DR. SHANE BAKER DPM
NPI 1063792828
Podiatrist in Middletown, NY

Q: What is Shane Baker's NPI number?

The NPI number for Shane Baker is 1063792828. It was assigned to this individual provider in the NPPES registry on August 25, 2011.

Q: What is Shane Baker's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Baker was last updated on July 31, 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.

Active since August 25, 2011PECOS Enrolled

95 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Shane Baker Dpm NPPES

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

DR. SHANE BAKER DPM (NPI 1063792828) is an individual podiatrist in Middletown, New York, licensed in New York (N006559) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Nyack Hospital, and is a graduate of New York College Of Podiatric Medicine (2010).

NPPES Registry Identity

NPI1063792828

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameDR. SHANE BAKERCredential: DPM

Location Address95 CRYSTAL RUN RDMiddletown, NY 10941-7001

Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297

Phone(845) 703-6999

Fax(845) 703-6297

Sole ProprietorNo

Medical School CMSNew York College Of Podiatric MedicineGraduated 2010

Enumeration DateAugust 25, 2011

Last NPPES UpdateJuly 31, 2020

NPPES CertifiedJuly 31, 2020

✔ NPI 1063792828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in NY · N006559

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

95 CRYSTAL RUN RD, Middletown, NY 10941

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shane Baker Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274767967

PECOS Enrollment IDI20131011001527

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

Medicare enrollment records show Shane Baker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Crystal Run Healthcare Physicians LLP

0.1 mi

General Practice

155 CRYSTAL RUN RD
Middletown, NY 10941

Reassigned Medicare billing, New York enrollment
434 clinicians in this Medicare group

NPI 1952376410 (845) 703-6999

Montefiore Medical Center

47 mi

Anesthesiology

111 E 210TH ST
Bronx, NY 10467

Reassigned Medicare billing, New York enrollment
5,251 clinicians in this Medicare group

NPI 1063525152 (914) 378-6021

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 11

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 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.

404 services234 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

132 services132 patients

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.

108 services93 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

91 services50 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

83 services67 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

29 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Nyack Hospital

Acute Care Hospitals · Nyack, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330104

Location160 North Midland AvenueNyack, NY 10960 · Rockland County

Birthing friendly

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330264

Location70 Dubois StreetNewburgh, NY 12550 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10941 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

$95.99 typical visit price

range $61.88 – $187.05

Typical copayment $23.99 (range $15.47 – $46.76)

Most-billed visit code 99203

Established Patient

$76.88 typical visit price

range $19.92 – $151.94

Typical copayment $19.22 (range $4.98 – $37.98)

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.

RICHARD ESCANO P.T.

Physical Therapist