WALLACE BAKER MD
NPI 1790834638
Family Medicine in Ventura, CA

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
87.18/100
CMS Quality Rating
3291 LOMA VISTA RD, VENTURA, CA 93003(805) 652-6100(805) 652-3252 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2023, May 26, 2023, Mar 7, 2023 and 2 more (5 updates tracked since 2017).

About Wallace Baker Md NPPES

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

WALLACE BAKER MD (NPI 1790834638) is an individual family medicine provider in Ventura, California, licensed in California (A93801) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2004).

NPPES Registry Identity

NPI1790834638
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWALLACE BAKERCredential: MD
Location Address3291 LOMA VISTA RDVentura, CA 93003-3099
Mailing Address3291 Loma Vista RdVentura, CA 93003-3099 · (805) 652-6100 · Fax (805) 652-3252
Fax(805) 652-3252
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2004
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 10, 20235 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
NPI 1790834638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A93801
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.
3291 LOMA VISTA RD, Ventura, CA 93003

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

Wallace 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 ID6800070780
PECOS Enrollment IDI20140715002293
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.
234 services114 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.
220 services156 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.
80 services80 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
37 services37 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
37 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This 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.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

87.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.09
Promoting Interoperability100
Improvement Activities40
Cost56.53

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers21 claims46 services$5.89 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims825 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$170.44 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 20

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

Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Pathology (Anatomic Pathology)
3291 LOMA VISTA RD
VENTURA, CA 93003
Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Psychiatry & Neurology (Psychiatry)
3291 LOMA VISTA RD
VENTURA, CA 93003
Family Medicine
3291 LOMA VISTA RD
VENTURA, CA 93003
Hospitalist
3291 LOMA VISTA RD
VENTURA, CA 93003
Occupational Therapist
3291 LOMA VISTA RD, VENTURA COUNTY MEDICAL CENTER
VENTURA, CA 93003
Anesthesiology
3291 LOMA VISTA RD
VENTURA, CA 93003

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 Wallace Baker's NPI number?

The NPI number for Wallace Baker is 1790834638. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Wallace Baker located?

Wallace Baker practices at 3291 Loma Vista Rd, Ventura, CA 93003. The listed phone number is (805) 652-6100.

What is Wallace Baker's specialty?

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

Is Wallace Baker enrolled in Medicare?

Yes. Wallace 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 Wallace Baker was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.