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DR. JEFFREY CLINTON BAKER MD
NPI 1902003502
Otolaryngology in Great Falls, MT

Active since June 28, 2007PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1401 25TH ST S, GREAT FALLS, MT 59405(406) 455-5000(406) 731-8318 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2024, Mar 26, 2021 (2 updates tracked since 2021).

About Dr. Jeffrey Clinton Baker Md NPPES

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

DR. JEFFREY CLINTON BAKER MD (NPI 1902003502) is an individual otolaryngology provider in Great Falls, Montana, licensed in Montana (18587) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of University Of Texas Medical School At Houston (2007).

NPPES Registry Identity

NPI1902003502
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JEFFREY CLINTON BAKERCredential: MD
Location Address1401 25TH ST SGreat Falls, MT 59405-5183
Mailing Address1401 25th St SGreat Falls, MT 59405-5183 · (406) 455-5000 · Fax (406) 731-8318
Phone(406) 455-5000
Fax(406) 731-8318
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2007
Enumeration DateJune 28, 2007
Last NPPES UpdateApril 5, 20242 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1902003502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MT · 18587
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1401 25TH ST S, Great Falls, MT 59405
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.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

Dr. Jeffrey Clinton 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 ID7012106834
PECOS Enrollment IDI20120803000482
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 10

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 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.
136 services99 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
126 services84 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.
56 services42 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.
46 services46 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
25 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Great Falls Clinic Hospital

Acute Care Hospitals · Great Falls, MT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number270086
Location3010 15th Avenue SouthGreat Falls, MT 59405 · Cascade County
Emergency services

Northern Montana Hospital

Critical Access Hospitals · Havre, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271348
Location30 13th StHavre, MT 59501 · Hill County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

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.

RETTE MARIE RILEY OLSEN DNP, APRN, FNP-C
Nurse Practitioner (Family)
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
ELIAS J. BAIED DO
Internal Medicine (Infectious Disease)
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
ADRIENNE MARY KRYSIAK
Emergency Medicine
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
KAYTLIN G DEVENEY PA
Physician Assistant
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
SYDNE SKAER
Nurse Practitioner (Family)
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
MORRIS LYNN JESSOP M.D.
Urology
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
ANDREA LYNN DUDDINGTON
Physical Therapy Assistant
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8930
WILLIAM E HENNING DO
Psychiatry & Neurology (Neurology)
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8817

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 Jeffrey Baker's NPI number?

The NPI number for Jeffrey Baker is 1902003502. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Jeffrey Baker located?

Jeffrey Baker practices at 1401 25th St S, Great Falls, MT 59405. The listed phone number is (406) 455-5000.

What is Jeffrey Baker's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jeffrey Baker enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Baker accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Jeffrey 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 Jeffrey Baker affiliated with any hospitals?

According to CMS data, Jeffrey Baker is affiliated with Benefis Hospitals Inc, Great Falls Clinic Hospital and Northern Montana Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Baker was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.