DR. RANDALL SCOTT CISLO D.M.D.
NPI 1609907245
Dentist - General Practice in Kamuela, HI

Q: What is Randall Cislo's NPI number?

The NPI number for Randall Cislo is 1609907245. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Q: What is Randall Cislo's specialty?

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

Q: Is Randall Cislo enrolled in Medicare?

No. Randall Cislo has opted out of Medicare through September 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Randall Cislo 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.

Active since March 07, 2007Opted out of Medicare · through Sep 2, 2027

65-1279 KAWAIHAE RD, SUITE 101, KAMUELA, HI 96743(808) 885-8617(808) 885-9316 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Randall Scott Cislo D.m.d. NPPES

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

DR. RANDALL SCOTT CISLO D.M.D. (NPI 1609907245) is an individual general practice provider in Kamuela, Hawaii, licensed in Hawaii (DT1230) and active in the NPI registry since March 2007. He has opted out of Medicare through September 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609907245

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RANDALL SCOTT CISLOCredential: D.M.D.

Location Address65-1279 KAWAIHAE RD, SUITE 101Kamuela, HI 96743-8444

Mailing Address65-1279 Kawaihae Rd, Suite 101Kamuela, HI 96743-8444 · (808) 885-8617 · Fax (808) 885-9316

Phone(808) 885-8617

Fax(808) 885-9316

Sole ProprietorYes

Enumeration DateMarch 7, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609907245 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 · DT1230

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.

65-1279 KAWAIHAE RD, Kamuela, HI 96743

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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Randall Scott Cislo D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 2, 2015 through September 2, 2027.

Opt-Out Effective DateSeptember 2, 2015

Opt-Out In Effect ThroughSeptember 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96743 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 10

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

SHADEN POWELL M.ED

Behavior Analyst

65-1279 KAWAIHAE RD
KAMUELA, HI 96743

Hawaii County (808) 785-3685

NADINE KULBERG

Behavior Analyst

65-1279 KAWAIHAE RD, SUITE 201
KAMUELA, HI 96743

Hawaii County (808) 887-0747

NICOLE VASAK

Behavior Analyst

65-1279 KAWAIHAE RD, SUITE 201
KAMUELA, HI 96743

Hawaii County (808) 887-0747

MICHELLE DARBY

Behavior Analyst

65-1279 KAWAIHAE RD
KAMUELA, HI 96743

Hawaii County (808) 887-0747

PAMELA WALENCEWICZ

Behavior Technician

65-1279 KAWAIHAE RD, STE 208
KAMUELA, HI 96743

Hawaii County (808) 991-6070

GESINE DOMMER

Behavior Analyst

65-1279 KAWAIHAE RD, SUITE 201
KAMUELA, HI 96743

Hawaii County (808) 887-0747

CHERIE FAZZINO

Counselor (Mental Health)

65-1279 KAWAIHAE RD, SUITE 201
KAMUELA, HI 96743

Hawaii County (808) 935-7949

MS. MADELYN M. BRUNO MFT

Marriage & Family Therapist

65-1279 KAWAIHAE RD
KAMUELA, HI 96743

Hawaii County (808) 885-5050

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 Randall Cislo's NPI number?

The NPI number for Randall Cislo is 1609907245. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Randall Cislo located?

Randall Cislo practices at 65-1279 Kawaihae Rd Suite 101, Kamuela, HI 96743. The listed phone number is (808) 885-8617.

What is Randall Cislo's specialty?

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

Is Randall Cislo enrolled in Medicare?

No. Randall Cislo has opted out of Medicare through September 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Randall Cislo 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 HMSA and 1 other insurer list Randall Cislo 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 Randall Cislo 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.