DR. MARVIN P BAKER M.D.
NPI 1285661371
Internal Medicine - Cardiovascular Disease in Butler, PA
About Dr. Marvin P Baker M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARVIN P BAKER M.D. (NPI 1285661371) is an individual cardiovascular disease provider in Butler, Pennsylvania, licensed in Pennsylvania (MD023621E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Other (1974).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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. Marvin P 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.
Medicare Billing Reassignment
Medicare enrollment records show Marvin Baker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Butler, PA 16001
- Reassigned Medicare billing, Pennsylvania enrollment
- 482 clinicians in this Medicare group
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 27
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Jameson
Acute Care Hospitals · New Castle, PAPenn Highlands Dubois
Acute Care Hospitals · Dubois, PAClarion Hospital
Acute Care Hospitals · Clarion, PAMagee Womens Hospital Of Upmc Health System
Acute Care Hospitals · Pittsburgh, PAButler Memorial Hospital
Acute Care Hospitals · Butler, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BUTLER, PA 16001
BUTLER, PA 16001
BUTLER, PA 16001
BUTLER, PA 16001
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 Marvin Baker's NPI number?
The NPI number for Marvin Baker is 1285661371. It was assigned to this individual provider in the NPPES registry on June 26, 2006.
Where is Marvin Baker located?
Marvin Baker practices at 127 Oneida Valley Rd Suite 202, Butler, PA 16001. The listed phone number is (724) 282-2234.
What is Marvin Baker's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Marvin Baker enrolled in Medicare?
Yes. Marvin 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 organization bills Medicare for Marvin Baker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marvin Baker reassigns Medicare benefits to Butler Medical Providers (Butler, PA). The 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 Marvin Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marvin Baker accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Marvin 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 Marvin Baker affiliated with any hospitals?
According to CMS data, Marvin Baker is affiliated with Upmc Jameson, Penn Highlands Dubois, Clarion Hospital, Magee Womens Hospital Of Upmc Health System and Butler Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Marvin Baker was last updated on April 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.