SCOTT ANTHONY BAAR FNP-C
NPI 1699180836
Nurse Practitioner - Family in Wyoming, MI


Quality Rating: 86.56 out of 100 score

NPI Status: Active since June 26, 2014

Contact Information

4467 BYRON CENTER AVE SW
WYOMING, MI
ZIP 49519
Phone: (616) 363-7867

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  • Individual
  • Male
  • Years of Experience 12
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SCOTT BAAR

This page provides the complete NPI Profile along with additional information for Scott Baar, a provider established in Wyoming, Michigan with a medical specialization in Nurse Practitioner, focusing in family and more than 12 years of experience. He graduated from Michigan State University College Of Human Medicine in 2014. The healthcare provider is registered in the NPI registry with number 1699180836 assigned on June 2014. The practitioner's primary taxonomy code is 363LF0000X with license number 4704267942 (MI). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1699180836
Provider Name
SCOTT ANTHONY BAAR FNP-C
Gender
Male
Entity Type
Individual
Location Address
4467 BYRON CENTER AVE SW WYOMING, MI 49519
Location Phone
(616) 363-7867
Mailing Address
924 WALSH ST SE GRAND RAPIDS, MI 49507
Mailing Phone
(616) 443-1275
Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year
2014
Is Sole Proprietor?
Yes
Enumeration Date
06-26-2014
Last Update Date
06-26-2014
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A nurse practitioner (NP) like Scott Baar is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
4704267942
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Scott Baar 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.

Scott Baar is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

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.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5799905667

    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: I20140929000988

    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.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 70 times for 62 patients

New patient office or other outpatient visit, 30-44 minutes

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.

This service was performed 43 times for 43 patients

Urinalysis, manual test

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

This service was performed 28 times for 27 patients

X-ray of chest, 2 views

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

This service was performed 25 times for 24 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.18 for a new patient copayment and $24.11 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 49519 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.74
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.68
  • Average New Patient Copayment $21.18
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.67

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.09
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 86.56, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 86.56 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 87.58

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 61.22

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 61.22

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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. Scott Baar is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIVERSITY OF MICHIGAN HEALTH - WEST5900 BYRON CENTER AVENUE, SW
WYOMING, MI 49519
(616) 252-7200Acute Care Hospitals

Reviews for SCOTT ANTHONY BAAR FNP-C

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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.
1699180836
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2618928086
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 2 + 8 + 0 + 8 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1699180836 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144281718DR. ROBERT ARTHUR HOHENDORF O.D.
Individual
Optometrist (Vision Therapy)4467 BYRON CENTER AVE SW
WYOMING, MI 49519
(616) 534-4393
1770753899MADRID PSYCHOLOGICAL ASSOCIATES
Organization
Psychologist (Counseling)4467 BYRON CENTER AVE SW
WYOMING, MI 49519
(616) 534-5445
1124205547SOUTH KENT VISION CENTER PC
Organization
Optometrist4467 BYRON CENTER AVE SW
WYOMING, MI 49519
(616) 534-4953
1639418932WEST MICHIGAN VISION SPECIALISTS
Organization
Optometrist (Vision Therapy)4467 BYRON CENTER AVE SW
WYOMING, MI 49519
(616) 534-4953
1609294537WEST MICHIGAN PRIMARY CARE
Organization
Internal Medicine4467 BYRON CENTER AVE SW
WYOMING, MI 49519
(616) 929-9078
1699974154DR. KELLY MARIE DAUGHERTY ZIELASKOWSKI O.D.
Individual
Optometrist4467 BYRON CENTER AVE SW
WYOMING, MI 49519
(616) 534-4953
1598750416 LYNNETTE GAY DOARNBERGER O.D.
Individual
Optometrist (Vision Therapy)4467 BYRON CENTER AVE SW
WYOMING, MI 49519
(616) 534-4953
1427500578 LYDIA SUTTON NP
Individual
Nurse Practitioner4467 BYRON CENTER AVE SW
WYOMING, MI 49519
(616) 363-7867
1568113124 COLLEEN CONNORS OTR/L
Individual
Occupational Therapist4467 BYRON CENTER AVE SW
WYOMING, MI 49519
(616) 552-9544
1366172199 ELLEN WEGENER M.S. CCC SLP
Individual
Speech-Language Pathologist4467 BYRON CENTER AVE SW
GRAND RAPIDS, MI 49519
(616) 552-9544
1316608979 JANELLE BRUBAKER PT, DPT
Individual
Physical Therapist4467 BYRON CENTER AVE SW
GRAND RAPIDS, MI 49519
(616) 552-9544
1104649177 EMILY CATHERINE DEMERS MS, OTRL
Individual
Occupational Therapist4467 BYRON CENTER AVE SW
GRAND RAPIDS, MI 49519
(616) 552-9544

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699180836, enumerated in the NPI registry as an "individual" on June 26, 2014

The provider is located at 4467 Byron Center Ave Sw Wyoming, Mi 49519 and the phone number is (616) 363-7867

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider has more than 12 years of experience. He graduated from Michigan State University College Of Human Medicine in 2014.

The provider might be accepting Accepts: Molina Healthcare and Priority Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $84.74 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, New patient office or other outpatient visit, 30-44 minutes, Urinalysis, manual test and X-ray of chest, 2 views.

The practitioner is affiliated to the following hospital(s): UNIVERSITY OF MICHIGAN HEALTH - WEST. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 26, 2014. 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.