COLBY BAKER M.D.
NPI 1245693845
Internal Medicine - Critical Care Medicine in Palos Heights, IL

Q: What is Colby Baker's NPI number?

The NPI number for Colby Baker is 1245693845. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Q: What is Colby Baker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Colby Baker was last updated on July 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

12255 S 80TH AVE STE 204, PALOS HEIGHTS, IL 60463(708) 923-3388 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2022, Aug 23, 2019, Mar 31, 2016 (3 updates tracked since 2016).

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About Colby Baker M.d. NPPES

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

COLBY BAKER M.D. (NPI 1245693845) is an individual critical care medicine provider in Palos Heights, Illinois, licensed in Illinois (036.149166) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of New York Medical College (2016).

NPPES Registry Identity

NPI1245693845

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameCOLBY BAKERCredential: M.D.

Location Address12255 S 80TH AVE STE 204Palos Heights, IL 60463-1284

Mailing Address12255 S 80th Ave Ste 204Palos Heights, IL 60463-1284 · (708) 923-3388

Phone(708) 923-3388

Sole ProprietorYes

Medical School CMSNew York Medical CollegeGraduated 2016

Enumeration DateMarch 31, 2016

Last NPPES UpdateJuly 15, 20223 updates tracked since enumeration

NPPES CertifiedJuly 1, 2022

✔ NPI 1245693845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in IL · 036.149166

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036.149166 (IL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

12255 S 80TH AVE STE 204, Palos Heights, IL 60463

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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

Colby 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 ID7810281300

PECOS Enrollment IDI20220722002414

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 6

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.

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.

295 services135 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

244 services160 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.

66 services62 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

26 services26 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

26 services26 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140062

Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60463 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 12

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

KATHRYN GOODING APRN, CNP

Nurse Practitioner