GERALD LEE TOLBERT M.D.
NPI 1205079522
Emergency Medicine in La Jolla, CA

Q: What is Gerald Tolbert's NPI number?

The NPI number for Gerald Tolbert is 1205079522. It was assigned to this individual provider in the NPPES registry on April 16, 2009.

Q: What is Gerald Tolbert's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Tolbert was last updated on February 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 16, 2009PECOS EnrolledAccepts Medicare Assignment

8910 VILLA LA JOLLA DR STE 100, LA JOLLA, CA 92037(800) 926-8273 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 11, 2025, Jan 17, 2020 (2 updates tracked since 2020).

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About Gerald Lee Tolbert M.d. NPPES

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

GERALD LEE TOLBERT M.D. (NPI 1205079522) is an individual emergency medicine provider in La Jolla, California, licensed in California (C200178) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1205079522

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameGERALD LEE TOLBERTCredential: M.D.

Location Address8910 VILLA LA JOLLA DR STE 100La Jolla, CA 92037-1701

Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273

Phone(800) 926-8273

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 16, 2009

Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2025

✔ NPI 1205079522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in CA · C200178✔ Licensed in WA · MD61014484

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

8910 VILLA LA JOLLA DR STE 100, La Jolla, CA 92037

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Secondary Practice Locations 2

Location 11550 N 115th StSeattle, WA 98133-8401 · Phone (206) 520-5000

Location 26655 Alvarado RdSan Diego, CA 92120-5208 · Phone (800) 926-8273

Other Identifiers 1

Medicaid1205079522WA

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

Gerald Lee Tolbert M.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 ID2264680958

PECOS Enrollment IDI20250218000710

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

70 services69 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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Other Providers at the Same Location NPPES 11

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

LAURA ELINOR WESTNEAT MD

Emergency Medicine