ALLISON MCALPINE BAKER MD
NPI 1063947612
Ophthalmology in Concord, NC

Active since April 20, 2017PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
645 AMALIA ST NE, CONCORD, NC 28025(704) 295-3255(704) 295-7791 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 9, 2025, Aug 24, 2023, Nov 10, 2022 and 4 more (7 updates tracked since 2017).

About Allison Mcalpine Baker Md NPPES

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

ALLISON MCALPINE BAKER MD (NPI 1063947612) is an individual ophthalmology provider in Concord, North Carolina, licensed in North Carolina (2022-01256) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Medical University Of South Carolina College Of Medicine (2017).

NPPES Registry Identity

NPI1063947612
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameALLISON MCALPINE BAKERCredential: MD
Location Address645 AMALIA ST NEConcord, NC 28025-2434
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000
Fax(704) 295-7791
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2017
Enumeration DateApril 20, 2017
Last NPPES UpdateJune 9, 20257 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
NPI 1063947612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NC · 2022-01256 Licensed in SC · 94171
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License DR.0065831 (CO)
645 AMALIA ST NE, Concord, NC 28025

Secondary Practice Locations 2

Location 1601 Sutton Rd S Ste 201Fort Mill, SC 29715-8439 · Phone (803) 547-3800
Location 26035 Fairview RdCharlotte, NC 28210-3256 · Phone (704) 295-3000

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

Allison Mcalpine 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 ID244586345
PECOS Enrollment IDI20221112000059, I20250623001620
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 10

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.
157 services119 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
113 services112 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.
101 services96 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
54 services37 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
49 services32 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Ophthalmology
645 AMALIA ST NE
CONCORD, NC 28025
Physician Assistant
645 AMALIA ST NE
CONCORD, NC 28025
Otolaryngology
645 AMALIA ST NE
CONCORD, NC 28025
Otolaryngology
645 AMALIA ST NE
CONCORD, NC 28025
Physician Assistant
645 AMALIA ST NE
CONCORD, NC 28025
Otolaryngology
645 AMALIA ST NE
CONCORD, NC 28025
Otolaryngology
645 AMALIA ST NE
CONCORD, NC 28025
Physician Assistant
645 AMALIA ST NE
CONCORD, NC 28025

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 Allison Baker's NPI number?

The NPI number for Allison Baker is 1063947612. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Allison Baker located?

Allison Baker practices at 645 Amalia St NE, Concord, NC 28025. The listed phone number is (704) 295-3255.

What is Allison Baker's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Allison Baker enrolled in Medicare?

Yes. Allison 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 Allison Baker accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Allison 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.

When was this NPI record last updated?

The NPPES record for Allison Baker was last updated on June 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.