DR. ASHLEY E TOOLE D.O.
NPI 1659668531
Internal Medicine in Aiken, SC

Active since June 29, 2011PECOS EnrolledAccepts Medicare Assignment
102 SUMMERWOOD WAY, AIKEN, SC 29803(803) 649-5300(803) 649-0056 Get Directions Write a Review

NPPES record last updated: September 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ashley E Toole D.o. NPPES

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

DR. ASHLEY E TOOLE D.O. (NPI 1659668531) is an individual internal medicine provider in Aiken, South Carolina, licensed in South Carolina (TL36740) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1659668531
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ASHLEY E TOOLECredential: D.O.
Location Address102 SUMMERWOOD WAYAiken, SC 29803-7704
Mailing AddressPo Box 5238Aiken, SC 29804-5238 · (803) 649-5300 · Fax (803) 649-0056
Fax(803) 649-0056
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 29, 2011
Last NPPES UpdateSeptember 25, 2014
NPI 1659668531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in SC · TL36740
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
102 SUMMERWOOD WAY, Aiken, SC 29803

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. Ashley E Toole 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 ID749402915
PECOS Enrollment IDI20141104001802
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 16

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.
414 services123 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.
239 services109 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.
86 services86 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
65 services48 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
57 services41 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.
53 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29803 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.

Referred Medical Equipment & Supplies CMS DME claims 13

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
11 suppliers58 claims186 services$6.46 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers16 claims16 services$2.74 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers29 claims50 services$1.13 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers34 claims34 services$32.92 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier11 claims11 services$73.76 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers20 claims119 services$12.77 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 9

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

Dietitian, Registered
102 SUMMERWOOD WAY
AIKEN, SC 29803
Internal Medicine
102 SUMMERWOOD WAY
AIKEN, SC 29803
Internal Medicine
102 SUMMERWOOD WAY
AIKEN, SC 29803
Internal Medicine
102 SUMMERWOOD WAY
AIKEN, SC 29803
Pharmacist (Ambulatory Care)
102 SUMMERWOOD WAY
AIKEN, SC 29803
Nurse Practitioner (Family)
102 SUMMERWOOD WAY
AIKEN, SC 29803
Nurse Practitioner (Family)
102 SUMMERWOOD WAY
AIKEN, SC 29803
Nurse Practitioner (Family)
102 SUMMERWOOD WAY
AIKEN, SC 29803

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 Ashley Toole's NPI number?

The NPI number for Ashley Toole is 1659668531. It was assigned to this individual provider in the NPPES registry on June 29, 2011.

Where is Ashley Toole located?

Ashley Toole practices at 102 Summerwood Way, Aiken, SC 29803. The listed phone number is (803) 649-5300.

What is Ashley Toole's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ashley Toole enrolled in Medicare?

Yes. Ashley Toole 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 Ashley Toole accept?

Health plans from BlueCross BlueShield of South Carolina list Ashley Toole 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 Ashley Toole affiliated with any hospitals?

According to CMS data, Ashley Toole is affiliated with Au Medical Center and Aiken Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ashley Toole was last updated on September 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.