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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TOBY LYNN FUGATE D.O.
NPI 1295870186
Internal Medicine - Infectious Disease in Charleston, SC

Active since February 20, 2007PECOS Enrolled
1481 TOBIAS GADSON BLVD STE 1, CHARLESTON, SC 29407(843) 402-3093(843) 402-1094 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2026, Nov 13, 2020, Jul 19, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Toby Lynn Fugate D.o. NPPES

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

DR. TOBY LYNN FUGATE D.O. (NPI 1295870186) is an individual infectious disease provider in Charleston, South Carolina, licensed in South Carolina (1091) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Physicians And Surgeons (2002).

NPPES Registry Identity

NPI1295870186
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. TOBY LYNN FUGATECredential: D.O.
Location Address1481 TOBIAS GADSON BLVD STE 1Charleston, SC 29407-4879
Mailing AddressPo Box 632500Cincinnati, OH 45263-2500 · (888) 472-0043 · Fax (513) 653-4122
Phone(843) 402-3093
Fax(843) 402-1094
Sole ProprietorYes
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 2002
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 6, 20264 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1295870186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in SC · 1091✔ Licensed in LA · DO000367
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1481 TOBIAS GADSON BLVD STE 1, Charleston, SC 29407
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Other Identifiers 1

Medicaid010918SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.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

Dr. Toby Lynn Fugate D.o. 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 ID6709853948
PECOS Enrollment IDI20071108000548
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

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 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.
36 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29407 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
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

CALICA L. PARSON LPC
Counselor (Mental Health)
1481 TOBIAS GADSON BLVD STE 1
CHARLESTON, SC 29407
Charleston County (843) 402-3093
DONALD FREDERICK BRUNER APRN-FNP
Nurse Practitioner (Family)
1481 TOBIAS GADSON BLVD STE 1
CHARLESTON, SC 29407
Charleston County (843) 402-3093
DR. KATHERINE A MINNICK MD
Internal Medicine (Infectious Disease)
1481 TOBIAS GADSON BLVD STE 1
CHARLESTON, SC 29407
Charleston County (843) 402-3093
ERIN R MCBRIDE AGNP-C
Nurse Practitioner (Family)
1481 TOBIAS GADSON BLVD STE 1
CHARLESTON, SC 29407
Charleston County (843) 402-3093

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 Toby Fugate's NPI number?

The NPI number for Toby Fugate is 1295870186. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Toby Fugate located?

Toby Fugate practices at 1481 Tobias Gadson Blvd Ste 1, Charleston, SC 29407. The listed phone number is (843) 402-3093.

What is Toby Fugate's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Toby Fugate enrolled in Medicare?

Yes. Toby Fugate 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 Toby Fugate accept?

Health plans from First Choice Next list Toby Fugate 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 Toby Fugate was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.