NATHAN W BAKER MD
NPI 1013962778
Obstetrics & Gynecology in Whitesburg, KY

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
226 MEDICAL PLAZA LN, WHITESBURG, KY 41858(606) 633-4871(606) 633-0883 Get Directions Write a Review

NPPES record last updated: March 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathan W Baker Md NPPES

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

NATHAN W BAKER MD (NPI 1013962778) is an individual obstetrics & gynecology provider in Whitesburg, Kentucky, licensed in Kentucky (26662) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Whitesburg Arh Hospital, and is a graduate of University Of Kentucky College Of Medicine (1988).

NPPES Registry Identity

NPI1013962778
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameNATHAN W BAKERCredential: MD
Location Address226 MEDICAL PLAZA LNWhitesburg, KY 41858-7425
Mailing AddressPo Box 40Whitesburg, KY 41858-0040 · (606) 633-4823 · Fax (606) 633-1874
Fax(606) 633-0883
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1988
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 27, 2015
NPI 1013962778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in KY · 26662
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
226 MEDICAL PLAZA LN, Whitesburg, KY 41858

Other Identifiers 2

Medicaid64009186KY
Medicare UPINE85342

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

Nathan W Baker 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 ID840190419
PECOS Enrollment IDI20040110000076
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.

Hospital Affiliations CMS Care Compare

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

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180002
Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41858 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Pharmacy (Community/Retail Pharmacy)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Internal Medicine (Pulmonary Disease)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Counselor (Professional)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Nurse Practitioner (Family)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Nurse Practitioner (Family)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Pediatrics
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Nurse Practitioner (Family)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858
Nurse Practitioner (Family)
226 MEDICAL PLAZA LN
WHITESBURG, KY 41858

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 Nathan Baker's NPI number?

The NPI number for Nathan Baker is 1013962778. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Nathan Baker located?

Nathan Baker practices at 226 Medical Plaza Ln, Whitesburg, KY 41858. The listed phone number is (606) 633-4871.

What is Nathan Baker's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nathan Baker enrolled in Medicare?

Yes. Nathan 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 Nathan Baker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Nathan 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 Nathan Baker affiliated with any hospitals?

According to CMS data, Nathan Baker is affiliated with Whitesburg Arh Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Baker was last updated on March 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.