KATHERINE PLUMBLEE BAKER MD
NPI 1104316389
Internal Medicine - Hematology & Oncology in Lebanon, TN

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

Active since May 14, 2018PECOS EnrolledAccepts Medicare Assignment

103 PHYSICIANS WAY STE 120, LEBANON, TN 37090(615) 453-5623 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 23, 2024, Oct 8, 2018, May 14, 2018 (3 updates tracked since 2018).

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About Katherine Plumblee Baker Md NPPES

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

KATHERINE PLUMBLEE BAKER MD (NPI 1104316389) is an individual hematology & oncology provider in Lebanon, Tennessee, licensed in Tennessee (70654) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2018).

NPPES Registry Identity

NPI1104316389

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameKATHERINE PLUMBLEE BAKERCredential: MD

Location Address103 PHYSICIANS WAY STE 120Lebanon, TN 37090-4134

Mailing Address2004 Hayes St Ste 800Nashville, TN 37203-2659 · (615) 329-0570

Phone(615) 453-5623

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2018

Enumeration DateMay 14, 2018

Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1104316389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in TN · 70654

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

103 PHYSICIANS WAY STE 120, Lebanon, TN 37090

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.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

Katherine Plumblee 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 ID2264785062

PECOS Enrollment IDI20241121004664

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 13

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

226 services12 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

53 services28 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.

51 services27 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

45 services25 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

36 services18 patients

Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less 96367

This procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.

29 services11 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.

28 services23 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

22 services15 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.

19 services17 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

14 services14 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.

14 services14 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.

13 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN

1/5 CMS rating

OwnershipProprietary

CMS Certification Number440003

Location555 Hartsville PikeGallatin, TN 37066 · Sumner County

Emergency services Birthing friendly

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440150

Location5655 Frist BlvdHermitage, TN 37076 · Davidson County

Emergency services Birthing friendly

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440194

Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County

Emergency services Birthing friendly

Macon Community Hospital

Critical Access Hospitals · Lafayette, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number441305

Location204 Medical DriveLafayette, TN 37083 · Macon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37090 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

$160.89 typical visit price

range $52.64 – $160.89

Typical copayment $40.22 (range $13.16 – $40.22)

Most-billed visit code 99205

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 6

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

MRS. MARIA J ALVARADO NP

Nurse Practitioner (Family)