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DR. NICKOLAS BAKER D.O
NPI 1275983736
Family Medicine in Denison, TX

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment
5016 S US HIGHWAY 75, DENISON, TX 75020(903) 416-4002(903) 416-4129 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2022, Jun 15, 2016 (2 updates tracked since 2016).

About Dr. Nickolas Baker D.o NPPES

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

DR. NICKOLAS BAKER D.O (NPI 1275983736) is an individual family medicine provider in Denison, Texas, licensed in Texas (BP10058106) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Medical Center Of Mckinney, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1275983736
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICKOLAS BAKERCredential: D.O
Location Address5016 S US HIGHWAY 75Denison, TX 75020-4584
Mailing Address1812 Persimmon DrAnna, TX 75409-0148 · (918) 521-4479
Phone(903) 416-4002
Fax(903) 416-4129
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2016
Enumeration DateJune 15, 2016
Last NPPES UpdateJuly 15, 20222 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
✔ NPI 1275983736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · BP10058106
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.
5016 S US HIGHWAY 75, Denison, TX 75020
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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. Nickolas 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 ID6507196961
PECOS Enrollment IDI20190927000051
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 10

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.
165 services99 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.
48 services48 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
47 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 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.
33 services26 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75020 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

OMAR ALEJANDRO SUJO MD
Family Medicine (Physician Nutrition Specialist)
5016 S US HIGHWAY 75
DENISON, TX 75020
Grayson County (903) 416-4001
DR. DREW CONLAN CASTLEBERRY MD
Specialist
5016 S US HIGHWAY 75
DENISON, TX 75020
Grayson County (903) 892-1131
WATERLOO PARK INPATIENT SERVICES PLLC
Internal Medicine
5016 S US HIGHWAY 75
DENISON, TX 75020
Grayson County (973) 251-1132
BARRETT WESLEY COMPTON D.O.
Family Medicine
5016 S US HIGHWAY 75, ATTN: RESIDENCY PROGRAM
DENISON, TX 75020
Grayson County (817) 480-4840
DR. JOE L NIEHUS MD
Radiology (Diagnostic Radiology)
5016 S US HIGHWAY 75, RADIOLOGY DEPARTMENT
DENISON, TX 75020
Grayson County (903) 892-1131
DR. ARVIND V PEDDADA MD
Physical Medicine & Rehabilitation
5016 S US HIGHWAY 75
DENISON, TX 75020
Grayson County (817) 284-9850
WILLIAM BROOKS FREY M.D.
Specialist
5016 S US HIGHWAY 75, RADIOLOGY DEPARTMENT
DENISON, TX 75020
Grayson County (903) 892-1131
BRADLEY KYLE HAMMETT M.D.
Radiology (Diagnostic Radiology)
5016 S US HIGHWAY 75, RADIOLOGY DEPT
DENISON, TX 75020
Grayson County (903) 892-1131

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 Nickolas Baker's NPI number?

The NPI number for Nickolas Baker is 1275983736. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Nickolas Baker located?

Nickolas Baker practices at 5016 S Us Highway 75, Denison, TX 75020. The listed phone number is (903) 416-4002.

What is Nickolas Baker's specialty?

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

Is Nickolas Baker enrolled in Medicare?

Yes. Nickolas 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 Nickolas Baker accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Nickolas 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 Nickolas Baker affiliated with any hospitals?

According to CMS data, Nickolas Baker is affiliated with Medical Center Of Mckinney.

When was this NPI record last updated?

The NPPES record for Nickolas Baker was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.