TONYA KNOX FRAZIER MD
NPI 1952376477
Psychiatry & Neurology - Neurology in Spartanburg, SC

Active since February 19, 2006PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
1650 SKYLYN DR STE 200, SPARTANBURG, SC 29307(864) 560-4500 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2022, Oct 29, 2019, Aug 10, 2016 (3 updates tracked since 2016).

About Tonya Knox Frazier Md NPPES

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

TONYA KNOX FRAZIER MD (NPI 1952376477) is an individual neurology provider in Spartanburg, South Carolina, licensed in South Carolina (28451) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1952376477
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameTONYA KNOX FRAZIERCredential: MD
Location Address1650 SKYLYN DR STE 200Spartanburg, SC 29307-1069
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4500
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1993
Enumeration DateFebruary 19, 2006
Last NPPES UpdateApril 28, 20223 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
NPI 1952376477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in SC · 28451
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1650 SKYLYN DR STE 200, Spartanburg, SC 29307

Secondary Practice Location 1

Location 11 Medical Center BlvdWinston Salem, NC 27157-0001 · Phone (336) 716-2011

Other Identifiers 2

OtherSCM4315019SC · Medicare Pin
Medicaid274517SC

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

Tonya Knox Frazier 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 ID6305865288
PECOS Enrollment IDI20051230000199
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 3

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.
678 services411 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.
271 services271 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.
40 services36 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Hospital

Critical Access Hospitals · Columbus, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341322
Location101 Hospital DriveColumbus, NC 28722 · Polk County
Emergency services

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Union Medical Center

Acute Care Hospitals · Union, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number420108
Location322 West South StreetUnion, SC 29379 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29307 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.

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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Psychiatry & Neurology (Neurology)
1650 SKYLYN DR STE 200
SPARTANBURG, SC 29307
Psychiatry & Neurology (Neurology)
1650 SKYLYN DR STE 200
SPARTANBURG, SC 29307

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 Tonya Frazier's NPI number?

The NPI number for Tonya Frazier is 1952376477. It was assigned to this individual provider in the NPPES registry on February 19, 2006.

Where is Tonya Frazier located?

Tonya Frazier practices at 1650 Skylyn Dr Ste 200, Spartanburg, SC 29307. The listed phone number is (864) 560-4500.

What is Tonya Frazier's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Tonya Frazier enrolled in Medicare?

Yes. Tonya Frazier 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 Tonya Frazier accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next, InStil Health and Molina Healthcare list Tonya Frazier 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 Tonya Frazier affiliated with any hospitals?

According to CMS data, Tonya Frazier is affiliated with St Lukes Hospital, Spartanburg Medical Center, Cherokee Medical Center, Pelham Medical Center and Union Medical Center.

When was this NPI record last updated?

The NPPES record for Tonya Frazier was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.