DR. EDWARD JAMES WILFONG PH.D.
NPI 1215386248
Psychologist - Clinical in Makawao, HI

Q: What is Edward Wilfong's NPI number?

The NPI number for Edward Wilfong is 1215386248. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Q: What is Edward Wilfong's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Edward Wilfong was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 09, 2016PECOS EnrolledAccepts Medicare Assignment

331A PUKALANI ST, MAKAWAO, HI 96768(808) 666-9766 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Edward James Wilfong Ph.d. NPPES

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

DR. EDWARD JAMES WILFONG PH.D. (NPI 1215386248) is an individual clinical provider in Makawao, Hawaii, licensed in Hawaii (PSY-1809) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1215386248

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. EDWARD JAMES WILFONGCredential: PH.D.

Location Address331A PUKALANI STMakawao, HI 96768-8433

Mailing Address331a Pukalani StMakawao, HI 96768-8433 · (808) 666-9766

Phone(808) 666-9766

Sole ProprietorYes

Medical School CMSOtherGraduated 1982

Enumeration DateJune 9, 2016

Last NPPES UpdateMarch 5, 2021

NPPES CertifiedMarch 5, 2021

✔ NPI 1215386248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in HI · PSY-1809

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

331A PUKALANI ST, Makawao, HI 96768

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and more.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. Edward James Wilfong Ph.d. 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 ID9032478680

PECOS Enrollment IDI20210907003248

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 96768 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

$180.05 typical visit price

range $60.53 – $180.05

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

Most-billed visit code 99205

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

Most-billed visit code 99214

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 Edward Wilfong's NPI number?

The NPI number for Edward Wilfong is 1215386248. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Edward Wilfong located?

Edward Wilfong practices at 331A Pukalani St, Makawao, HI 96768. The listed phone number is (808) 666-9766.

What is Edward Wilfong's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Edward Wilfong enrolled in Medicare?

Yes. Edward Wilfong 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 Edward Wilfong accept?

Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Edward Wilfong 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 Edward Wilfong was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.