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DR. JERRY BARTOLOME D.D.S.
NPI 1225176019
Dentist - General Practice in Wahiawa, HI

Active since February 02, 2007PECOS Enrolled
302 CALIFORNIA AVE, SUITE 204, WAHIAWA, HI 96786(808) 622-2633(808) 622-2342 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerry Bartolome D.d.s. NPPES

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

DR. JERRY BARTOLOME D.D.S. (NPI 1225176019) is an individual general practice provider in Wahiawa, Hawaii, licensed in Hawaii (DT-1914) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225176019
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JERRY BARTOLOMECredential: D.D.S.
Location Address302 CALIFORNIA AVE, SUITE 204Wahiawa, HI 96786-1841
Mailing Address95-1067 Hoalia StMililani, HI 96789-6558 · (808) 384-9273
Phone(808) 622-2633
Fax(808) 622-2342
Sole ProprietorYes
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225176019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in HI · DT-1914
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.
302 CALIFORNIA AVE, Wahiawa, HI 96786
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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 (PECOS)

Dr. Jerry Bartolome D.d.s. 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 96786 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.

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.

DR. INEZ HANAKO SUEHISA DMD
Dentist (General Practice)
302 CALIFORNIA AVE, 204
WAHIAWA, HI 96786
Honolulu County (808) 622-2633
U S DERMATOLOGY OF HAWAII INC
Dermatology
302 CALIFORNIA AVE
WAHIAWA, HI 96786
Honolulu County (808) 621-1000
VICHELE A TAVARES LMHC
Counselor (Mental Health)
302 CALIFORNIA AVE, SUITE 212
WAHIAWA, HI 96786
Honolulu County (808) 478-3960
DR. DANILO SANCHEZ PERLAS MD
Pediatrics
302 CALIFORNIA AVE, SUITE 208
WAHIAWA, HI 96786
Honolulu County (808) 622-5556
21ST CENTURY HEALTHCARE LLC LLC
Pediatrics (Adolescent Medicine)
302 CALIFORNIA AVE, SUITE 209
WAHIAWA, HI 96786
Honolulu County (808) 622-2655
DR. JASON TAI PANG LAM MD
Family Medicine (Adult Medicine)
302 CALIFORNIA AVE, SUITE 103
WAHIAWA, HI 96786
Honolulu County (808) 621-7733
NU NGUYEN RPH
Pharmacist
302 CALIFORNIA AVE
WAHIAWA, HI 96786
Honolulu County (808) 622-1618
MRS. JANNA MIKIE FRANCZYK PT
Physical Therapist
302 CALIFORNIA AVE, STE 211
WAHIAWA, HI 96786
Honolulu County (808) 622-4942

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 Jerry Bartolome's NPI number?

The NPI number for Jerry Bartolome is 1225176019. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Jerry Bartolome located?

Jerry Bartolome practices at 302 California Ave Suite 204, Wahiawa, HI 96786. The listed phone number is (808) 622-2633.

What is Jerry Bartolome's specialty?

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

Is Jerry Bartolome enrolled in Medicare?

Yes. Jerry Bartolome is registered in the Medicare PECOS enrollment system.

What insurance does Jerry Bartolome accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Jerry Bartolome 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 Jerry Bartolome was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.