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DR. JOHN M. BACA D.P.M.
NPI 1487919288
Podiatrist in Plano, TX

Active since July 08, 2012PECOS EnrolledAccepts Medicare Assignment
6300 W PARKER RD STE 425, PLANO, TX 75093(972) 942-8080(972) 759-9083 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2022, Nov 10, 2022, Apr 14, 2021 and 2 more (5 updates tracked since 2019).

About Dr. John M. Baca D.p.m. NPPES

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

DR. JOHN M. BACA D.P.M. (NPI 1487919288) is an individual podiatrist in Plano, Texas, licensed in Texas (2232) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1487919288
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. JOHN M. BACACredential: D.P.M.
Location Address6300 W PARKER RD STE 425Plano, TX 75093-8104
Mailing Address6300 W Parker Rd Ste 425Plano, TX 75093-8104 · (972) 942-8080 · Fax (972) 759-9083
Phone(972) 942-8080
Fax(972) 759-9083
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 8, 2012
Last NPPES UpdateDecember 22, 20225 updates tracked since enumeration
NPPES CertifiedDecember 22, 2022
✔ NPI 1487919288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in TX · 2232
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 2232 (TX)
6300 W PARKER RD STE 425, Plano, TX 75093
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Other Identifiers 1

Medicaid3919854TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Molina Healthcare 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

Dr. John M. Baca D.p.m. 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 ID2769794965
PECOS Enrollment IDI20160808001707
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 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.

Test or measurement for functional capacity, each 15 minutes 97750
This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.
242 services94 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.
231 services102 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
55 services39 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
37 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 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.
27 services21 patients

Hospital Affiliations CMS Care Compare

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

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

TOTAL FOOT AND ANKLE LLC
Podiatrist
6300 W PARKER RD STE 425
PLANO, TX 75093
Collin County (972) 942-8080

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 John Baca's NPI number?

The NPI number for John Baca is 1487919288. It was assigned to this individual provider in the NPPES registry on July 8, 2012.

Where is John Baca located?

John Baca practices at 6300 W Parker Rd Ste 425, Plano, TX 75093. The listed phone number is (972) 942-8080.

What is John Baca's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is John Baca enrolled in Medicare?

Yes. John Baca 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 John Baca accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Molina Healthcare and UnitedHealthcare list John Baca 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 John Baca affiliated with any hospitals?

According to CMS data, John Baca is affiliated with Medical City Plano.

When was this NPI record last updated?

The NPPES record for John Baca was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.