MARK DOUGLAS BAKER DO
NPI 1952530594
Family Medicine in Erie, PA

Q: What is Mark Baker's NPI number?

The NPI number for Mark Baker is 1952530594. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Q: What is Mark Baker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Baker was last updated on December 5, 2023. 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.

Active since July 02, 2009PECOS EnrolledAccepts Medicare Assignment

2000 W GRANDVIEW BLVD, ERIE, PA 16509(814) 868-1088(814) 868-1094 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 5, 2023, Mar 17, 2018, Aug 7, 2017 and 1 more (4 updates tracked since 2017).

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About Mark Douglas Baker Do NPPES

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

MARK DOUGLAS BAKER DO (NPI 1952530594) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS006249L) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Millcreek Community Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1986).

NPPES Registry Identity

NPI1952530594

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARK DOUGLAS BAKERCredential: DO

Location Address2000 W GRANDVIEW BLVDErie, PA 16509-1029

Mailing Address1 Lecom PlErie, PA 16505-2571 · Fax (814) 868-2522

Phone(814) 868-1088

Fax(814) 868-1094

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1986

Enumeration DateJuly 2, 2009

Last NPPES UpdateDecember 5, 20234 updates tracked since enumeration

NPPES CertifiedDecember 5, 2023

✔ NPI 1952530594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS006249L

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2000 W GRANDVIEW BLVD, Erie, PA 16509

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Other Identifiers 1

Medicaid0010935600018PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, 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 and accepts Medicare assignment

Mark Douglas Baker Do 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 ID1456595537

PECOS Enrollment IDI20130911000058

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.

Hospital Affiliations CMS Care Compare

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

Millcreek Community Hospital

Acute Care Hospitals · Erie, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390198

Location5515 Peach StreetErie, PA 16509 · Erie County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16509 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Reported Quality Measures

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…

98%52 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

100%32 patients5/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$15.73 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$80.82 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 5

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

MEDICAL ASSOCIATES OF ERIE

Family Medicine