JOSHUA FITZGERALD BAKER M.D.
NPI 1396808937
Internal Medicine - Rheumatology in Philadelphia, PA

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 SPRUCE STREET, 8 PENN TOWER, PHILADELPHIA, PA 19104(215) 662-2454 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joshua Fitzgerald Baker M.d. NPPES

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

JOSHUA FITZGERALD BAKER M.D. (NPI 1396808937) is an individual rheumatology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD432476) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1396808937
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJOSHUA FITZGERALD BAKERCredential: M.D.
Location Address3400 SPRUCE STREET, 8 PENN TOWERPhiladelphia, PA 19104
Mailing Address3400 Spruce Street, Division Of RheumatologyPhiladelphia, PA 19104 · (215) 662-2454
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 18, 2006
Last NPPES UpdateAugust 21, 2019
NPI 1396808937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in PA · MD432476
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD432476 (PA)
3400 SPRUCE STREET, Philadelphia, PA 19104

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

Joshua Fitzgerald Baker 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 ID8426189200
PECOS Enrollment IDI20100622000693
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 2

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.
30 services19 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.
16 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology (Critical Care Medicine)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Surgery (Surgical Critical Care)
3400 SPRUCE STREET, 2 DULLES
PHILADELPHIA, PA 19104
Obstetrics & Gynecology
3400 SPRUCE STREET, 5 PENN TOWER
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET, GROUND FLOOR DULLES
PHILADELPHIA, PA 19104
Obstetrics & Gynecology
3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104

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 Joshua Baker's NPI number?

The NPI number for Joshua Baker is 1396808937. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Joshua Baker located?

Joshua Baker practices at 3400 Spruce Street 8 Penn Tower, Philadelphia, PA 19104. The listed phone number is (215) 662-2454.

What is Joshua Baker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Joshua Baker enrolled in Medicare?

Yes. Joshua 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 Joshua Baker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Joshua 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 Joshua Baker affiliated with any hospitals?

According to CMS data, Joshua Baker is affiliated with Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Joshua Baker was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.