DR. CHARLES EDWIN BAKER JR. MD
NPI 1356308134
Family Medicine in Linville, NC

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
93.24/100
CMS Quality Rating
436 HOSPITAL DR, STE 230, LINVILLE, NC 28646(828) 737-7711(828) 737-7713 Get Directions Write a Review

NPPES record last updated: February 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Charles Edwin Baker Jr. Md NPPES

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

DR. CHARLES EDWIN BAKER JR. MD (NPI 1356308134) is an individual family medicine provider in Linville, North Carolina, licensed in North Carolina (18600) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Watauga Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1973).

NPPES Registry Identity

NPI1356308134
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHARLES EDWIN BAKER JR.Credential: MD
Location Address436 HOSPITAL DR, STE 230Linville, NC 28646
Mailing AddressPo Box 130Crossnore, NC 28616 · (828) 737-7711 · Fax (828) 737-7713
Fax(828) 737-7713
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1973
Enumeration DateApril 27, 2006
Last NPPES UpdateFebruary 4, 2008
NPI 1356308134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 18600
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
436 HOSPITAL DR, Linville, NC 28646

Other Names 1

Professional Name (2)Charles E Baker Md Pa

Other Identifiers 4

Other12697NC · Bcbs
Medicaid8912697NC
Medicare UPIND26827
Medicare PIN202119BNC

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. Charles Edwin Baker Jr. 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 ID244214203
PECOS Enrollment IDI20040625000412
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 3

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 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.
81 services73 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.
66 services61 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
48 services47 patients

Hospital Affiliations CMS Care Compare

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

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28646 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.24
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
436 HOSPITAL DR
LINVILLE, NC 28646
Surgery
436 HOSPITAL DR, STE 200
LINVILLE, NC 28646
Clinic/Center (Rural Health)
436 HOSPITAL DR, SUITE 210
LINVILLE, NC 28646

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 Charles Baker's NPI number?

The NPI number for Charles Baker is 1356308134. It was assigned to this individual provider in the NPPES registry on April 27, 2006. The provider is also known as Charles E Baker MD PA.

Where is Charles Baker located?

Charles Baker practices at 436 Hospital Dr Ste 230, Linville, NC 28646. The listed phone number is (828) 737-7711.

What is Charles Baker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Baker enrolled in Medicare?

Yes. Charles 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 Charles Baker accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Charles 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 Charles Baker affiliated with any hospitals?

According to CMS data, Charles Baker is affiliated with Watauga Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Baker was last updated on February 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.