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NICHOLAS SPENCER BENJAMIN LACKMAN BAKER MD
NPI 1760060115
Psychiatry & Neurology - Psychiatry in San Mateo, CA

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
1900 OFARRELL ST STE 140, SAN MATEO, CA 94403(650) 393-4788 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2025, Aug 16, 2022, Mar 29, 2021 (3 updates tracked since 2021).

About Nicholas Spencer Benjamin Lackman Baker Md NPPES

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

NICHOLAS SPENCER BENJAMIN LACKMAN BAKER MD (NPI 1760060115) is an individual psychiatry provider in San Mateo, California, licensed in California (A201790) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2021).

NPPES Registry Identity

NPI1760060115
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameNICHOLAS SPENCER BENJAMIN LACKMAN BAKERCredential: MD
Location Address1900 OFARRELL ST STE 140San Mateo, CA 94403-1332
Mailing Address1900 Ofarrell St Ste 140San Mateo, CA 94403-1332 · (650) 393-4788
Phone(650) 393-4788
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2021
Enumeration DateMarch 29, 2021
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1760060115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CA · A201790✔ Licensed in UT · 12985841-1205
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1900 OFARRELL ST STE 140, San Mateo, CA 94403
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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

Nicholas Spencer Benjamin Lackman 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 ID2668856147
PECOS Enrollment IDI20250724002125
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94403 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

DR. ONER GONEN MD
Psychiatry & Neurology (Psychiatry)
1900 OFARRELL ST STE 140
SAN MATEO, CA 94403
San Mateo County (625) 393-4788

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 Nicholas Lackman Baker's NPI number?

The NPI number for Nicholas Lackman Baker is 1760060115. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Nicholas Lackman Baker located?

Nicholas Lackman Baker practices at 1900 Ofarrell St Ste 140, San Mateo, CA 94403. The listed phone number is (650) 393-4788.

What is Nicholas Lackman Baker's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nicholas Lackman Baker enrolled in Medicare?

Yes. Nicholas Lackman 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.

When was this NPI record last updated?

The NPPES record for Nicholas Lackman Baker was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.