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MICHAEL TODD BAKER MD
NPI 1295265379
Hospitalist in Charlotte, NC

Active since June 12, 2017PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
10628 PARK RD, CHARLOTTE, NC 28210(704) 667-7070 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Apr 14, 2023 and 2 more (5 updates tracked since 2017).

About Michael Todd Baker Md NPPES

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

MICHAEL TODD BAKER MD (NPI 1295265379) is an individual hospitalist provider in Charlotte, North Carolina, licensed in North Carolina (2022-02250) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1295265379
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMICHAEL TODD BAKERCredential: MD
Location Address10628 PARK RDCharlotte, NC 28210-8407
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 667-7070
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 12, 2017
Last NPPES UpdateJuly 15, 20245 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
✔ NPI 1295265379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NC · 2022-02250
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2022-02250 (NC)
10628 PARK RD, Charlotte, NC 28210
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070
Location 21000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720
Location 3920 Church St N, Suite 255Concord, NC 28025-2927 · Phone (704) 403-1331
Location 48800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Michael Todd Baker Md 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 ID8123448206
PECOS Enrollment IDI20230417002818
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.

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.
422 services160 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
119 services48 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
114 services113 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

DR. RICHARD RALPH PAGANO MD
Anesthesiology
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
BENJAMIN JOEL ROBERTS CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
MR. GREGORY A DUGGAN CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
NGOC BAO NGUYEN PA
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-7070
CHERYL SPEIGHT MASTROIANNI CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
REAGAN FRANCES NORVELL
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 446-6810
DR. LINDA J. MATTHEWS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 973-5500
KAY HUFFSTETLER BARBERA CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000

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 Michael Baker's NPI number?

The NPI number for Michael Baker is 1295265379. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Where is Michael Baker located?

Michael Baker practices at 10628 Park Rd, Charlotte, NC 28210. The listed phone number is (704) 667-7070.

What is Michael Baker's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Michael Baker enrolled in Medicare?

Yes. Michael 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 Michael Baker accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Michael 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 Michael Baker affiliated with any hospitals?

According to CMS data, Michael Baker is affiliated with Atrium Health Pineville and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Michael Baker was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.