DR. MATHUE MICHAEL BAKER M.D.
NPI 1093936429
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Lincoln, NE

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
1600 S 48TH ST, SUITE 600, LINCOLN, NE 68506(402) 483-3333(402) 483-3297 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mathue Michael Baker M.d. NPPES

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

DR. MATHUE MICHAEL BAKER M.D. (NPI 1093936429) is an individual advanced heart failure and transplant cardiology provider in Lincoln, Nebraska, licensed in Nebraska (23935) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Clarinda Regional Health Center, and is a graduate of University Of Nebraska College Of Medicine (2005).

NPPES Registry Identity

NPI1093936429
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDR. MATHUE MICHAEL BAKERCredential: M.D.
Location Address1600 S 48TH ST, SUITE 600Lincoln, NE 68506-1275
Mailing AddressPo Box 6607Lincoln, NE 68506-0607 · (402) 483-3333 · Fax (402) 483-3297
Fax(402) 483-3297
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2005
Enumeration DateMay 2, 2007
Last NPPES UpdateApril 10, 2020
NPPES CertifiedApril 10, 2020
NPI 1093936429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in NE · 23935
Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal MedicineTaxonomy 207R00000X · License 23935 (NE)
Also ListedInternal Medicine · Adolescent MedicineTaxonomy 207RA0000X · License 23935 (NE)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 23935 (NE)
1600 S 48TH ST, Lincoln, NE 68506

Other Identifiers 3

Other23935NE · Medical License
Medicaid47084496100NE
Medicaid1093936429IA

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

Dr. Mathue Michael 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 ID3375604580
PECOS Enrollment IDI20081205000772, I20090402000343, I20110824000939
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 30

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
1,304 services1,278 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.
974 services750 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.
556 services519 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.
327 services172 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
107 services107 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
101 services100 patients

Hospital Affiliations CMS Care Compare 5

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

Clarinda Regional Health Center

Critical Access Hospitals · Clarinda, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161352
Location220 Essie Davison DriveClarinda, IA 51632 · Page County
Emergency services

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Harlan County Health System

Critical Access Hospitals · Alma, NE
OwnershipGovernment - Local
CMS Certification Number281300
Location717 Brown StAlma, NE 68920 · Harlan County

Jefferson Community Health & Life

Critical Access Hospitals · Fairbury, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281319
LocationP O Box 277, 2200 H StFairbury, NE 68352 · Jefferson County
Emergency services

Cherry County Hospital

Critical Access Hospitals · Valentine, NE
OwnershipGovernment - Local
CMS Certification Number281344
Location510 North Green StValentine, NE 69201 · Cherry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68506 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.78
Promoting Interoperability100
Improvement Activities40
Cost55.05

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.

Internal Medicine (Interventional Cardiology)
1600 S 48TH ST, SUITE 600
LINCOLN, NE 68506
Family Medicine
1600 S 48TH ST, STE 400
LINCOLN, NE 68506
Internal Medicine (Cardiovascular Disease)
1600 S 48TH ST, SUITE 600
LINCOLN, NE 68506
Internal Medicine (Cardiovascular Disease)
1600 S 48TH ST, SUITE 600
LINCOLN, NE 68506
Radiology (Diagnostic Radiology)
1600 S 48TH ST
LINCOLN, NE 68506
Physician Assistant
1600 S 48TH ST
LINCOLN, NE 68506
Pediatrics (Neonatal-Perinatal Medicine)
1600 S 48TH ST, NEONATOLGY
LINCOLN, NE 68506
Pediatrics (Neonatal-Perinatal Medicine)
1600 S 48TH ST, NEONATOLOGY
LINCOLN, NE 68506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093936429, enumerated as an "individual" on May 02, 2007.

The provider is located at 1600 S 48TH ST SUITE 600 LINCOLN, NE 68506 and the phone number is (402) 483-3333.

Internal Medicine with taxonomy code 207RA0001X and a focus in Advanced Heart Failure and Transplant Cardiology.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.

Mathue Baker is affiliated with: CLARINDA REGIONAL HEALTH CENTER, BRYAN MEDICAL CENTER, HARLAN COUNTY HEALTH SYSTEM, JEFFERSON COMMUNITY HEALTH & LIFE and CHERRY COUNTY HOSPITAL.