JOSEPH PETER TOBIN M.D.
NPI 1295841278
Orthopaedic Surgery in Hilton Head, SC

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
12 LAFAYETTE PL, SUITE A, HILTON HEAD, SC 29926(843) 342-9100(843) 342-9101 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joseph Peter Tobin M.d. NPPES

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

JOSEPH PETER TOBIN M.D. (NPI 1295841278) is an individual orthopaedic surgery provider in Hilton Head, South Carolina, licensed in South Carolina (19879) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Hilton Head Regional Medical Center, and is a graduate of Georgetown University School Of Medicine (1991).

NPPES Registry Identity

NPI1295841278
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOSEPH PETER TOBINCredential: M.D.
Location Address12 LAFAYETTE PL, SUITE AHilton Head, SC 29926-2209
Mailing AddressPo Box 23584Hilton Head, SC 29925-3584 · (843) 342-9100 · Fax (843) 342-9101
Fax(843) 342-9101
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1991
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1295841278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in SC · 19879
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
12 LAFAYETTE PL, Hilton Head, SC 29926

Other Identifiers 2

Medicare ID-Type UnspecifiedG3463SC · Medicare Number
MedicaidGP2508SC

Accepted 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

Joseph Peter Tobin 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 ID3375584238
PECOS Enrollment IDI20090601000088, I20120113000642
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 17

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.

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.
244 services141 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
85 services61 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
66 services66 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
62 services48 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
55 services49 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
54 services42 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29926 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%325 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,285 patients5/55-star benchmark: 100%
Functional Status Change for Patients with Hip Impairments
100%81 patients5/55-star benchmark: 100%
Functional Status Change for Patients with Knee Impairments
100%167 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%656 patients5/55-star benchmark: 100%
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 4

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

Physician Assistant (Surgical)
12 LAFAYETTE PL
HILTON HEAD, SC 29926
Orthopaedic Surgery
12 LAFAYETTE PL, SUITE A
HILTON HEAD, SC 29926
Durable Medical Equipment & Medical Supplies
12 LAFAYETTE PL, SUITE A
HILTON HEAD, SC 29926
Physical Therapist
12 LAFAYETTE PL, SUITE A
HILTON HEAD, SC 29926

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 Joseph Tobin's NPI number?

The NPI number for Joseph Tobin is 1295841278. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Joseph Tobin located?

Joseph Tobin practices at 12 Lafayette Pl Suite A, Hilton Head, SC 29926. The listed phone number is (843) 342-9100.

What is Joseph Tobin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Joseph Tobin enrolled in Medicare?

Yes. Joseph Tobin 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 Joseph Tobin accept?

Health plans from BlueCross BlueShield of South Carolina list Joseph Tobin 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 Joseph Tobin affiliated with any hospitals?

According to CMS data, Joseph Tobin is affiliated with Hilton Head Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Tobin was last updated on July 9, 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.