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GREGORY E BAKER MD
NPI 1083654206
Family Medicine in Palm Harbor, FL

Active since June 07, 2006Opted out of Medicare · through Jul 1, 2027
94.93/100
CMS Quality Rating
4140 WOODLANDS PKWY, PALM HARBOR, FL 34685(727) 953-9041(727) 953-9043 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jan 2, 2020, Nov 1, 2019 and 1 more (4 updates tracked since 2017).

About Gregory E Baker Md NPPES

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

GREGORY E BAKER MD (NPI 1083654206) is an individual family medicine provider in Palm Harbor, Florida, licensed in Florida (ME131352) and active in the NPI registry since June 2006. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083654206
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGREGORY E BAKERCredential: MD
Location Address4140 WOODLANDS PKWYPalm Harbor, FL 34685-3494
Mailing Address4140 Woodlands PkwyPalm Harbor, FL 34685-3494 · (727) 953-9041 · Fax (727) 953-9043
Phone(727) 953-9041
Fax(727) 953-9043
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2020
✔ NPI 1083654206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME131352✔ Licensed in MO · 119352
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.

4140 WOODLANDS PKWY, Palm Harbor, FL 34685
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gregory E Baker Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 6

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.
62 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 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.
16 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34685 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

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.

LARRY WAYNE HORTON MD
Psychiatry & Neurology (Neurology)
4140 WOODLANDS PKWY
PALM HARBOR, FL 34685
Pinellas County (727) 953-9041
PRESTIGE DENTISTRY
Dentist (General Practice)
4140 WOODLANDS PKWY
PALM HARBOR, FL 34685
Pinellas County (727) 789-1980
DR. DOUGLAS STANLEY BEIL D.D.S
Dentist
4140 WOODLANDS PKWY
PALM HARBOR, FL 34685
Pinellas County (727) 789-1980
LILIYA GLAVATSKYY MSN, FNP-C
Nurse Practitioner (Family)
4140 WOODLANDS PKWY
PALM HARBOR, FL 34685
Pinellas County (727) 953-9041
DR. JULIE A ANDERSON M.D.
Family Medicine
4140 WOODLANDS PKWY, SUITE B
PALM HARBOR, FL 34685
Pinellas County (727) 773-1013
MRS. PAULA JEAN KNAPP-BAKER DO
Family Medicine
4140 WOODLANDS PKWY
PALM HARBOR, FL 34685
Pinellas County (727) 953-9041
SMRUTHI RAUNA DEVALARAJU
Family Medicine
4140 WOODLANDS PKWY
PALM HARBOR, FL 34685
Pinellas County (727) 953-9041

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 Gregory Baker's NPI number?

The NPI number for Gregory Baker is 1083654206. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Gregory Baker located?

Gregory Baker practices at 4140 Woodlands Pkwy, Palm Harbor, FL 34685. The listed phone number is (727) 953-9041.

What is Gregory Baker's specialty?

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

Is Gregory Baker enrolled in Medicare?

No. Gregory Baker has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Gregory Baker accept?

Health plans from Wellpoint list Gregory 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 Gregory Baker was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.