DR. BRENT A BAKER M.D.
NPI 1003270968
Family Medicine in Jefferson City, TN

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
380 W BROADWAY BLVD STE 130, JEFFERSON CITY, TN 37760(865) 475-4742 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2023, Jul 10, 2023, Mar 5, 2021 and 3 more (6 updates tracked since 2019).

About Dr. Brent A Baker M.d. NPPES

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

DR. BRENT A BAKER M.D. (NPI 1003270968) is an individual family medicine provider in Jefferson City, Tennessee, licensed in Tennessee (56571) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of East Tennessee State University Quillen College Of Medicine (2016).

NPPES Registry Identity

NPI1003270968
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRENT A BAKERCredential: M.D.
Location Address380 W BROADWAY BLVD STE 130Jefferson City, TN 37760-2602
Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2016
Enumeration DateApril 7, 2016
Last NPPES UpdateSeptember 7, 20236 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
NPI 1003270968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · 56571
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.
380 W BROADWAY BLVD STE 130, Jefferson City, TN 37760

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

Dr. Brent A Baker M.d. 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 ID3971868076
PECOS Enrollment IDI20180518002346
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 47

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.
403 services219 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
327 services192 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
257 services170 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.
188 services156 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
182 services133 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
175 services132 patients

Hospital Affiliations CMS Care Compare 3

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440030
Location908 W 4th North StMorristown, TN 37814 · Hamblen County
Emergency services Birthing friendly

Tennova Healthcare-Jefferson Memorial Hospital

Acute Care Hospitals · Jefferson City, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440056
Location110 Hospital DriveJefferson City, TN 37760 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37760 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 4

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
9 suppliers29 claims72 services$6.23 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.04 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$10.47 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$150.21 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 7

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

Nurse Practitioner
380 W BROADWAY BLVD STE 130
JEFFERSON CITY, TN 37760
Physician Assistant
380 W BROADWAY BLVD STE 130
JEFFERSON CITY, TN 37760
Nurse Practitioner (Family)
380 W BROADWAY BLVD STE 130
JEFFERSON CITY, TN 37760
Nurse Practitioner (Family)
380 W BROADWAY BLVD STE 130
JEFFERSON CITY, TN 37760
Nurse Practitioner (Family)
380 W BROADWAY BLVD STE 130
JEFFERSON CITY, TN 37760
Physical Therapist
380 W BROADWAY BLVD STE 130
JEFFERSON CITY, TN 37760
Nurse Practitioner (Family)
380 W BROADWAY BLVD STE 130
JEFFERSON CITY, TN 37760

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 Brent Baker's NPI number?

The NPI number for Brent Baker is 1003270968. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Brent Baker located?

Brent Baker practices at 380 W Broadway Blvd Ste 130, Jefferson City, TN 37760. The listed phone number is (865) 475-4742.

What is Brent Baker's specialty?

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

Is Brent Baker enrolled in Medicare?

Yes. Brent Baker 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 Brent Baker accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Brent Baker 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 Brent Baker affiliated with any hospitals?

According to CMS data, Brent Baker is affiliated with University Health System, Inc, Morristown Hamblen Hospital Association and Tennova Healthcare-Jefferson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Brent Baker was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.