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ARDRA R DAVIS-TOLBERT MD
NPI 1295753622
Obstetrics & Gynecology in Bluffton, SC

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
75 BAYLOR DR, STE 200, BLUFFTON, SC 29910(843) 540-5857(843) 524-5655 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ardra R Davis-tolbert Md NPPES

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

ARDRA R DAVIS-TOLBERT MD (NPI 1295753622) is an individual obstetrics & gynecology provider in Bluffton, South Carolina, licensed in South Carolina (225851) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and is a graduate of Boston University School Of Medicine (1997).

NPPES Registry Identity

NPI1295753622
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameARDRA R DAVIS-TOLBERTCredential: MD
Location Address75 BAYLOR DR, STE 200Bluffton, SC 29910-8965
Mailing Address1264 Ribaut Road, Building 200Beaufort, SC 29902 · (843) 524-5455 · Fax (843) 524-5655
Phone(843) 540-5857
Fax(843) 524-5655
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1997
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 11, 2016
✔ NPI 1295753622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in SC · 225851
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
75 BAYLOR DR, Bluffton, SC 29910
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Other Identifiers 3

Medicare UPINI27826SC
Medicare ID-Type UnspecifiedAA08208067SC
Medicaid225851SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Ardra R Davis-tolbert Md 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 ID345289823
PECOS Enrollment IDI20050426000300
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 6

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
90 services90 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
77 services77 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services17 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Candler Hospital

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110024
Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County
Emergency services Birthing friendly

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number420067
Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County
Emergency services Birthing friendly

Hampton Regional Medical Center

Acute Care Hospitals · Varnville, SC
OwnershipVoluntary non-profit - Private
CMS Certification Number420072
Location595 West Carolina AvenueVarnville, SC 29944 · Hampton County
Emergency services

Hilton Head Regional Medical Center

Acute Care Hospitals · Hilton Head Island, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number420080
Location25 Hospital Center BlvdHilton Head Island, SC 29925 · Beaufort County
Emergency services Birthing friendly

Coastal Carolina Hospital

Acute Care Hospitals · Hardeeville, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420101
Location1000 Medical Center DriveHardeeville, SC 29927 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29910 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
80%256 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
95%841 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%1,809 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
33%212 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%212 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
34%1,386 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
50%913 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 755 patients
Patients tobacco: 23% · 47 patients
92%755 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%1,386 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
45%1,386 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
47%1,386 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

HILTON HEAD REGIONAL PHYSICIAN GROUP LLC
Surgery
75 BAYLOR DR
BLUFFTON, SC 29910
Beaufort County (843) 682-7480
HILTON HEAD REGIONAL PHYSICIAN GROUP LLC
Surgery
75 BAYLOR DR
BLUFFTON, SC 29910
Beaufort County (843) 682-7480
MS. DIANE C COLLINS PT CHT
Physical Therapist
75 BAYLOR DR
BLUFFTON, SC 29910
Beaufort County (843) 476-4682
GEORGE W WARNER MD
Psychiatry & Neurology (Neurology)
75 BAYLOR DR, #155
BLUFFTON, SC 29910
Beaufort County (843) 836-3667
KAYO PERLEY MD
Family Medicine
75 BAYLOR DR
BLUFFTON, SC 29910
Beaufort County (843) 836-4262
JEREMY P HATCH M.D.
Orthopaedic Surgery
75 BAYLOR DR, SUITE 155
BLUFFTON, SC 29910
Beaufort County (843) 682-7480
DR. JASON WILLIAM COTTER M.D.
Surgery
75 BAYLOR DR, SUITE 290
BLUFFTON, SC 29910
Beaufort County (843) 705-8919
MEREDITH E MITCHELL MD
Specialist
75 BAYLOR DR, SUITE 200
BLUFFTON, SC 29910
Beaufort County (843) 540-5857

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 Ardra Davis-tolbert's NPI number?

The NPI number for Ardra Davis-tolbert is 1295753622. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Ardra Davis-tolbert located?

Ardra Davis-tolbert practices at 75 Baylor Dr Ste 200, Bluffton, SC 29910. The listed phone number is (843) 540-5857.

What is Ardra Davis-tolbert's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ardra Davis-tolbert enrolled in Medicare?

Yes. Ardra Davis-tolbert 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 Ardra Davis-tolbert accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Ardra Davis-tolbert 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.

Is Ardra Davis-tolbert affiliated with any hospitals?

According to CMS data, Ardra Davis-tolbert is affiliated with Candler Hospital, Beaufort County Memorial Hospital, Hampton Regional Medical Center, Hilton Head Regional Medical Center and Coastal Carolina Hospital.

When was this NPI record last updated?

The NPPES record for Ardra Davis-tolbert was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.