DR. DENISE DANIELLE TOLBERT D.O.
NPI 1861884462
Internal Medicine in Corinth, MS

Active since February 19, 2015PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
611 ALCORN DR, CORINTH, MS 38834(662) 293-7686 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Denise Danielle Tolbert D.o. NPPES

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

DR. DENISE DANIELLE TOLBERT D.O. (NPI 1861884462) is an individual internal medicine provider in Corinth, Mississippi, licensed in Alabama (1869) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dothan, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861884462
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DENISE DANIELLE TOLBERTCredential: D.O.
Location Address611 ALCORN DRCorinth, MS 38834-9321
Mailing AddressPo Box 1928Dothan, AL 36302-1928 · (334) 793-8087 · Fax (334) 678-2895
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 19, 2015
Last NPPES UpdateSeptember 10, 2018
✔ NPI 1861884462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 1869
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.
611 ALCORN DR, Corinth, MS 38834

Secondary Practice Location 1

Location 11108 Ross Clark CirDothan, AL 36301 · Phone (334) 712-3635 · Fax (334) 699-4387

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Denise Danielle Tolbert 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 ID8224380266
PECOS Enrollment IDI20181002003943
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 Reassignment

Medicare enrollment records show Denise Tolbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
889 ELBA HWY
Troy, AL 36079
  • Reassigned Medicare billing, Alabama enrollment
  • 514 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
158 services156 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38834 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Internal Medicine
611 ALCORN DR
CORINTH, MS 38834
Internal Medicine
611 ALCORN DR
CORINTH, MS 38834
Nurse Anesthetist, Certified Registered
611 ALCORN DR
CORINTH, MS 38834
Internal Medicine
611 ALCORN DR
CORINTH, MS 38834
Nurse Anesthetist, Certified Registered
611 ALCORN DR
CORINTH, MS 38834
Psychiatry & Neurology (Psychiatry)
611 ALCORN DR
CORINTH, MS 38834
Internal Medicine (Cardiovascular Disease)
611 ALCORN DR, SUITE 230
CORINTH, MS 38834
Nurse Anesthetist, Certified Registered
611 ALCORN DR
CORINTH, MS 38834

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 Denise Tolbert's NPI number?

The NPI number for Denise Tolbert is 1861884462. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Where is Denise Tolbert located?

Denise Tolbert practices at 611 Alcorn Dr, Corinth, MS 38834. The listed phone number is (662) 293-7686.

What is Denise Tolbert's specialty?

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

Is Denise Tolbert enrolled in Medicare?

Yes. Denise 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.

Which organization bills Medicare for Denise Tolbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Tolbert reassigns Medicare benefits to Houston County Healthcare Authority (Troy, AL). The 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 Denise Tolbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Tolbert accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Denise 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.

When was this NPI record last updated?

The NPPES record for Denise Tolbert was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.