KEVIN RAY BAXTER D.O.
NPI 1609161686
Ophthalmology in Mishawaka, IN

Active since June 17, 2011PECOS EnrolledAccepts Medicare Assignment
89.85/100
CMS Quality Rating
230 E DAY RD, STE 100, MISHAWAKA, IN 46545(574) 271-3939(574) 271-3941 Get Directions Write a Review

NPPES record last updated: July 2, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Ray Baxter D.o. NPPES

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

KEVIN RAY BAXTER D.O. (NPI 1609161686) is an individual ophthalmology provider in Mishawaka, Indiana, licensed in Indiana (02004614A) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center - Plymouth, and is a graduate of Ohio State University - College Of Optometry (2011).

NPPES Registry Identity

NPI1609161686
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKEVIN RAY BAXTERCredential: D.O.
Location Address230 E DAY RD, STE 100Mishawaka, IN 46545-3408
Mailing Address230 E Day Rd, Ste 100Mishawaka, IN 46545-3408 · (574) 271-3939 · Fax (574) 271-3941
Fax(574) 271-3941
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2011
Enumeration DateJune 17, 2011
Last NPPES UpdateJuly 2, 2015
NPI 1609161686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in IN · 02004614A Licensed in MI · 510109282
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

230 E DAY RD, Mishawaka, IN 46545

Other Identifiers 2

Other204460004IN · Medicare Ptan
Medicaid201292460IN

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

Kevin Ray Baxter D.o. 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 ID8123339942
PECOS Enrollment IDI20150622000372
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 17

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 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.
428 services228 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
345 services176 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
171 services106 patients
Insertion of drug delivery implant into tear duct of eye 68841
This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.
164 services101 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
161 services100 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.
153 services147 patients

Hospital Affiliations CMS Care Compare

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

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150076
Location1915 Lake AvePlymouth, IN 46563 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

89.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost66.18

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers18 claims18 services$59.11 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 15

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

Optometrist
230 E DAY RD, STE 100
MISHAWAKA, IN 46545
Orthopaedic Surgery
230 E DAY RD, SUITE 130
MISHAWAKA, IN 46545
Counselor (Mental Health)
230 E DAY RD, STE 160
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD, 100
MISHAWAKA, IN 46545
Ophthalmology
230 E DAY RD, 100
MISHAWAKA, IN 46545
Psychologist (Clinical)
230 E DAY RD, # 160
MISHAWAKA, IN 46545
Ophthalmology
230 E DAY RD, 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD, 100
MISHAWAKA, IN 46545

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 Kevin Baxter's NPI number?

The NPI number for Kevin Baxter is 1609161686. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Kevin Baxter located?

Kevin Baxter practices at 230 E Day Rd Ste 100, Mishawaka, IN 46545. The listed phone number is (574) 271-3939.

What is Kevin Baxter's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kevin Baxter enrolled in Medicare?

Yes. Kevin Baxter 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 Kevin Baxter accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Providence Health Plan list Kevin Baxter 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 Kevin Baxter affiliated with any hospitals?

According to CMS data, Kevin Baxter is affiliated with Saint Joseph Regional Medical Center - Plymouth.

When was this NPI record last updated?

The NPPES record for Kevin Baxter was last updated on July 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.