DONALD V BAKER D.O. FACEP
NPI 1003873860
Emergency Medicine in Pell City, AL

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
82.24/100
CMS Quality Rating
7063 VETERANS PKWY, PELL CITY, AL 35125(205) 814-2105(205) 814-2105 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donald V Baker D.o. Facep NPPES

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

DONALD V BAKER D.O. FACEP (NPI 1003873860) is an individual emergency medicine provider in Pell City, Alabama, licensed in Georgia (46667) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Newnan Hospital, Inc, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1003873860
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDONALD V BAKERCredential: D.O. FACEP
Location Address7063 VETERANS PKWYPell City, AL 35125-5114
Mailing Address7063 Veterans PkwyPell City, AL 35125-5114 · (205) 814-2105 · Fax (205) 814-2105
Fax(205) 814-2105
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 27, 2006
Last NPPES UpdateMarch 4, 2020
NPPES CertifiedMarch 4, 2020
✔ NPI 1003873860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 46667
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License DO 724 (AL)
7063 VETERANS PKWY, Pell City, AL 35125

Other Identifiers 1

Medicaid009961170AL

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

Donald V Baker D.o. Facep 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 ID6204868789
PECOS Enrollment IDI20050906000639
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 Reassignments

3

Medicare enrollment records show Donald Baker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
400 E 10TH ST
Anniston, AL 36207
  • Reassigned Medicare billing, Alabama enrollment
  • 73 clinicians in this Medicare group
Emergency Medicine
60 HOSPITAL RD
Newnan, GA 30263
  • Reassigned Medicare billing, Georgia enrollment
  • 110 clinicians in this Medicare group
Emergency Medicine
100 HOSPITAL ST
Booneville, MS 38829
  • Reassigned Medicare billing, Georgia enrollment
  • 53 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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
126 services126 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
120 services120 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
33 services33 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35125 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

82.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.84
Improvement Activities40
Cost63.86

Other Providers at the Same Location NPPES 15

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

Nurse Anesthetist, Certified Registered
7063 VETERANS PKWY
PELL CITY, AL 35125
Orthopaedic Surgery
7063 VETERANS PKWY
PELL CITY, AL 35125
Clinical Medical Laboratory
7063 VETERANS PKWY
PELL CITY, AL 35125
Physician Assistant
7063 VETERANS PKWY
PELL CITY, AL 35125
Orthopaedic Surgery
7063 VETERANS PKWY, STE 200
PELL CITY, AL 35125
Internal Medicine
7063 VETERANS PKWY
PELL CITY, AL 35125
Anesthesiology (Pain Medicine)
7063 VETERANS PKWY
PELL CITY, AL 35125
Nurse Practitioner
7063 VETERANS PKWY
PELL CITY, AL 35125

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 Donald Baker's NPI number?

The NPI number for Donald Baker is 1003873860. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Donald Baker located?

Donald Baker practices at 7063 Veterans Pkwy, Pell City, AL 35125. The listed phone number is (205) 814-2105.

What is Donald Baker's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Donald Baker enrolled in Medicare?

Yes. Donald 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.

Which organizations bill Medicare for Donald Baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Baker reassigns Medicare benefits to 3 organizations: Alabama Physicians Group LLC (Anniston, AL), Coweta Emergency Group LLC (Newnan, GA) and United Emergency Services, Inc. (Booneville, MS). Each 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 Donald Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Baker accept?

Health plans from Blue Cross and Blue Shield of Alabama list Donald 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 Donald Baker affiliated with any hospitals?

According to CMS data, Donald Baker is affiliated with Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Donald Baker was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.