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CATHERINE BAKER MD
NPI 1871609354
Internal Medicine in Lemont, IL

Active since August 21, 2006PECOS Enrolled
15505 127TH ST, LEMONT, IL 60439(630) 257-2265 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Catherine Baker Md NPPES

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

CATHERINE BAKER MD (NPI 1871609354) is an individual internal medicine provider in Lemont, Illinois and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Silver Cross Hospital And Medical Centers, and is a graduate of University Of Maryland School Of Medicine (1985).

NPPES Registry Identity

NPI1871609354
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCATHERINE BAKERCredential: MD
Location Address15505 127TH STLemont, IL 60439-4433
Mailing Address15505 127th StLemont, IL 60439-4433 · (630) 257-2265
Phone(630) 257-2265
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1985
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1871609354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15505 127TH ST, Lemont, IL 60439
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Other Identifiers 1

Medicare UPINE18625IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Catherine Baker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022206796
PECOS Enrollment IDI20101222000081
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.

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.
188 services94 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
166 services143 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
149 services110 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
147 services74 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.
125 services125 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
113 services87 patients

Hospital Affiliations CMS Care Compare

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

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140213
Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60439 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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
18 suppliers62 claims159 services$6.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers25 claims29 services$1.06 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$16.09 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 4

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

KENNETH PORTER MD
Pediatrics
15505 127TH ST
LEMONT, IL 60439
Dupage County (630) 257-2265
ILAH MARIE HELLER-BAIR MD
Internal Medicine
15505 127TH ST
LEMONT, IL 60439
Dupage County (630) 257-5400
LEMONT PRIMARY CARE, SC
Internal Medicine
15505 127TH ST
LEMONT, IL 60439
Dupage County (630) 257-2265
PRAIRIE GLEN PRIMARY CARE, P.C.
Clinic/Center (Primary Care)
15505 127TH ST
LEMONT, IL 60439
Dupage County (630) 257-5400

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 Catherine Baker's NPI number?

The NPI number for Catherine Baker is 1871609354. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Catherine Baker located?

Catherine Baker practices at 15505 127th St, Lemont, IL 60439. The listed phone number is (630) 257-2265.

What is Catherine Baker's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Catherine Baker enrolled in Medicare?

Yes. Catherine Baker is registered in the Medicare PECOS enrollment system.

What insurance does Catherine Baker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Catherine 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.

Is Catherine Baker affiliated with any hospitals?

According to CMS data, Catherine Baker is affiliated with Silver Cross Hospital And Medical Centers.

When was this NPI record last updated?

The NPPES record for Catherine Baker was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.