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VICTORIA ANN BAKER-HALL M.D.
NPI 1386630820
Family Medicine in Sultan, WA

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
75.91/100
CMS Quality Rating
615 W STEVENS AVE, SULTAN, WA 98294(360) 793-0201(360) 793-2429 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Victoria Ann Baker-hall M.d. NPPES

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

VICTORIA ANN BAKER-HALL M.D. (NPI 1386630820) is an individual family medicine provider in Sultan, Washington, licensed in Washington (MD00024221) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Monroe, and is a graduate of University Of Washington School Of Medicine (1985).

NPPES Registry Identity

NPI1386630820
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameVICTORIA ANN BAKER-HALLCredential: M.D.
Location Address615 W STEVENS AVESultan, WA 98294-9458
Mailing Address615 W Stevens AveSultan, WA 98294-9458 · (360) 793-0201 · Fax (360) 793-2429
Phone(360) 793-0201
Fax(360) 793-2429
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1985
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJanuary 3, 2011
✔ NPI 1386630820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00024221
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.

615 W STEVENS AVE, Sultan, WA 98294
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINA09361WA
Medicare ID-Type Unspecified8807393WA · Medicare Number
Medicaid8304438WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Victoria Ann Baker-hall M.d. 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 ID6406825827
PECOS Enrollment IDI20041005000641
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.

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.
417 services185 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
93 services93 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
90 services31 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
82 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
64 services48 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.
46 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Evergreenhealth Monroe

Acute Care Hospitals · Monroe, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500084
Location14701 179th Ave SEMonroe, WA 98272 · Snohomish County
Emergency services

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98294 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

75.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.45
Promoting Interoperability100
Improvement Activities40
Cost23.27

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%116 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
96%71 patients4/55-star benchmark: 100%
Breast Cancer Screening
78%562 patients4/55-star benchmark: 93%
Cervical Cancer Screening
58%686 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
22%27 patients
Closing the Referral Loop: Receipt of Specialist Report
2%620 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
59%852 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
77%384 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
8%111 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
15%111 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%3,801 patients4/55-star benchmark: 100%
e-Prescribing
100%314 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
28%460 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
51%1,162 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
28%923 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
42%1,123 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 1,153 patients
Patients screened: 98% · 1,153 patients
32%53 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%662 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
59%574 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 7% · 518 patients
Patients totalRate: 14% · 518 patients
15%518 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers21 claims63 services$6.44 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier31 claims31 services$173.41 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 2

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

SKY VALLEY FAMILY MEDICINE, PS
Family Medicine
615 W STEVENS AVE
SULTAN, WA 98294
Snohomish County (360) 793-0201
DR. MARK STEVEN RANEY D.O.
Family Medicine
615 W STEVENS AVE
SULTAN, WA 98294
Snohomish County (360) 793-0201

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 Victoria Baker-hall's NPI number?

The NPI number for Victoria Baker-hall is 1386630820. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Victoria Baker-hall located?

Victoria Baker-hall practices at 615 W Stevens Ave, Sultan, WA 98294. The listed phone number is (360) 793-0201.

What is Victoria Baker-hall's specialty?

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

Is Victoria Baker-hall enrolled in Medicare?

Yes. Victoria Baker-hall 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 Victoria Baker-hall accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Victoria Baker-hall 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 Victoria Baker-hall affiliated with any hospitals?

According to CMS data, Victoria Baker-hall is affiliated with Evergreenhealth Monroe and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Victoria Baker-hall was last updated on January 3, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.