DR. PHILLIP BRADFORD BAKER DO
NPI 1376802157
Family Medicine in Morehead, KY

Active since May 14, 2012PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
222 MEDICAL CIR, MOREHEAD, KY 40351(606) 783-6500(606) 780-2376 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 19, 2026, Jan 16, 2020, Jun 6, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Phillip Bradford Baker Do NPPES

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

DR. PHILLIP BRADFORD BAKER DO (NPI 1376802157) is an individual family medicine provider in Morehead, Kentucky, licensed in Kentucky (04048) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with St Claire Regional Medical Center, and maintains a secondary practice location in Morehead.

NPPES Registry Identity

NPI1376802157
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PHILLIP BRADFORD BAKERCredential: DO
Location Address222 MEDICAL CIRMorehead, KY 40351-1179
Mailing Address222 Medical CirMorehead, KY 40351-1179 · (606) 783-6500 · Fax (606) 780-2362
Fax(606) 780-2376
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2012
Enumeration DateMay 14, 2012
Last NPPES UpdateJanuary 19, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
✔ NPI 1376802157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KY · 04048✔ Licensed in KY · R2868
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.
222 MEDICAL CIR, Morehead, KY 40351

Secondary Practice Location 1

Location 1245 Flemingsburg RdMorehead, KY 40351-1015 · Phone (606) 783-5500 · Fax (606) 780-2376

Other Identifiers 2

OtherK218390KY · Medicare Owingsville
Medicaid7100287680KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Phillip Bradford Baker Do 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 ID941589329
PECOS Enrollment IDI20161108002191
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Phillip Baker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
222 MEDICAL CIR
Morehead, KY 40351
  • Reassigned Medicare billing, Kentucky enrollment
  • 296 clinicians in this Medicare group
General Practice
1 TRILLIUM WAY, SUITE 5
Corbin, KY 40701
  • Reassigned Medicare billing, Kentucky enrollment
  • 93 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
133 services51 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.
72 services41 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.
52 services50 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.
46 services31 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
44 services44 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services13 patients

Hospital Affiliations CMS Care Compare 2

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

St Claire Regional Medical Center

Acute Care Hospitals · Morehead, KY
3/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number180018
Location222 Medical CircleMorehead, KY 40351 · Rowan County
Emergency services Birthing friendly

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40351 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.43
Promoting Interoperability84
Improvement Activities40
Cost71.06

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers51 claims51 services$17.89 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers11 claims11 services$59.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers74 claims74 services$105.75 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.

Pharmacist (Pharmacotherapy)
222 MEDICAL CIR
MOREHEAD, KY 40351
Family Medicine
222 MEDICAL CIR
MOREHEAD, KY 40351
Student in an Organized Health Care Education/Training Program
222 MEDICAL CIR
MOREHEAD, KY 40351
Pharmacist
222 MEDICAL CIR
MOREHEAD, KY 40351
Internal Medicine
222 MEDICAL CIR
MOREHEAD, KY 40351
Family Medicine
222 MEDICAL CIR
MOREHEAD, KY 40351
Physician Assistant
222 MEDICAL CIR
MOREHEAD, KY 40351
Nurse Practitioner (Acute Care)
222 MEDICAL CIR
MOREHEAD, KY 40351

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 Phillip Baker's NPI number?

The NPI number for Phillip Baker is 1376802157. It was assigned to this individual provider in the NPPES registry on May 14, 2012.

Where is Phillip Baker located?

Phillip Baker practices at 222 Medical Cir, Morehead, KY 40351. The listed phone number is (606) 783-6500.

What is Phillip Baker's specialty?

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

Is Phillip Baker enrolled in Medicare?

Yes. Phillip 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.

Which organizations bill Medicare for Phillip Baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Baker reassigns Medicare benefits to 2 organizations: St Claire Medical Center, Inc., (Morehead, KY) and Apogee Medical Group Kentucky Psc (Corbin, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phillip Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phillip Baker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Phillip 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 Phillip Baker affiliated with any hospitals?

According to CMS data, Phillip Baker is affiliated with St Claire Regional Medical Center and University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Phillip Baker was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.