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

Q: What is Mathue Baker's NPI number?

The NPI number for Mathue Baker is 1093936429. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Mathue Baker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Q: When was this NPI record last updated?

The NPPES record for Mathue Baker was last updated on April 10, 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 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: August 09, 2026.

On this page

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

Phone(402) 483-3333

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

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Other Identifiers 3

Other23935NE · Medical License

Medicaid47084496100NE

Medicaid1093936429IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Nebraska and more.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

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

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.

91 services91 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

83 services81 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

79 services79 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

74 services72 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

65 services65 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.

63 services61 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

51 services50 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

50 services49 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

49 services44 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

41 services33 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

36 services33 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

32 services32 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

31 services31 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

31 services31 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

29 services29 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

28 services28 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

25 services23 patients

Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan 78431

This is a diagnostic test where a tiny amount of radioactive material is used to examine your heart's blood flow at rest & during stress, alongside a CT scan for detailed images. It helps identify any heart-related issues like blockages or damage.

20 services20 patients

Insertion of wireless pressure sensor into lung artery through tube with review by radiologist 33289

This procedure involves placing a small, wireless sensor into your lung artery via a tube. This sensor helps monitor your blood pressure within the artery. A radiologist reviews the procedure images to ensure proper sensor placement.

19 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services17 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

16 services16 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

14 services14 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

11 services11 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.

11 services11 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

Quality

94.78

Promoting Interoperability

100

Improvement Activities

Cost

55.05

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.

JOSEPH L KUMMER M.D.

Internal Medicine (Cardiovascular Disease)

1600 S 48TH ST, SUITE 600
LINCOLN, NE 68506

Lancaster County (402) 483-3333

BRYAN EMPLOYEE SPECIALTY PHARMACY

Pharmacy (Community/Retail Pharmacy)

1600 S 48TH ST
LINCOLN, NE 68506

Lancaster County (402) 481-8380

KERSTEN SCHMITT PHARMD

Pharmacist

1600 S 48TH ST
LINCOLN, NE 68506

Lancaster County (507) 244-1031

JONNA RAE LYNCH DNP, NNP

Nurse Practitioner (Neonatal)

1600 S 48TH ST
LINCOLN, NE 68506

Lancaster County (402) 481-7327

CORY LEE DURBIN PHARMD

Pharmacist

1600 S 48TH ST
LINCOLN, NE 68506

Lancaster County (402) 481-1111

SCOTT COATSWORTH M.D.

Internal Medicine (Cardiovascular Disease)

1600 S 48TH ST, SUITE 600
LINCOLN, NE 68506

Lancaster County (402) 483-3333

AMANDA KATHLEEN GILMORE PA

Physician Assistant

1600 S 48TH ST, STE 600
LINCOLN, NE 68506

Lancaster County (402) 483-3333

SHELLEE KERSENBROCK

Pharmacist

1600 S 48TH ST
LINCOLN, NE 68506

Lancaster County (402) 481-3145

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 Mathue Baker's NPI number?

The NPI number for Mathue Baker is 1093936429. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Mathue Baker located?

Mathue Baker practices at 1600 S 48th St Suite 600, Lincoln, NE 68506. The listed phone number is (402) 483-3333.

What is Mathue Baker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Mathue Baker enrolled in Medicare?

Yes. Mathue 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 Mathue Baker accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company and 1 other insurer list Mathue 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 Mathue Baker affiliated with any hospitals?

According to CMS data, Mathue Baker is affiliated with Clarinda Regional Health Center, Bryan Medical Center, Harlan County Health System, Jefferson Community Health & Life and Cherry County Hospital.

When was this NPI record last updated?

The NPPES record for Mathue Baker was last updated on April 10, 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.