DR. FRANKLIN LEE TOLBERT MD
NPI 1457311003
Family Medicine in Advance, NC

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
147 PEACHTREE LN, ADVANCE, NC 27006(336) 716-2255 Get Directions Write a Review

NPPES record last updated: March 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Franklin Lee Tolbert Md NPPES

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

DR. FRANKLIN LEE TOLBERT MD (NPI 1457311003) is an individual family medicine provider in Advance, North Carolina, licensed in North Carolina (28359) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (1983).

NPPES Registry Identity

NPI1457311003
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FRANKLIN LEE TOLBERTCredential: MD
Location Address147 PEACHTREE LNAdvance, NC 27006-6753
Mailing AddressPo Box 344Winston-salem, NC 27102-0344 · (336) 716-2255
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1983
Enumeration DateMarch 27, 2006
Last NPPES UpdateMarch 5, 2014
NPI 1457311003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 28359
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
147 PEACHTREE LN, Advance, NC 27006

Other Identifiers 6

Other83575NC · Bcbs Of Nc
Other916NC · Partners/medicare Choice
Medicaid7983575NC
Medicare PIN203641GNC
Other31835NC · Rr Medicare
Other888347NC · Mamsi

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

Dr. Franklin Lee 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 ID4284695164
PECOS Enrollment IDI20041023000285
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 11

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.
448 services193 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.
146 services79 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
130 services130 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
62 services62 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
60 services17 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
58 services58 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27006 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers29 claims88 services$6.15 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$16.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers53 claims53 services$87.29 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$34.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
147 PEACHTREE LN
BERMUDA RUN, NC 27006
Nurse Practitioner (Family)
147 PEACHTREE LN
ADVANCE, NC 27006
Family Medicine
147 PEACHTREE LN
ADVANCE, NC 27006
Family Medicine
147 PEACHTREE LN
ADVANCE, NC 27006

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 Franklin Tolbert's NPI number?

The NPI number for Franklin Tolbert is 1457311003. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Franklin Tolbert located?

Franklin Tolbert practices at 147 Peachtree Ln, Advance, NC 27006. The listed phone number is (336) 716-2255.

What is Franklin Tolbert's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Franklin Tolbert enrolled in Medicare?

Yes. Franklin 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 Franklin Tolbert accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Franklin 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 Franklin Tolbert affiliated with any hospitals?

According to CMS data, Franklin Tolbert is affiliated with Novant Health Forsyth Medical Center and North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Franklin Tolbert was last updated on March 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.