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MR. DEREK LADON BAKER PA-C
NPI 1427300193
Physician Assistant - Surgical in Marietta, GA

Active since October 05, 2012PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
61 WHITCHER ST NE STE 3110, MARIETTA, GA 30060(770) 422-2326 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2019, Oct 27, 2016 (2 updates tracked since 2016).

About Mr. Derek Ladon Baker Pa-c NPPES

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

MR. DEREK LADON BAKER PA-C (NPI 1427300193) is an individual surgical provider in Marietta, Georgia, licensed in Georgia (006567) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of University Of South Alabama College Of Medicine (2012).

NPPES Registry Identity

NPI1427300193
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. DEREK LADON BAKERCredential: PA-C
Location Address61 WHITCHER ST NE STE 3110Marietta, GA 30060
Mailing Address805 Sandy Plains Road, Medical Staff ServicesMarietta, GA 30066-6340
Phone(770) 422-2326
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2012
Enumeration DateOctober 5, 2012
Last NPPES UpdateNovember 6, 20192 updates tracked since enumeration
✔ NPI 1427300193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 006567
61 WHITCHER ST NE STE 3110, Marietta, GA 30060
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Mr. Derek Ladon Baker Pa-c 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 ID5193976256
PECOS Enrollment IDI20121119000413
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 3

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 low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 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.
20 services20 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
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.

AMANDA MICHELLE OUTLY PA
Physician Assistant
61 WHITCHER ST NE STE 3110
MARIETTA, GA 30060
Cobb County (770) 422-2326
AMREEN FAROOQUI MD
Psychiatry & Neurology (Neurology)
61 WHITCHER ST NE STE 3110
MARIETTA, GA 30060
Cobb County (770) 422-2326
AMANDA Y PELLERITO PA
Physician Assistant
61 WHITCHER ST NE STE 3110
MARIETTA, GA 30060
Cobb County (770) 422-2326
HANS CHRISTOPHER LINDELL PA-C
Physician Assistant
61 WHITCHER ST NE STE 3110
MARIETTA, GA 30060
Cobb County (770) 422-2326
KATRINA JOYCE MSN, NP-C, CCRN
Nurse Practitioner (Adult Health)
61 WHITCHER ST NE STE 3110
MARIETTA, GA 30060
Cobb County (770) 422-2326
AMY C QUEEN NP
Nurse Practitioner (Acute Care)
61 WHITCHER ST NE STE 3110
MARIETTA, GA 30060
Cobb County (770) 422-2326
QUATINA LASHA RIVERS AGACNP-BC
Nurse Practitioner (Acute Care)
61 WHITCHER ST NE STE 3110
MARIETTA, GA 30060
Cobb County (770) 422-2326
DR. ANDREW L MIDDLETON M.D.
Neurological Surgery
61 WHITCHER ST NE STE 3110
MARIETTA, GA 30060
Cobb County (770) 422-2326

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 Derek Baker's NPI number?

The NPI number for Derek Baker is 1427300193. It was assigned to this individual provider in the NPPES registry on October 5, 2012.

Where is Derek Baker located?

Derek Baker practices at 61 Whitcher St NE Ste 3110, Marietta, GA 30060. The listed phone number is (770) 422-2326.

What is Derek Baker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Derek Baker enrolled in Medicare?

Yes. Derek 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 Derek Baker accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Derek 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 Derek Baker affiliated with any hospitals?

According to CMS data, Derek Baker is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Baker was last updated on November 6, 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.