DALTON DEAN BAKER
NPI 1326552191
Nurse Practitioner - Family in Kirksville, MO

Active since November 30, 2017PECOS EnrolledAccepts Medicare Assignment
92.94/100
CMS Quality Rating
512 N NEW ST, KIRKSVILLE, MO 63501(660) 988-4723 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2020, Dec 16, 2017, Nov 30, 2017 (3 updates tracked since 2017).

About Dalton Dean Baker NPPES

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

DALTON DEAN BAKER (NPI 1326552191) is an individual family provider in Kirksville, Missouri, licensed in Iowa (A149860) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, is affiliated with Northeast Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1326552191
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDALTON DEAN BAKER
Location Address512 N NEW STKirksville, MO 63501-3167
Mailing Address512 N New StKirksville, MO 63501-3167
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 30, 2017
Last NPPES UpdateSeptember 9, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2020
NPI 1326552191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IA · A149860
Also ListedRegistered NurseTaxonomy 163W00000X · License 2013022156 (MO)
512 N NEW ST, Kirksville, MO 63501

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

Dalton Dean Baker 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 ID7517218381
PECOS Enrollment IDI20180918004401
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 15

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
593 services72 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.
316 services177 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
144 services68 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.
81 services81 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
71 services65 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.
51 services43 patients

Hospital Affiliations CMS Care Compare

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

Northeast Regional Medical Center

Acute Care Hospitals · Kirksville, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260022
Location315 S OsteopathyKirksville, MO 63501 · Adair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63501 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

92.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812
DME-Orthotic Devices · category DF011N
1 supplier14 claims15 services$66.45 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier21 claims21 services$41.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Dalton Baker's NPI number?

The NPI number for Dalton Baker is 1326552191. It was assigned to this individual provider in the NPPES registry on November 30, 2017.

Where is Dalton Baker located?

Dalton Baker practices at 512 N New St, Kirksville, MO 63501. The listed phone number is (660) 988-4723.

What is Dalton Baker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dalton Baker enrolled in Medicare?

Yes. Dalton 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 Dalton Baker accept?

Health plans from UnitedHealthcare list Dalton 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 Dalton Baker affiliated with any hospitals?

According to CMS data, Dalton Baker is affiliated with Northeast Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Dalton Baker was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.