DR. SUSAN L BAKER D.O.
NPI 1205916475
Family Medicine in Grand Rapids, MI

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
5070 CASCADE RD SE, SUITE 250, GRAND RAPIDS, MI 49546(616) 281-9066(616) 281-0539 Get Directions Write a Review

NPPES record last updated: April 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susan L Baker D.o. NPPES

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

DR. SUSAN L BAKER D.O. (NPI 1205916475) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101009361) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1989).

NPPES Registry Identity

NPI1205916475
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUSAN L BAKERCredential: D.O.
Location Address5070 CASCADE RD SE, SUITE 250Grand Rapids, MI 49546-8422
Mailing Address5070 Cascade Rd Se, Suite 250Grand Rapids, MI 49546-8422 · (616) 281-9066 · Fax (616) 281-0539
Fax(616) 281-0539
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1989
Enumeration DateOctober 16, 2006
Last NPPES UpdateApril 26, 2011
NPI 1205916475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101009361
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.
5070 CASCADE RD SE, Grand Rapids, MI 49546

Other Names 1

Former Name (1)Dr. Susan L Naum D.o.

Other Identifiers 2

Medicare UPINE57679
Medicare ID-Type UnspecifiedP27140002MI · Medicare Provider Number

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. Susan L Baker D.o. 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 ID5597779397
PECOS Enrollment IDI20060201000168
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 4

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.
45 services22 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.
29 services18 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.
26 services17 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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

Breast Cancer Screening
82%90 patients4/55-star benchmark: 93%
Cervical Cancer Screening
58%69 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
54%87 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
57%118 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
75%69 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
68%509 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%64 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
37%178 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
7%138 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%254 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 158 patients
1%158 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
69%39 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 9% · 64 patients
Patients totalRate: 11% · 71 patients
8%71 patients4/55-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 4

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

Family Medicine
5070 CASCADE RD SE, SUITE 250
GRAND RAPIDS, MI 49546
Family Medicine
5070 CASCADE RD SE, SUITE 250
GRAND RAPIDS, MI 49546
Orthopaedic Surgery
5070 CASCADE RD SE, SUITE 202
GRAND RAPIDS, MI 49546
Family Medicine
5070 CASCADE RD SE, SUITE 250
GRAND RAPIDS, MI 49546

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 Susan Baker's NPI number?

The NPI number for Susan Baker is 1205916475. It was assigned to this individual provider in the NPPES registry on October 16, 2006. The provider is also known as Dr. Susan L Naum D.O..

Where is Susan Baker located?

Susan Baker practices at 5070 Cascade Rd SE Suite 250, Grand Rapids, MI 49546. The listed phone number is (616) 281-9066.

What is Susan Baker's specialty?

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

Is Susan Baker enrolled in Medicare?

Yes. Susan 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 Susan Baker accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Susan 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 Susan Baker affiliated with any hospitals?

According to CMS data, Susan Baker is affiliated with Spectrum Health, Mercy Health Saint Mary's and University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Susan Baker was last updated on April 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.