THEODORE D BAKER MD
NPI 1508861287
Radiology - Diagnostic Radiology in Birmingham, AL

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
79.34/100
CMS Quality Rating
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235(205) 838-3435 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 18, 2026, May 5, 2026, Dec 30, 2015 (3 updates tracked since 2015).

About Theodore D Baker Md NPPES

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

THEODORE D BAKER MD (NPI 1508861287) is an individual diagnostic radiology provider in Birmingham, Alabama, licensed in Alabama (22759) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and maintains a secondary practice location in Hannibal.

NPPES Registry Identity

NPI1508861287
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTHEODORE D BAKERCredential: MD
Location Address50 MEDICAL PARK DR EBirmingham, AL 35235-3401
Mailing Address2000a Southbridge Pkwy Ste 300Birmingham, AL 35209-7718 · (205) 871-4274 · Fax (205) 871-4301
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1998
Enumeration DateJune 17, 2005
Last NPPES UpdateMay 18, 20263 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1508861287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in AL · 22759 Licensed in MO · 2026017103 Licensed in MN · 81489
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

50 MEDICAL PARK DR E, Birmingham, AL 35235

Secondary Practice Location 1

Location 16000 Hospital DrHannibal, MO 63401-6887 · Phone (573) 248-5300 · Fax (573) 248-5302

Other Identifiers 21

Other051522427AL · Blue Cross
Medicaid009938774AL
Medicaid009938781AL
Other051515362AL · Blue Cross
Other051522678AL · Blue Cross
Other051525486AL · Blue Cross
Other515-22683AL · Blue Cross
Other051522677AL · Blue Cross
Other051522686AL · Blue Cross
Medicaid009938776AL
Other051539832AL · Blue Cross
Medicaid051554802AL
Other7070599AL · Aetna
Medicaid009938778AL
Other051522679AL · Blue Cross
Medicaid009938773AL
Medicaid009983795AL
Other051522684AL · Blue Cross
Medicaid009938777AL
Medicaid009938779AL
Other051522681AL · Blue Cross

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

Theodore D Baker Md 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 ID2769466937
PECOS Enrollment IDI20040706000227, I20250227000408, I20260109003321, I20260403001622
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 59

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,130 services26 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
956 services785 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
343 services336 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
151 services148 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
127 services125 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
122 services119 patients

Hospital Affiliations CMS Care Compare 2

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35235 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

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.

79.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.14
Improvement Activities0
Cost78.74

Reported Quality Measures

Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
92%196 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
96%56 patients
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.

Other Providers at the Same Location NPPES 19

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

Emergency Medicine
50 MEDICAL PARK DR E, ST. VINCENT'S EAST
BIRMINGHAM, AL 35235
Emergency Medicine
50 MEDICAL PARK DR E, ST. VINCENT'S EAST
BIRMINGHAM, AL 35235
Specialist
50 MEDICAL PARK DR E, ST. VINCENT'S EAST
BIRMINGHAM, AL 35235
Emergency Medicine
50 MEDICAL PARK DR E, ST. VINCENT'S EAST
BIRMINGHAM, AL 35235
Emergency Medicine (Emergency Medical Services)
50 MEDICAL PARK DR E, E.R.
BIRMINGHAM, AL 35235
Emergency Medicine (Emergency Medical Services)
50 MEDICAL PARK DR E, ST. VINCENT'S EAST
BIRMINGHAM, AL 35235
Family Medicine
50 MEDICAL PARK DR E, EASTERN HOSPITAL MEDICINE
BIRMINGHAM, AL 35235
Nurse Anesthetist, Certified Registered
50 MEDICAL PARK DR E
BIRMINGHAM, AL 35235

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 Theodore Baker's NPI number?

The NPI number for Theodore Baker is 1508861287. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Theodore Baker located?

Theodore Baker practices at 50 Medical Park Dr E, Birmingham, AL 35235. The listed phone number is (205) 838-3435.

What is Theodore Baker's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Theodore Baker enrolled in Medicare?

Yes. Theodore 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 Theodore Baker accept?

Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare and Oscar Insurance Company list Theodore 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 Theodore Baker affiliated with any hospitals?

According to CMS data, Theodore Baker is affiliated with Spartanburg Medical Center and Mcleod Regional Medical Center-Pee Dee.

When was this NPI record last updated?

The NPPES record for Theodore Baker was last updated on May 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.