1. Home
  2. Directory
  3. West Virginia
  4. Lewisburg
  5. Pediatrics
  6. NPI Profile

ASHLEY R TOLER D.O.
NPI 1699903021
Pediatrics in Lewisburg, WV

Active since June 24, 2009PECOS Enrolled
849 COURT ST N, LEWISBURG, WV 24901(708) 712-4948(304) 512-3481 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 12, 2025, Feb 18, 2016 (2 updates tracked since 2016).

About Ashley R Toler D.o. NPPES

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

ASHLEY R TOLER D.O. (NPI 1699903021) is an individual pediatrics provider in Lewisburg, West Virginia, licensed in Virginia (0102204361) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699903021
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameASHLEY R TOLERCredential: D.O.
Location Address849 COURT ST NLewisburg, WV 24901-2516
Mailing Address849 Court St NLewisburg, WV 24901-2516 · (708) 712-4948 · Fax (304) 512-3481
Phone(708) 712-4948
Fax(304) 512-3481
Sole ProprietorNo
Enumeration DateJune 24, 2009
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1699903021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in VA · 0102204361✔ Licensed in WV · 2691
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
849 COURT ST N, Lewisburg, WV 24901
Open in Google Maps ↗

Other Identifiers 2

Medicaid3810024989WV
Medicaid1699903021VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley R Toler D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ashley Toler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rainelle Medical Center, Inc
1.2 mi
Federally Qualified Health Center (FQHC)
2140 JEFFERSON ST N STE 200
Lewisburg, WV 24901
NPI 1679223390 (681) 484-7042
Privia Medical Group, LLC
196 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Virginia enrollment
  • 1,315 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24901 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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

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.
99%202 patients5/55-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…
16%123 patients1/55-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%34 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.
59%273 patients3/55-star benchmark: 97%
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…
97%265 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…
4%265 patients1/55-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.
25%265 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.

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 Toler's NPI number?

The NPI number for Ashley Toler is 1699903021. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Ashley Toler located?

Ashley Toler practices at 849 Court St N, Lewisburg, WV 24901. The listed phone number is (708) 712-4948.

What is Ashley Toler's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ashley Toler enrolled in Medicare?

Yes. Ashley Toler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ashley Toler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Toler reassigns Medicare benefits to 2 organizations: Rainelle Medical Center, Inc (Lewisburg, WV) and Privia Medical Group, LLC (Arlington, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Toler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Toler accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Ashley Toler 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 Ashley Toler was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.