DR. EVERLYN LILEASE HALL-BAKER MD
NPI 1174574149
Family Medicine in Charlotte, NC

Q: What is Everlyn Hall-baker's NPI number?

The NPI number for Everlyn Hall-baker is 1174574149. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Everlyn Hall-baker's specialty?

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

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment

1805 SARDIS RD N STE 124, CHARLOTTE, NC 28270(704) 269-6127(866) 387-3974 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 18, 2025, Oct 28, 2020, Feb 27, 2019 and 10 more (13 updates tracked since 2016).

On this page

About Dr. Everlyn Lilease Hall-baker Md NPPES

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

DR. EVERLYN LILEASE HALL-BAKER MD (NPI 1174574149) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (33372) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (1981).

NPPES Registry Identity

NPI1174574149

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. EVERLYN LILEASE HALL-BAKERCredential: MD

Location Address1805 SARDIS RD N STE 124Charlotte, NC 28270-1479

Mailing Address1805 Sardis Rd N Ste 124Charlotte, NC 28270-1479 · (704) 269-6127 · Fax (866) 387-3974

Phone(704) 269-6127

Fax(866) 387-3974

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1981

Enumeration DateMay 15, 2006

Last NPPES UpdateFebruary 18, 202513 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2025

✔ NPI 1174574149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 33372

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.

1805 SARDIS RD N STE 124, Charlotte, NC 28270

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Everlyn Lilease Hall-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 ID5496750572

PECOS Enrollment IDI20060923000024

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.

Medicare Billing Reassignments

Medicare enrollment records show Everlyn Hall-baker reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gapover MD, PLLC

Same address

Family Medicine

1805 SARDIS RD N STE 124
Charlotte, NC 28270

Reassigned Medicare billing, North Carolina enrollment
2 clinicians in this Medicare group

NPI 1114370988 (704) 269-6127

Carolinas Physicians Network Inc

1.8 mi

Geriatric Medicine

332 SAM NEWELL RD, SUITE 2000
Matthews, NC 28105

Reassigned Medicare billing, North Carolina enrollment
Also billed through NPI 1700196409 (North Carolina)
1,646 clinicians in this Medicare group

NPI 1699085605 (704) 302-8375

The Charlotte-Mecklenburg Hospital Authority

1.8 mi

Hematology & Oncology

1401 MATTHEWS TOWNSHIP PKWY, SUITE 208
Matthews, NC 28105

Reassigned Medicare billing, North Carolina enrollment
1,534 clinicians in this Medicare group

NPI 1295005841 (704) 321-1002

Arboretum Urgent Care Center

3.8 mi

Family Medicine

7810 PROVIDENCE RD, STE 102
Charlotte, NC 28226

Reassigned Medicare billing, North Carolina enrollment
157 clinicians in this Medicare group

NPI 1457380313 (704) 543-6636

First Care Medical Clinic

6.3 mi

Internal Medicine

7884 IDLEWILD ROAD
Indiantrail, NC 28079

Reassigned Medicare billing, North Carolina and South Carolina enrollments
Also billed through NPI 1881989192 (South Carolina)
28 clinicians in this Medicare group

NPI 1427260108 (704) 291-9267

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

116 services54 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.

71 services40 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

67 services48 patients

Blood glucose (sugar) level 82947

A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.

58 services25 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

55 services37 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

28 services24 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.

26 services26 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.

21 services15 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.

19 services15 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

18 services13 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

14 services13 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28270 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

52%23 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

46%26 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

GAPOVER MD, PLLC

Family Medicine

1805 SARDIS RD N STE 124
CHARLOTTE, NC 28270

Mecklenburg County (704) 269-6127

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 Everlyn Hall-baker's NPI number?

The NPI number for Everlyn Hall-baker is 1174574149. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Everlyn Hall-baker located?

Everlyn Hall-baker practices at 1805 Sardis Rd N Ste 124, Charlotte, NC 28270. The listed phone number is (704) 269-6127.

What is Everlyn Hall-baker's specialty?

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

Is Everlyn Hall-baker enrolled in Medicare?

Yes. Everlyn Hall-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.

Which organizations bill Medicare for Everlyn Hall-baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Everlyn Hall-baker reassigns Medicare benefits to 5 organizations: Gapover MD, PLLC (Charlotte, NC), Carolinas Physicians Network Inc (Matthews, NC), The Charlotte-Mecklenburg Hospital Authority (Matthews, NC), Arboretum Urgent Care Center (Charlotte, NC) and First Care Medical Clinic (Indiantrail, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Everlyn Hall-baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Everlyn Hall-baker accept?

Health plans from Cigna Healthcare list Everlyn Hall-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 Everlyn Hall-baker was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.