MRS. PAULA JEAN KNAPP-BAKER DO
NPI 1528167145
Family Medicine in Palm Harbor, FL

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
4140 WOODLANDS PKWY, PALM HARBOR, FL 34685(727) 953-9041(727) 953-9043 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 23, 2017 (3 updates tracked since 2017).

About Mrs. Paula Jean Knapp-baker Do NPPES

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

MRS. PAULA JEAN KNAPP-BAKER DO (NPI 1528167145) is an individual family medicine provider in Palm Harbor, Florida, licensed in Florida (OS14430) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth North Pinellas, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1528167145
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. PAULA JEAN KNAPP-BAKERCredential: DO
Location Address4140 WOODLANDS PKWYPalm Harbor, FL 34685-3494
Mailing Address4140 Woodlands ParkwayPalm Harbor, FL 34685 · (727) 953-9041 · Fax (727) 953-9043
Fax(727) 953-9043
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1528167145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · OS14430
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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 119371 (MO)
4140 WOODLANDS PKWY, Palm Harbor, FL 34685

Other Names 1

Former Name (1)Paula Jean Knapp

Secondary Practice Location 1

Location 18969 Watson RdSaint Louis, MO 63119-5115 · Phone (314) 918-9111 · Fax (314) 918-9113

Other Identifiers 2

Medicaid204021802MO
OtherP00350346Railroad Medicare

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

Mrs. Paula Jean Knapp-baker Do 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 ID8224059464
PECOS Enrollment IDI20170901001277
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 12

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.
209 services122 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.
111 services111 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
91 services19 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.
48 services39 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
33 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100055
Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County
Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Mease Countryside Hospital

Acute Care Hospitals · Safety Harbor, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100265
Location3231 Mcmullen Booth RdSafety Harbor, FL 34695 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34685 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers16 claims16 services$26.28 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 7

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

Psychiatry & Neurology (Neurology)
4140 WOODLANDS PKWY
PALM HARBOR, FL 34685
Family Medicine
4140 WOODLANDS PKWY
PALM HARBOR, FL 34685
Dentist (General Practice)
4140 WOODLANDS PKWY
PALM HARBOR, FL 34685
Dentist
4140 WOODLANDS PKWY
PALM HARBOR, FL 34685
Nurse Practitioner (Family)
4140 WOODLANDS PKWY
PALM HARBOR, FL 34685
Family Medicine
4140 WOODLANDS PKWY, SUITE B
PALM HARBOR, FL 34685
Family Medicine
4140 WOODLANDS PKWY
PALM HARBOR, FL 34685

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 Paula Knapp-baker's NPI number?

The NPI number for Paula Knapp-baker is 1528167145. It was assigned to this individual provider in the NPPES registry on September 21, 2006. The provider is also known as Paula Jean Knapp.

Where is Paula Knapp-baker located?

Paula Knapp-baker practices at 4140 Woodlands Pkwy, Palm Harbor, FL 34685. The listed phone number is (727) 953-9041.

What is Paula Knapp-baker's specialty?

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

Is Paula Knapp-baker enrolled in Medicare?

Yes. Paula Knapp-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 Paula Knapp-baker accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Paula Knapp-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 Paula Knapp-baker affiliated with any hospitals?

According to CMS data, Paula Knapp-baker is affiliated with Adventhealth North Pinellas, Morton Plant Hospital, Adventhealth Tampa and Mease Countryside Hospital.

When was this NPI record last updated?

The NPPES record for Paula Knapp-baker was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.