WALLACE C BAKER M.D.
NPI 1083696967
Family Medicine in Idaho Falls, ID

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
1880 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401(208) 524-6633(208) 524-9952 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wallace C Baker M.d. NPPES

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

WALLACE C BAKER M.D. (NPI 1083696967) is an individual family medicine provider in Idaho Falls, Idaho, licensed in Idaho (M2619) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of University Of Utah School Of Medicine (1993).

NPPES Registry Identity

NPI1083696967
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWALLACE C BAKERCredential: M.D.
Location Address1880 JOHN ADAMS PKWYIdaho Falls, ID 83401-4315
Mailing Address1880 John Adams PkwyIdaho Falls, ID 83401-4315 · (208) 524-6633 · Fax (208) 524-9952
Fax(208) 524-9952
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1993
Enumeration DateNovember 16, 2005
Last NPPES UpdateJuly 19, 2010
NPI 1083696967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ID · M2619
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.

1880 JOHN ADAMS PKWY, Idaho Falls, ID 83401

Other Identifiers 13

OtherDE1614ID · Rr Medicare Grp
Other72132ID · Idaho Blue Cross Provider
Other1134140148ID · Baker Family Group Npi
Medicare ID-Type Unspecified1134559ID · Medicare Provider Number
Medicaid002796800ID
Other8K123ID · Blue Cross Group
Other080097138ID · Rr Medicare
Medicare UPING26485ID
Medicare ID-Type Unspecified1376964ID · Medicare Group Number
Other000010001770ID · Blue Shield Provider Numb
Other000010027582ID · Blue Shield Group
Other266877ID · Dmba
Medicaid807937700ID

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

Wallace C Baker M.d. 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 ID6608824164
PECOS Enrollment IDI20100823001005
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 16

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
317 services105 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
197 services42 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.
193 services120 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.
192 services141 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.
178 services141 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
127 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83401 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers21 claims80 services$6.39 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier25 claims25 services$15.76 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier25 claims25 services$6.06 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers17 claims17 services$39.69 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers17 claims17 services$89.59 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers13 claims34 services$31.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Family Medicine
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401
Physician Assistant (Medical)
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401
Physician Assistant
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401
Nurse Practitioner
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401
Physician Assistant (Medical)
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401
Physician Assistant (Medical)
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401
Physician Assistant (Medical)
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401
Nurse Practitioner (Family)
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401

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 Wallace Baker's NPI number?

The NPI number for Wallace Baker is 1083696967. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Wallace Baker located?

Wallace Baker practices at 1880 John Adams Pkwy, Idaho Falls, ID 83401. The listed phone number is (208) 524-6633.

What is Wallace Baker's specialty?

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

Is Wallace Baker enrolled in Medicare?

Yes. Wallace 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 Wallace Baker accept?

Health plans from PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Wallace 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 Wallace Baker affiliated with any hospitals?

According to CMS data, Wallace Baker is affiliated with Eastern Idaho Regional Medical Center and Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Wallace Baker was last updated on July 19, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.