DR. WILLIAM PAUL BAKE D.O.
NPI 1568605616
Psychiatry & Neurology - Neurology in Mount Pleasant, WI
NPI Status: Active since April 18, 2009
Contact Information
3805B SPRING ST
MOUNT PLEASANT, WI
ZIP 53405
Phone: (262) 687-8322
Fax: (262) 687-6107
- Individual
- Male
- Years of Experience 17
- Psychiatry & Neurology
- Neurology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About WILLIAM BAKE
This page provides the complete NPI Profile along with additional information for William Bake, a provider established in Mount Pleasant, Wisconsin with a medical specialization in Psychiatry & Neurology, focusing in neurology and more than 17 years of experience. He graduated from Midwestern University, Chicago College Of Osteopathic Med in 2009. The healthcare provider is registered in the NPI registry with number 1568605616 assigned on April 2009. The practitioner's primary taxonomy code is 2084N0400X with license number 55596 (WI). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1568605616
- Provider Name
- DR. WILLIAM PAUL BAKE D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3805B SPRING ST MOUNT PLEASANT, WI 53405
- Location Phone
- (262) 687-8322
- Location Fax
- (262) 687-6107
- Mailing Address
- 3805B SPRING ST MOUNT PLEASANT, WI 53405
- Mailing Phone
- (262) 687-8322
- Mailing Fax
- (262) 687-6107
- Medical School Name
- MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
- Graduation Year
- 2009
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-18-2009
- Last Update Date
- 09-21-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 55596
- License State
- WI
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Bronze Plus - HMO
- Prestige Gold - HMO
- Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
- Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Silver - HMO
- Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Signature Prestige Bronze $0 Deductible + Dental + Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
K400148118 | MEDICARE PIN (08) | WI |
Medicare Participation & PECOS Enrollment Status
William Bake is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
William Bake is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2062637929
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20140709000445
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Injection of anesthetic agent and/or steroid into other nerve or branch
Injection of anesthetic agent and/or steroid into upper neck and back of head nerve
Measurement of brain wave activity (eeg), 41-60 minutes
Measurement of brain wave activity (eeg), 61-119 minutes
Measurement of brain wave activity (eeg), awake and asleep
Measurement of brain wave activity (eeg), awake and drowsy
Measurement of brain wave activity (eeg), in coma or asleep
New patient office or other outpatient visit, 45-59 minutes
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.
This service was performed 67 times for 62 patientsThis 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.
This service was performed 387 times for 274 patientsThis 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.
This service was performed 12 times for 11 patientsThis 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.
This service was performed 58 times for 46 patientsThis procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.
This service was performed 41 times for 15 patientsThis procedure involves injecting a mix of anesthetic and/or steroid into nerves in the upper neck and back of the head. It helps relieve pain by reducing inflammation and numbing the area. It's a common treatment for headaches and neck pain.
This service was performed 43 times for 15 patientsThis procedure involves placing small sensors on your head to record your brain's electrical activity for 41-60 minutes. Known as an EEG, it helps doctors understand how your brain works, assisting in diagnosing conditions like epilepsy or sleep disorders.
This service was performed 21 times for 21 patientsThe procedure you're having is an EEG, which measures your brain's electrical activity. Electrodes placed on your scalp capture signals that are recorded for 61-119 minutes. This helps identify any irregularities, aiding in diagnosing conditions like epilepsy or sleep disorders.
This service was performed 31 times for 30 patientsThe measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
This service was performed 48 times for 46 patientsMeasurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
This service was performed 49 times for 45 patientsThe measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This is done when you're asleep or in a coma, to help understand brain function and identify any abnormalities.
This service was performed 18 times for 17 patientsThis 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.
This service was performed 66 times for 66 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.92 for a new patient copayment and $23.85 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53405 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $123.69
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $30.92
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.41
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $23.85
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. William Bake is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
ASCENSION ALL SAINTS HOSPITAL | 3801 SPRING ST RACINE, WI 53405 | (262) 687-4011 | Acute Care Hospitals | |
AURORA MEDICAL CENTER KENOSHA | 10400 75TH ST KENOSHA, WI 53142 | (262) 948-5600 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 6 | 8 | 6 | 0 | 5 | 6 | 1 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 12 | 8 | 12 | 0 | 10 | 6 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 1 + 2 + 8 + 1 + 2 + 0 + 1 + 0 + 6 + 2 + 24 = 54 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 54 = 6 | 6 |
The NPI number 1568605616 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
HARVEY I KAUFMAN PHD
Clinical Neuropsychologist
3805B SPRING ST
SUITE 120
RACINE, WI
ZIP 53405
BRUCE LUCCAS M.D.
Family Medicine
3805B SPRING ST
SUITE 130
RACINE, WI
ZIP 53405
JOSEPH BERGS M.D.
Psychiatry & Neurology
(Psychiatry)
3805B SPRING ST
SUITE 240
RACINE, WI
ZIP 53405
INDER PAUL SINGH
Ophthalmology
3805B SPRING ST
SUITE 140
RACINE, WI
ZIP 53405
STEPHEN J PRUETT
Optometrist
3805B SPRING ST
SUITE 140
RACINE, WI
ZIP 53405
STEPHEN J. PAGANO M.D.
Psychiatry & Neurology
(Neurology)
3805B SPRING ST
SUITE 320
RACINE, WI
ZIP 53405
BYUNG H. PARK M.D.
Psychiatry & Neurology
(Neurology)
3805B SPRING ST
STE 320
RACINE, WI
ZIP 53405
LAWRENCE TOLSON MD
Internal Medicine
3805B SPRING ST
SUITE 260
RACINE, WI
ZIP 53405
MRS. NATHALIE ANNE KING PA
Physician Assistant
3805B SPRING ST
SUITE 320
RACINE, WI
ZIP 53405
BRUCE A LUCCAS, MD, LLC
Family Medicine
3805B SPRING ST
STE 130
RACINE, WI
ZIP 53405
DR. RADHA KRISHNA SANKA M.D.
Ophthalmology
3805B SPRING ST
MOUNT PLEASANT, WI
ZIP 53405
E BRUNS FOOT AND ANKLE SC
Podiatrist
(Foot & Ankle Surgery)
3805B SPRING ST
SUITE 340
RACINE, WI
ZIP 53405
MICHAEL DEAN CLARK PA-C
Physician Assistant
3805B SPRING ST
RACINE, WI
ZIP 53405
SHIN-YE KIM M.A
Student in an Organized Health Care Education/Training Program
3805B SPRING ST
MOUNT PLEASANT, WI
ZIP 53405
DR. JAMES DEAN MATACZYNSKI MD
Family Medicine
3805B SPRING ST
SUITE 250
MOUNT PLEASANT, WI
ZIP 53405
DRS DECHECK AND MATACZYNSKI MD SC
Family Medicine
3805B SPRING ST
SUITE250
MOUNT PLEASANT, WI
ZIP 53405
MICHELLE BRAUN PHD
Clinical Neuropsychologist
3805B SPRING ST
SUITE 320
RACINE, WI
ZIP 53405
JAMES SCARPACI MSW LCSW CADC III
Social Worker
(Clinical)
3805B SPRING ST
SUITE 20
MOUNT PLEASANT, WI
ZIP 53405
MICHAEL DEROSE LCSW
Social Worker
(Clinical)
3805B SPRING ST
SUITE 320
MOUNT PLEASANT, WI
ZIP 53405
MARK E DECHECK MD
Family Medicine
3805B SPRING ST
SUITE 250
RACINE, WI
ZIP 53405
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568605616, enumerated as an "individual" on April 18, 2009.
The provider is located at 3805B SPRING ST MOUNT PLEASANT, WI 53405 and the phone number is (262) 687-8322.
Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Chorus. Please consult your insurance carrier or call the provider to verify.
William Bake is affiliated with: ASCENSION ALL SAINTS HOSPITAL and AURORA MEDICAL CENTER KENOSHA.