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JOHN ISAAC BAKER M.D.
NPI 1821389081
Surgery in Jasper, AL

Active since April 22, 2011PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
3400 HIGHWAY 78 E, MEDICAL ARTS TOWER, SUITE 502, JASPER, AL 35501(205) 221-4916 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Isaac Baker M.d. NPPES

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

JOHN ISAAC BAKER M.D. (NPI 1821389081) is an individual surgery provider in Jasper, Alabama, licensed in Alabama (32558) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2011).

NPPES Registry Identity

NPI1821389081
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOHN ISAAC BAKERCredential: M.D.
Location Address3400 HIGHWAY 78 E, MEDICAL ARTS TOWER, SUITE 502Jasper, AL 35501-8956
Mailing Address3400 Highway 78 E, Medical Arts Tower, Suite 502Jasper, AL 35501-8956 · (205) 221-4916
Phone(205) 221-4916
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2011
Enumeration DateApril 22, 2011
Last NPPES UpdateJune 2, 2016
✔ NPI 1821389081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · 32558
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3400 HIGHWAY 78 E, Jasper, AL 35501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

John Isaac Baker M.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.

PECOS PAC ID4587808951
PECOS Enrollment IDI20160908001052
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 9

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.

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.
161 services161 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.
123 services102 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.
107 services90 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
80 services80 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
77 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
61 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35501 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
58%264 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
33%144 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
22%264 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
40%356 patients2/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BHC-MEDSTAT OF JASPER
General Practice
3400 HIGHWAY 78 E, MEDICAL ARTS TOWER; SUITE 109
JASPER, AL 35501
Walker County (205) 387-1891
MRS. TAMMY ALLEEN ELLIS CCC-A
Audiologist-Hearing Aid Fitter
3400 HIGHWAY 78 E, 205 MEDICAL ARTS TOWER
JASPER, AL 35501
Walker County (205) 221-4630
BHC-WALKER PRIMARY CARE
Internal Medicine
3400 HIGHWAY 78 E, MEDICAL ARTS TOWER; SUITE 321
JASPER, AL 35501
Walker County (205) 715-5943
ERIC ALEXANDER SWINFORD CRNA
Nurse Anesthetist, Certified Registered
3400 HIGHWAY 78 E
JASPER, AL 35501
Walker County (256) 609-7445
JASPER ANESTHESIA CARE, INC
Anesthesiology
3400 HIGHWAY 78 E
JASPER, AL 35501
Walker County (205) 387-4000
GASTROENTEROLOGISTS CONSULTANTS OF JASPER, PC
Internal Medicine (Gastroenterology)
3400 HIGHWAY 78 E, MEDICAL ARTS TOWER SUITE 504
JASPER, AL 35501
Walker County (205) 295-9630
LAWRENCE VERNON BAKER
Surgery
3400 HIGHWAY 78 E, MED ARTS TOWER STE 502
JASPER, AL 35501
Walker County (205) 221-4916
KHURRAM MIRZA
Internal Medicine
3400 HIGHWAY 78 E
JASPER, AL 35501
Walker County (205) 387-4401

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 John Baker's NPI number?

The NPI number for John Baker is 1821389081. It was assigned to this individual provider in the NPPES registry on April 22, 2011.

Where is John Baker located?

John Baker practices at 3400 Highway 78 E Medical Arts Tower, Suite 502, Jasper, AL 35501. The listed phone number is (205) 221-4916.

What is John Baker's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Baker enrolled in Medicare?

Yes. John 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.

What insurance does John Baker accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list John 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 John Baker was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.