DR. EDWARD ROY GILLIS DDS
NPI 1164427688
Dentist - General Practice in Columbia, MD

Active since June 21, 2005PECOS Enrolled
10203 TANAGER LN, COLUMBIA, MD 21044(410) 730-3800(410) 730-9665 Get Directions Write a Review

NPPES record last updated: July 15, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edward Roy Gillis Dds NPPES

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

DR. EDWARD ROY GILLIS DDS (NPI 1164427688) is an individual general practice provider in Columbia, Maryland, licensed in Maryland (4317) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164427688
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EDWARD ROY GILLISCredential: DDS
Location Address10203 TANAGER LNColumbia, MD 21044-3904
Mailing Address8600 Snowden River Pkwy, Ste 106Columbia, MD 21045-1982 · (410) 730-2020
Fax(410) 730-9665
Sole ProprietorYes
Enumeration DateJune 21, 2005
Last NPPES UpdateJuly 15, 2013
NPI 1164427688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MD · 4317
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.

10203 TANAGER LN, Columbia, MD 21044

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Edward Roy Gillis 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21044 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 4

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

Dentist (General Practice)
10203 TANAGER LN
COLUMBIA, MD 21044
Dentist (General Practice)
10203 TANAGER LN
COLUMBIA, MD 21044
Dentist (Oral and Maxillofacial Surgery)
10203 TANAGER LN
COLUMBIA, MD 21044
Dentist (Prosthodontics)
10203 TANAGER LN
COLUMBIA, MD 21044

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 Edward Gillis's NPI number?

The NPI number for Edward Gillis is 1164427688. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Edward Gillis located?

Edward Gillis practices at 10203 Tanager Ln, Columbia, MD 21044. The listed phone number is (410) 730-3800.

What is Edward Gillis's specialty?

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

Is Edward Gillis enrolled in Medicare?

Yes. Edward Gillis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Gillis was last updated on July 15, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.