, 20265 updates tracked since enumeration

NPPES CertifiedAugust 10, 2026

✔ NPI 1164288684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in HI · DT-3183✔ Licensed in WA · DE61629885

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4643 B WAIMEA CANYON ROAD, Waimea, HI 96796

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Other Names 1

Professional Name (2)Elliot R Willis Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elliot R Willis-orlando 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 Reassignments

Medicare enrollment records show Elliot Willis-orlando reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hoola Lahui Hawaii

Same address

Federally Qualified Health Center (FQHC)

4643B WAIMEA CANYON DRIVE
Waimea, HI 96796

Reassigned Medicare billing, Hawaii enrollment
25 clinicians in this Medicare group

NPI 1245269976 (808) 240-0100

Community Health Center Of Snohomish County

2,734 mi

Federally Qualified Health Center (FQHC)

8609 EVERGREEN WAY
Everett, WA 98208

Reassigned Medicare billing, Washington enrollment
182 clinicians in this Medicare group

NPI 1730136367 (425) 789-1000

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 96796 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

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.

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 Elliot Willis-orlando's NPI number?

The NPI number for Elliot Willis-orlando is 1164288684. It was assigned to this individual provider in the NPPES registry on February 22, 2024. The provider is also known as Elliot R Willis Dds.

Where is Elliot Willis-orlando located?

Elliot Willis-orlando practices at 4643 B Waimea Canyon Road, Waimea, HI 96796. The listed phone number is (808) 240-0150.

What is Elliot Willis-orlando's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Elliot Willis-orlando enrolled in Medicare?

Yes. Elliot Willis-orlando is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elliot Willis-orlando's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elliot Willis-orlando reassigns Medicare benefits to 2 organizations: Hoola Lahui Hawaii (Waimea, HI) and Community Health Center Of Snohomish County (Everett, WA). Each 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 Elliot Willis-orlando's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elliot Willis-orlando accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 12 other insurers list Elliot Willis-orlando 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 Elliot Willis-orlando was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.