DEBRA D BAINES M.D.
NPI 1295832079
Emergency Medicine in Chicago, IL

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
2525 S MICHIGAN AVE, CHICAGO, IL 60616(312) 567-2000 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Debra D Baines M.d. NPPES

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

DEBRA D BAINES M.D. (NPI 1295832079) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (036-090235) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1992).

NPPES Registry Identity

NPI1295832079
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDEBRA D BAINESCredential: M.D.
Location Address2525 S MICHIGAN AVEChicago, IL 60616-2333
Mailing Address75 Remit Dr, Lockbox 3274Chicago, IL 60675-3274 · (866) 916-5259 · Fax (231) 922-4030
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1992
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 10, 2022
NPPES CertifiedMay 10, 2022
NPI 1295832079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IL · 036-090235
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2525 S MICHIGAN AVE, Chicago, IL 60616

Other Identifiers 1

Medicaid036090235IL

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

Debra D Baines 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 ID2062469059
PECOS Enrollment IDI20050401000295
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 7

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 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.
249 services229 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
197 services197 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
31 services16 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
26 services26 patients
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.
20 services20 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60616 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

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.

Internal Medicine
2525 S MICHIGAN AVE
CHICAGO, IL 60616
Psychologist (Clinical)
2525 S MICHIGAN AVE, B-390
CHICAGO, IL 60616
Psychiatry & Neurology (Addiction Medicine)
2525 S MICHIGAN AVE, B-390
CHICAGO, IL 60616
Obstetrics & Gynecology
2525 S MICHIGAN AVE
CHICAGO, IL 60616
Student in an Organized Health Care Education/Training Program
2525 S MICHIGAN AVE
CHICAGO, IL 60616
Student in an Organized Health Care Education/Training Program
2525 S MICHIGAN AVE
CHICAGO, IL 60616
Internal Medicine (Critical Care Medicine)
2525 S MICHIGAN AVE
CHICAGO, IL 60616
Dentist (General Practice)
2525 S MICHIGAN AVE, 8TH FL
CHICAGO, IL 60616

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 Debra Baines's NPI number?

The NPI number for Debra Baines is 1295832079. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Debra Baines located?

Debra Baines practices at 2525 S Michigan Ave, Chicago, IL 60616. The listed phone number is (312) 567-2000.

What is Debra Baines's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Debra Baines enrolled in Medicare?

Yes. Debra Baines 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.

Is Debra Baines affiliated with any hospitals?

According to CMS data, Debra Baines is affiliated with The University Of Chicago Medical Center and Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for Debra Baines was last updated on May 10, 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.