Ethan Tolbert, M.D.
NPI 1255537239 · Hematology & Oncology Physician · Atlanta, GA
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Tolbert, M.D. is a Hematology & Oncology Physician provider in Atlanta, GA (NPI 1255537239).
Provider details
- NPI number
- 1255537239
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 46265 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
441 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 200 | $96 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 140 | $65 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 50 | $16 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 22 | $131 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 16 | $35 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 140 | 42 |
| Gabapentin | 67 | 18 |
| Lenalidomidebrand: Revlimid | 56 | — |
| Lenalidomide | 43 | — |
| Ibandronate Sodium | 42 | 14 |
| Fentanyl | 36 | 12 |
| Ondansetron Hcl | 29 | 22 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,712 across 32 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-26
- Last updated
- 2020-08-18
- Certified
- 2020-08-18
Frequently asked questions
- What is Ethan Tolbert's NPI number?
- Ethan Tolbert's National Provider Identifier (NPI) is 1255537239, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Tolbert's specialty?
- Ethan Tolbert is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Ethan Tolbert located?
- Ethan Tolbert's practice location on file with NPPES is 550 Peachtree St Ne, Atlanta, GA 30308-2247.
- What is Ethan Tolbert's phone number?
- The practice phone number listed in the NPPES registry for Ethan Tolbert is (404) 223-0792.
- Does Ethan Tolbert accept Medicare?
- Ethan Tolbert is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Tolbert's NPI active?
- Yes — Ethan Tolbert's NPI (1255537239) is active in the NPPES registry as of the last update on 2020-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.