STEPHEN NICHOLAS BAKER PA-C
NPI 1063273142
Physician Assistant in Lexington, KY
NPI Status: Active since January 17, 2024
Contact Information
120 PROSPEROUS PL STE 102
LEXINGTON, KY
ZIP 40509
Phone: (859) 264-1815
Fax: (859) 264-1820
- Individual
- Male
- Years of Experience 3
- Physician Assistant
- Accepts Medicare Approved Payment
About STEPHEN BAKER
This page provides the complete NPI Profile along with additional information for Stephen Baker, a primary care provider established in Lexington, Kentucky with a medical specialization in Physician Assistant and more than 3 years of experience. He graduated from Lincoln Memorial University Medical Department in 2023. The healthcare provider is registered in the NPI registry with number 1063273142 assigned on January 2024. The practitioner's primary taxonomy code is 363A00000X with license number TC098 (KY). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1063273142
- Provider Name
- STEPHEN NICHOLAS BAKER PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 120 PROSPEROUS PL STE 102 LEXINGTON, KY 40509
- Location Phone
- (859) 264-1815
- Location Fax
- (859) 264-1820
- Mailing Address
- 120 PROSPEROUS PL STE 102 LEXINGTON, KY 40509
- Mailing Phone
- (592) 264-1815
- Mailing Fax
- (859) 264-1820
- Medical School Name
- LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
- Graduation Year
- 2023
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-17-2024
- Last Update Date
- 02-17-2025
- Code Navigator
A primary care provider (PCP) like Stephen Baker sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- TC098
- License State
- KY
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100954480 | MEDICAID (05) | KY |
Medicare Participation & PECOS Enrollment Status
Stephen Baker is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 2365886348
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240217000420
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Stephen Baker is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| BAPTIST HEALTH LEXINGTON | 1740 NICHOLASVILLE ROAD LEXINGTON, KY 40503 | (859) 260-6104 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 2 | 7 | 3 | 1 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 4 | 7 | 6 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 4 + 7 + 6 + 1 + 8 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1063273142 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194727701 | OLIVER C JAMES II M.D. Individual | Anesthesiology (Pain Medicine) | 120 PROSPEROUS PL STE 102 LEXINGTON, KY 40509 (859) 967-5309 |
| 1013590702 | MRS. DENISE JONES DNP Individual | Nurse Practitioner (Adult Health) | 120 PROSPEROUS PL STE 102 LEXINGTON, KY 40509 (859) 264-1815 |
| 1932892031 | SONYA HUI LINDSEY APRN Individual | Nurse Practitioner (Gerontology) | 120 PROSPEROUS PL STE 102 LEXINGTON, KY 40509 (859) 264-1815 |
| 1164552642 | COMMONWEALTH SLEEP AND REHAB, PLLC Organization | Anesthesiology (Pain Medicine) | 120 PROSPEROUS PL STE 102 LEXINGTON, KY 40509 (859) 264-1815 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063273142, enumerated in the NPI registry as an "individual" on January 17, 2024
The provider is located at 120 Prosperous Pl Ste 102 Lexington, Ky 40509 and the phone number is (859) 264-1815
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider has more than 3 years of experience. He graduated from Lincoln Memorial University Medical Department in 2023.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The practitioner is affiliated to the following hospital(s): BAPTIST HEALTH LEXINGTON. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on January 17, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.