CHRISTOPHER SCOTT BAKER PT, DPT NPI 1366840357
Physical Therapist in Moody, AL

Individual Male Years of Experience 9 Physical Therapist Accepts Medicare Approved Payment MIPS Quality Score 76.7 Medicare Quality Reporting CLIA Number 44D2006783 CLIA Certificate of Waiver

About CHRISTOPHER SCOTT BAKER PT, DPT

Christopher Baker is a provider established in Moody, Alabama and his medical specialization is Physical Therapist with more than 9 years of experience. The NPI number of Christopher Baker is 1366840357 and was assigned on December 2014. The practitioner's primary taxonomy code is 225100000X with license number PTH7490 (AL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1366840357
Provider Name CHRISTOPHER SCOTT BAKER PT, DPT
Provider Location Address2846 MOODY PKWY STE 200 MOODY, AL 35004
Provider Mailing Address6397 LEE HWY STE 300 CHATTANOOGA, TN 37421
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2014
Is Sole Proprietor?No
Enumeration Date12-08-2014
Last Update Date05-23-2018

Christopher Baker is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 76.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: preventive care and screening: body mass index (bmi) screening and follow-up plan.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.26 for a new patient copayment and $17.46 for an established patient copayment.

The CLIA number of Christopher Scott Baker Pt, Dpt is 44D2006783 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Christopher Scott Baker Pt, Dpt to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.



Primary Taxonomy

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.PTH7490
License StateAL
Taxonomy DescriptionPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Business Address

CHRISTOPHER SCOTT BAKER PT, DPT
2846 MOODY PKWY STE 200
MOODY, AL
ZIP 35004
Phone: (205) 640-0257
Fax: (205) 640-0285

Get Directions


Mailing Address

CHRISTOPHER SCOTT BAKER PT, DPT
6397 LEE HWY STE 300
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 238-7217
Fax: (423) 238-3473


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

PECOS PAC ID1052630217
PECOS Enrollment IDI20150511000554
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 35004 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$55.54 $170.61 $129.05
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.88 $42.65 $32.26
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.93 $139.08 $69.84
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.23 $34.77 $17.46

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 70.9
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 76.7
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 49
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 twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 974Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • 425Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • 313Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • 126Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes (HCPCS:97530)
  • 31Physical therapy evaluation (HCPCS:97001)

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1366840357 is:

CLIA Number44D2006783
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366840357
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261640310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 6 + 4 + 0 + 3 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1366840357 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790098192 VANESSA LYNN HUGHES OTR/L
Individual
Occupational Therapist2846 MOODY PKWY STE 200
MOODY, AL 35004
(205) 640-0257
1417386434BENCHMARK PHYSICAL THERAPY OF ALABAMA, LLC
Organization
Physical Therapist2846 MOODY PKWY STE 200
MOODY, AL 35004
(205) 640-0257
1033653563 ANNE CLAIRE CRAIG PT, DPT
Individual
Physical Therapist2846 MOODY PKWY STE 200
MOODY, AL 35004
(205) 640-0257
1780764639 ROBERT ANTHONY FUNK PT, MSPT
Individual
Physical Therapist2846 MOODY PKWY STE 200
MOODY, AL 35004
(205) 640-0257
1962974436 THOMAS DANIEL PRICE II PT, DPT
Individual
Physical Therapist2846 MOODY PKWY STE 200
MOODY, AL 35004
(205) 640-0257
1962044925 ANDREW TAYLOR BAUMANN PT, DPT
Individual
Physical Therapist2846 MOODY PKWY STE 200
MOODY, AL 35004
(205) 640-0257
1710283981 CURTIS DEWAYNE PURVIS PT, DPT
Individual
Physical Therapist2846 MOODY PKWY STE 200
MOODY, AL 35004
(205) 640-0257
1902477581 BRANDON ESLECK PT, DPT
Individual
Physical Therapist2846 MOODY PKWY STE 200
MOODY, AL 35004
(205) 640-0257
1811569486 JENNIFER YUKI STACY PT, DPT
Individual
Physical Therapist2846 MOODY PKWY STE 200
MOODY, AL 35004
(205) 640-0257
1205593258 KOURTNEE HAYWARD PTA
Individual
Physical Therapy Assistant2846 MOODY PKWY STE 200
MOODY, AL 35004
(205) 640-0257
1750332235 JENNIFER JACQUELINE FAGEN PT, MSPT
Individual
Physical Therapist2846 MOODY PKWY STE 200
MOODY, AL 35004
(205) 640-0257
1265161467 PHILLIP HEATH STEWART PT, DPT
Individual
Physical Therapist2846 MOODY PKWY STE 200
MOODY, AL 35004
(205) 640-0257

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Christopher Scott Baker Pt, Dpt is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.