Gerald Tolbert, M.D.
NPI 1205079522 · Emergency Medicine Physician · La Jolla, CA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gerald Tolbert, M.D. is a Emergency Medicine Physician provider in La Jolla, CA (NPI 1205079522).
Provider details
- NPI number
- 1205079522
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD61014484 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
85 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 70 | $177 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 15 | $124 |
Typical Medicare-allowed amounts for these services range $124–$177 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 6655 Alvarado RdSan Diego, CA 92120-5208Phone: (800) 926-8273
- 1550 N 115th StSeattle, WA 98133-8401Phone: (206) 520-5000
Registry dates
- Enumerated
- 2009-04-16
- Last updated
- 2025-02-11
- Certified
- 2025-02-11
Frequently asked questions
- What is Gerald Tolbert's NPI number?
- Gerald Tolbert's National Provider Identifier (NPI) is 1205079522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gerald Tolbert's specialty?
- Gerald Tolbert is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gerald Tolbert located?
- Gerald Tolbert's practice location on file with NPPES is 8910 Villa La Jolla Dr Ste 100, La Jolla, CA 92037-1701.
- What is Gerald Tolbert's phone number?
- The practice phone number listed in the NPPES registry for Gerald Tolbert is (800) 926-8273.
- Does Gerald Tolbert accept Medicare?
- Gerald Tolbert is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gerald Tolbert's NPI active?
- Yes — Gerald Tolbert's NPI (1205079522) is active in the NPPES registry as of the last update on 2025-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.