DR. MICHAEL ALAN BAKER O.D.
NPI 1821227828
Optometrist in Madison, OH
About Dr. Michael Alan Baker O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL ALAN BAKER O.D. (NPI 1821227828) is an individual optometrist in Madison, Ohio, licensed in Ohio (5838) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Michael Alan Baker O.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Baker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, OH 44057
- Reassigned Medicare billing, Ohio enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michael Baker's NPI number?
The NPI number for Michael Baker is 1821227828. It was assigned to this individual provider in the NPPES registry on July 11, 2009.
Where is Michael Baker located?
Michael Baker practices at 103 N Lake St, Madison, OH 44057. The listed phone number is (440) 428-2526.
What is Michael Baker's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Michael Baker enrolled in Medicare?
Yes. Michael 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.
Which organization bills Medicare for Michael Baker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Baker reassigns Medicare benefits to Donch And Baker, O.D. Eye Doctors Of Madison, LLC (Madison, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Baker accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health and Oscar Health Insurance and 7 other insurers list Michael 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.
When was this NPI record last updated?
The NPPES record for Michael Baker was last updated on July 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Michael Alan Baker, O.D. · NPI 1821227828
Optometrist provider in Madison, Ohio. Individual provider, active in the CMS NPPES registry since July 11, 2009.
## Identity
- **NPI:** 1821227828 (Entity type: Individual)
- **Enumerated:** July 11, 2009
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 5838 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 103 N LAKE ST, Madison, OH 44057-3115
- **Phone:** (440) 428-2526 · **Fax:** (440) 428-2526
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Donch And Baker, O.D. Eye Doctors Of Madison, LLC (NPI 1457520553, Madison, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University - College Of Optometry, class of 2009
## Record status
- **NPPES last updated:** July 11, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1821227828) · Data from the CMS NPPES public registry.