JAY BAKER M.D. NPI 1265521728
Radiology - Diagnostic Radiology in Durham, NC

About JAY BAKER M.D.

Jay Baker is a provider established in Durham, North Carolina and his medical specialization is Radiology with a focus in diagnostic radiology with more than 31 years of experience. He graduated from Duke University School Of Medicine in 1992. The NPI number of this provider is 1265521728 and was assigned on October 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 96-00156 (NC). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1265521728
Provider Name JAY BAKER M.D.
Location AddressDUKE UNIVERSITY MEDICAL CTR DURHAM, NC 27710
Location Phone(919) 620-4467
Mailing AddressDUKE UNIVERSITY MEDICAL CTR DUMC 3808 DURHAM, NC 27710
GenderMale
NPI Entity TypeIndividual
Medical School NameDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1992
Is Sole Proprietor?No
Enumeration Date10-12-2006
Last Update Date07-08-2007

Jay Baker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Jay Baker is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Duke University Hospital.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.8 for a new patient copayment and $17.73 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.96-00156
License StateNC
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC
ZIP 27710
Phone: (919) 620-4467

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Mailing Address

DUKE UNIVERSITY MEDICAL CTR
DUMC 3808
DURHAM, NC
ZIP 27710


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID3274673751
PECOS Enrollment IDI20091214000399
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 27710 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.51 $172.65 $87.2
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.12 $43.16 $21.8
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.43 $140.98 $70.95
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.35 $35.24 $17.73

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G54377MEDICARE UPIN (02)
891053FMEDICAID (05)NC
2240536MEDICARE ID-TYPE UNSPECIFIED (04)NC

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265521728
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125102274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 0 + 2 + 2 + 7 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1265521728 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548222151 AMBER R ATWATER M.D.
Individual
DermatologyDUKE UNIVERSITY MEDICAL CTR 200 TRENT DR.
DURHAM, NC 27710
(919) 684-8111
1245284884MRS. GAIL PACHARIS BROCK NP
Individual
Nurse Practitioner (Adult Health)DUKE UNIVERSITY MEDICAL CTR 7623B HOSPITAL NORTH BOX 3128
DURHAM, NC 27710
(919) 681-3810
1730126160MRS. KELLY HILL BLESSING FNP C
Individual
Nurse Practitioner (Family)DUKE UNIVERSITY MEDICAL CTR NEUROLOGY
DURHAM, NC 27710
(919) 684-8969
1508806407MR. NICHOLAS MARK HUDAK PA-C
Individual
Physician Assistant (Medical)DUKE UNIVERSITY MEDICAL CTR DUMC BOX 3894
DURHAM, NC 27710
(919) 684-8615
1831126580 ROBERT M TIGHE M.D.
Individual
Internal Medicine (Pulmonary Disease)DUKE UNIVERSITY MEDICAL CTR BOX 3221
DURHAM, NC 27710
(919) 684-8111
1891726790DR. DANIEL PAUL BARBORIAK M.D.
Individual
Radiology (Neuroradiology)DUKE UNIVERSITY MEDICAL CTR BOX 3808
DURHAM, NC 27710
(919) 684-7407
1538184940MRS. JENNIFER ANNE SULLIVAN MS, CGC
Individual
Genetic Counselor, MSDUKE UNIVERSITY MEDICAL CTR DUMC 3528
DURHAM, NC 27710
(919) 681-1991
1992711196DR. JARED DEAN CHRISTENSEN M.D.
Individual
Radiology (Diagnostic Radiology)DUKE UNIVERSITY MEDICAL CTR DEPT. OF RADIOLOGY, BOX 3808
DURHAM, NC 27710
(919) 684-7443
1295743466MRS. BLYTHE GREENE CRISSMAN MS, CGC
Individual
Genetic Counselor, MSDUKE UNIVERSITY MEDICAL CTR BOX 3528
DURHAM, NC 27710
(919) 681-1976
1124129168DR. JARED GOLLOB
Individual
Internal Medicine (Hematology & Oncology)DUKE UNIVERSITY MEDICAL CTR DUMC BOX 3441
DURHAM, NC 27710
(919) 971-1872
1679674238DR. DIANE GESTY-PALMER MD PHD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 684-8111
1487755047MRS. KIMBERLY CLARK NOLTE PA-C
Individual
Physician AssistantDUKE UNIVERSITY MEDICAL CTR BOX 3677
DURHAM, NC 27710
(919) 684-3748
1639261472 STEVEN D CROWLEY M.D.
Individual
Internal Medicine (Nephrology)DUKE UNIVERSITY MEDICAL CTR BOX 3014
DURHAM, NC 27710
(919) 286-6947
1922191188 SWATI AGRAWAL M.D.
Individual
Internal MedicineDUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 620-4467
1538258090 PATRICIA ALLUSHUSKI
Individual
Nurse Anesthetist, Certified RegisteredDUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 620-4467
1174612634 ASHLEY PIERACCINI NP
Individual
Internal Medicine (Hematology & Oncology)DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 620-4467
1700975265 REX BENTLEY M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 620-4467
1528157088 DAN BLAZER MD
Individual
Psychiatry & Neurology (Psychiatry)DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 620-4467
1417047259MRS. ALISON P KEREKES PAC
Individual
Physician AssistantDUKE UNIVERSITY MEDICAL CTR BOX 3902
DURHAM, NC 27710
(919) 684-1817
1386727535 MICHAEL DATTO M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)DUKE UNIVERSITY MEDICAL CTR
DURHAM, NC 27710
(919) 620-4467

Frequently Asked Questions

What is Jay Baker M.D. NPI number?

The NPI number assigned to this healthcare provider is 1265521728, registered as an "individual" on October 12, 2006

Where is Jay Baker M.D. located?

The provider is located at Duke University Medical Ctr Durham, Nc 27710 and the phone number is (919) 620-4467

Which is Jay Baker M.D. specialty?

The provider's speciality is Radiology with a focus in Diagnostic Radiology

How many years of experience does Jay Baker M.D. have?

The provider has more than 31 years of experience. He graduated from Duke University School Of Medicine in 1992.

What insurance does Jay Baker M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Jay Baker M.D. registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Jay Baker M.D.?

Medicare beneficiaries should expect a typical cost of $87.2 with an average copayment of $21.8 for new patient appointments. Established patients should expect a typical charge of $70.95 and an average copayment of 17.73. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Jay Baker M.D. was last updated on October 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]