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DR. ALICIA LIMBAUGH TOLBERT M.D.
NPI 1760542948
Family Medicine in Clemson, SC

Active since December 11, 2006Opted out of Medicare · through Jul 1, 2027
522 COLLEGE AVE, SUITE 1, CLEMSON, SC 29631(864) 654-7841(864) 654-7641 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Alicia Limbaugh Tolbert M.d. NPPES

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

DR. ALICIA LIMBAUGH TOLBERT M.D. (NPI 1760542948) is an individual family medicine provider in Clemson, South Carolina, licensed in South Carolina (24081) and active in the NPI registry since December 2006. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1760542948
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALICIA LIMBAUGH TOLBERTCredential: M.D.
Location Address522 COLLEGE AVE, SUITE 1Clemson, SC 29631-1443
Mailing Address522 College Ave, Suite 1Clemson, SC 29631-1443 · (864) 654-7841 · Fax (864) 654-7641
Phone(864) 654-7841
Fax(864) 654-7641
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateAugust 8, 2012
✔ NPI 1760542948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 24081
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.
522 COLLEGE AVE, Clemson, SC 29631
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Other Identifiers 6

Other24081SC · State License Number
Medicaid240812SC
Medicare UPINI36014SC
Other2212SC · Practice Medicare #
OtherPC3475SC · Practice Meicaid #
Medicare ID-Type UnspecifiedI360142212SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Alicia Limbaugh Tolbert M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2019 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2019
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29631 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
$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 8

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 suppliers19 claims48 services$5.32 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers14 claims14 services$90.11 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers14 claims38 services$33.89 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers13 claims13 services$16.30 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers13 claims13 services$11.39 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers14 claims84 services$1.86 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 3

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

F.M.A., P.A.
Family Medicine
522 COLLEGE AVE, SUITE 1
CLEMSON, SC 29631
Pickens County (864) 654-7841
DR. WARREN DOUGLAS GENTRY M.D.
Family Medicine
522 COLLEGE AVE, SUITE 1
CLEMSON, SC 29631
Pickens County (864) 654-7841
ROBERT N. SIEFFERT O.D.
Optometrist
522 COLLEGE AVE
CLEMSON, SC 29631
Pickens County (864) 654-3685

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 Alicia Tolbert's NPI number?

The NPI number for Alicia Tolbert is 1760542948. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Alicia Tolbert located?

Alicia Tolbert practices at 522 College Ave Suite 1, Clemson, SC 29631. The listed phone number is (864) 654-7841.

What is Alicia Tolbert's specialty?

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

Is Alicia Tolbert enrolled in Medicare?

No. Alicia Tolbert has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Alicia Tolbert was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.