DR. MATTHEW B BAKER MD
NPI 1316975782
Internal Medicine in Athens, GA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
91.65/100
CMS Quality Rating
1500 OGLETHORPE AVE, SUITE 2200, ATHENS, GA 30606(706) 543-0471(706) 543-6091 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew B Baker Md NPPES

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

DR. MATTHEW B BAKER MD (NPI 1316975782) is an individual internal medicine provider in Athens, Georgia, licensed in Georgia (054548) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2000).

NPPES Registry Identity

NPI1316975782
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MATTHEW B BAKERCredential: MD
Location Address1500 OGLETHORPE AVE, SUITE 2200Athens, GA 30606-2179
Mailing Address1500 Oglethorpe Ave, Suite 2200Athens, GA 30606-2179 · (706) 543-0471 · Fax (706) 543-6091
Fax(706) 543-6091
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2000
Enumeration DateJune 28, 2006
Last NPPES UpdateJune 22, 2010
NPI 1316975782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 054548
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 054548 (GA)
1500 OGLETHORPE AVE, Athens, GA 30606

Other Identifiers 5

Medicaid470150286BGA
Medicare ID-Type Unspecified11SCCTTGA
Medicare UPINI04109GA
Medicaid470150286AGA
Medicaid470150286CGA

Accepted 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. Matthew B 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 ID143201541
PECOS Enrollment IDI20040712001169
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 2

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.
52 services30 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.
38 services28 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

91.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities20

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
29%24 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
52%29 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
4%28 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers15 claims37 services$4.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
1500 OGLETHORPE AVE, STE. 2500
ATHENS, GA 30606
Dentist (General Practice)
1500 OGLETHORPE AVE, SUITE 2300
ATHENS, GA 30606
Physical Therapy Assistant
1500 OGLETHORPE AVE, BLDG 500
ATHENS, GA 30606
Family Medicine
1500 OGLETHORPE AVE, STE 600A
ATHENS, GA 30606
Speech-Language Pathologist
1500 OGLETHORPE AVE, SUITE 500 D
ATHENS, GA 30606
Family Medicine
1500 OGLETHORPE AVE, SUITE 3300
ATHENS, GA 30606
Urology
1500 OGLETHORPE AVE, SUITE 2000
ATHENS, GA 30606
Student in an Organized Health Care Education/Training Program
1500 OGLETHORPE AVE, SUITE 200D
ATHENS, GA 30606

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 Matthew Baker's NPI number?

The NPI number for Matthew Baker is 1316975782. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Matthew Baker located?

Matthew Baker practices at 1500 Oglethorpe Ave Suite 2200, Athens, GA 30606. The listed phone number is (706) 543-0471.

What is Matthew Baker's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Matthew Baker enrolled in Medicare?

Yes. Matthew 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 Matthew Baker accept?

Health plans from Alliant Health Plans, Inc. list Matthew 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 Matthew Baker affiliated with any hospitals?

According to CMS data, Matthew Baker is affiliated with Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Baker was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.