GARY L. BAKER MD
NPI 1932168036
Internal Medicine - Rheumatology in Saint Paul, MN

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
255 SMITH AVE N, SUITE 100, SAINT PAUL, MN 55102(651) 241-5000(651) 241-7678 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary L. Baker Md NPPES

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

GARY L. BAKER MD (NPI 1932168036) is an individual rheumatology provider in Saint Paul, Minnesota, licensed in Minnesota (25221) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of University Of Nebraska College Of Medicine (1978).

NPPES Registry Identity

NPI1932168036
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameGARY L. BAKERCredential: MD
Location Address255 SMITH AVE N, SUITE 100Saint Paul, MN 55102-2572
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000 · Fax (612) 262-4258
Fax(651) 241-7678
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1978
Enumeration DateMarch 20, 2006
Last NPPES UpdateNovember 4, 2020
NPPES CertifiedNovember 4, 2020
NPI 1932168036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in MN · 25221
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
255 SMITH AVE N, Saint Paul, MN 55102

Other Identifiers 1

Medicaid639375600MN

Accepted 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

Gary L. 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 ID5890822332
PECOS Enrollment IDI20100415000047
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 13

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.

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
2,475 services13 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.
171 services127 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.
132 services105 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 services89 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
101 services76 patients
Liver enzyme (sgpt), level 84460
A liver enzyme (SGPT) level test is a blood test that checks the health of your liver. SGPT is an enzyme found in your liver cells. If your liver is damaged or inflamed, SGPT can leak into your bloodstream, raising the enzyme level. This test helps identify liver diseases early.
88 services67 patients

Hospital Affiliations CMS Care Compare 2

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Internal Medicine
255 SMITH AVE N, SUITE 100
SAINT PAUL, MN 55102
Registered Nurse
255 SMITH AVE N, SUITE 100
SAINT PAUL, MN 55102
Registered Nurse
255 SMITH AVE N, SUITE 100
SAINT PAUL, MN 55102
Nurse Practitioner
255 SMITH AVE N, SUITE 100
SAINT PAUL, MN 55102
Internal Medicine
255 SMITH AVE N, SUITE 100
SAINT PAUL, MN 55102
Registered Nurse
255 SMITH AVE N, 100
SAINT PAUL, MN 55102
Internal Medicine (Endocrinology, Diabetes & Metabolism)
255 SMITH AVE N, SUITE 100
SAINT PAUL, MN 55102
Internal Medicine (Endocrinology, Diabetes & Metabolism)
255 SMITH AVE N, SUITE 100
SAINT PAUL, MN 55102

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 Gary Baker's NPI number?

The NPI number for Gary Baker is 1932168036. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Gary Baker located?

Gary Baker practices at 255 Smith Ave N Suite 100, Saint Paul, MN 55102. The listed phone number is (651) 241-5000.

What is Gary Baker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Gary Baker enrolled in Medicare?

Yes. Gary 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 Gary Baker accept?

Health plans from HealthPartners and Medica list Gary 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 Gary Baker affiliated with any hospitals?

According to CMS data, Gary Baker is affiliated with Allina United Hospital and Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Gary Baker was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.