JUSTIN J BAKER MD
NPI 1366523417
Surgery - Surgical Oncology in Saint Paul, MN

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
280 SMITH AVE N, SUITE #700, SAINT PAUL, MN 55102(651) 241-3535 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2020, Dec 29, 2016 (2 updates tracked since 2016).

About Justin J Baker Md NPPES

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

JUSTIN J BAKER MD (NPI 1366523417) is an individual surgical oncology provider in Saint Paul, Minnesota, licensed in Minnesota (59651) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2005).

NPPES Registry Identity

NPI1366523417
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameJUSTIN J BAKERCredential: MD
Location Address280 SMITH AVE N, SUITE #700Saint Paul, MN 55102-2424
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2005
Enumeration DateOctober 17, 2006
Last NPPES UpdateNovember 4, 20202 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
NPI 1366523417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in MN · 59651
Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

280 SMITH AVE N, Saint Paul, MN 55102

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

Justin J 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 ID9638201890
PECOS Enrollment IDI20151015000927, I20170124002047
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 11

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 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.
24 services14 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
20 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
18 services18 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

River Falls Area Hospital

Critical Access Hospitals · River Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521349
Location1629 E Division StRiver Falls, WI 54022 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Surgery
280 SMITH AVE N, SUITE 700
SAINT PAUL, MN 55102
Psychologist
280 SMITH AVE N
SAINT PAUL, MN 55102
Physician Assistant
280 SMITH AVE N, SUITE #600
SAINT PAUL, MN 55102
Surgery
280 SMITH AVE N, SUITE 700
SAINT PAUL, MN 55102
Specialist
280 SMITH AVE N, SUITE 460
SAINT PAUL, MN 55102
Nurse Practitioner (Psychiatric/Mental Health)
280 SMITH AVE N, 450
SAINT PAUL, MN 55102
Physician Assistant
280 SMITH AVE N
SAINT PAUL, MN 55102
Nurse Practitioner (Psychiatric/Mental Health)
280 SMITH AVE N, STE 450
ST PAUL, MN 55102

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 Justin Baker's NPI number?

The NPI number for Justin Baker is 1366523417. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Justin Baker located?

Justin Baker practices at 280 Smith Ave N Suite #700, Saint Paul, MN 55102. The listed phone number is (651) 241-3535.

What is Justin Baker's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Justin Baker enrolled in Medicare?

Yes. Justin 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 Justin Baker accept?

Health plans from HealthPartners and Medica list Justin 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 Justin Baker affiliated with any hospitals?

According to CMS data, Justin Baker is affiliated with Allina United Hospital, Abbott Northwestern Hospital and River Falls Area Hospital.

When was this NPI record last updated?

The NPPES record for Justin Baker was last updated on November 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.