MEGAN BAKER MD
NPI 1831138650
Pediatrics in Vancouver, WA
NPI Status: Active since June 06, 2006
Contact Information
501 SE 172ND AVE
SUITE 150
VANCOUVER, WA
ZIP 98684
Phone: (360) 882-2778
Fax: (360) 604-1774
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About MEGAN BAKER
This page provides the complete NPI Profile along with additional information for Megan Baker, a pediatrician established in Vancouver, Washington with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1831138650 assigned on June 2006. The practitioner's primary taxonomy code is 208000000X with license number MD00038927 (WA). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1831138650
- Provider Name
- MEGAN BAKER MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 501 SE 172ND AVE SUITE 150 VANCOUVER, WA 98684
- Location Phone
- (360) 882-2778
- Location Fax
- (360) 604-1774
- Mailing Address
- 700 NE 87TH AVE VANCOUVER, WA 98664
- Mailing Phone
- (360) 882-2778
- Mailing Fax
- (360) 604-1774
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-06-2006
- Last Update Date
- 10-23-2015
- Code Navigator
A pediatrician like Megan Baker is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00038927
- License State
- WA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- HSA Qualified 7100 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Legacy - EPO
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 |
|---|---|---|---|
| 8256927 | MEDICAID (05) | WA | |
| AB16733 | MEDICARE PIN (08) | WA |
Medicare Participation & PECOS Enrollment Status
Megan Baker 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
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
Physician Visit Costs
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 98684 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.29
- Minimum New Patient Price $57.27
- Maximum New Patient Price $172.8
- Average New Patient Copayment $22.07
- Minimum New Patient Copayment $14.31
- Maximum New Patient Copayment $43.2
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.78
- Minimum Established Patient Price $18.56
- Maximum Established Patient Price $141.11
- Average Established Patient Copayment $25.19
- Minimum Established Patient Copayment $4.64
- Maximum Established Patient Copayment $35.27
* 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.
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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 | 8 | 3 | 1 | 1 | 3 | 8 | 6 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 6 | 1 | 2 | 3 | 16 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 6 + 1 + 2 + 3 + 1 + 6 + 6 + 1 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1831138650 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1952364846 | DR. NATALYA N. NADAL M.D. Individual | Pediatrics | 501 SE 172ND AVE VANCOUVER, WA 98684 (360) 882-2778 |
| 1801841929 | JENNY BALDWIN ATC, LMP Individual | Massage Therapist | 501 SE 172ND AVE VANCOUVER, WA 98684 (360) 397-3619 |
| 1437199585 | ROBERT FISHER M.D. Individual | Internal Medicine (Sleep Medicine) | 501 SE 172ND AVE VANCOUVER, WA 98684 (360) 397-3606 |
| 1114950896 | ZHENG QIAN MD Individual | Dermatology | 501 SE 172ND AVE VANCOUVER, WA 98684 (360) 882-2778 |
| 1467471748 | MR. COREY R RICHARDSON PA-C Individual | Physician Assistant | 501 SE 172ND AVE VANCOUVER, WA 98684 (360) 397-1500 |
| 1740333947 | DR. RANCE W STALEY DPT, CSCS, CSMT Individual | Physical Therapist | 501 SE 172ND AVE VANCOUVER, WA 98684 (360) 397-3595 |
| 1326209420 | DR. JESSICA LYNN HOLZMAN M.D. Individual | Family Medicine | 501 SE 172ND AVE VANCOUVER, WA 98684 (360) 882-2778 |
| 1073761185 | MS. KARRIE LARAE WILSON LMP Individual | Massage Therapist | 501 SE 172ND AVE VANCOUVER, WA 98684 (360) 882-2778 |
| 1598915571 | MARY ELIZABETH O'SULLIVAN AUDIOLOGIST Individual | Audiologist | 501 SE 172ND AVE 230 VANCOUVER, WA 98684 (360) 397-3920 |
| 1497054290 | CAITLIN JEAN FERNHOFF Individual | Audiologist | 501 SE 172ND AVE VANCOUVER, WA 98684 (360) 882-2778 |
| 1780930982 | DR. MOLLY MCKAY BETTINESKI PHARMD Individual | Pharmacist | 501 SE 172ND AVE SUITE 120 VANCOUVER, WA 98684 (360) 397-3602 |
| 1952301277 | DR. JONATHAN R SACHS MD Individual | Internal Medicine (Gastroenterology) | 501 SE 172ND AVE VANCOUVER, WA 98684 (360) 882-2778 |
| 1114369519 | MS. JUDITH ANNETTE RICHARDSON RPH Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 501 SE 172ND AVE VANCOUVER, WA 98684 (360) 397-3602 |
| 1942316542 | STEVEN P HILL MD Individual | Psychiatry & Neurology (Neurology) | 501 SE 172ND AVE SUITE 220 VANCOUVER, WA 98684 (360) 882-2778 |
| 1356776421 | KIMBERLY DRYNAN FNP Individual | Nurse Practitioner (Family) | 501 SE 172ND AVE VANCOUVER, WA 98684 (360) 882-2778 |
| 1215909452 | DR. CHRISTOPHER D LOTUFO DPM Individual | Podiatrist (Foot & Ankle Surgery) | 501 SE 172ND AVE STE 140 VANCOUVER, WA 98684 (360) 882-2778 |
| 1548496243 | MELISSA JANELLE FREEMAN MD Individual | Psychiatry & Neurology (Neurology) | 501 SE 172ND AVE #220 VANCOUVER, WA 98684 (360) 882-2778 |
| 1316135007 | EMILY BROOKS PA-C Individual | Physician Assistant | 501 SE 172ND AVE #130 VANCOUVER, WA 98684 (360) 882-2778 |
| 1508901398 | DR. BRITA M FELICIANO MD Individual | Internal Medicine | 501 SE 172ND AVE VANCOUVER, WA 98684 (360) 882-2778 |
| 1790017127 | DR. RICA REMEDIOS TORRES PAULL MD Individual | Family Medicine | 501 SE 172ND AVE SUITE 130 VANCOUVER, WA 98684 (360) 882-2778 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831138650, enumerated in the NPI registry as an "individual" on June 06, 2006
The provider is located at 501 Se 172nd Ave Suite 150 Vancouver, Wa 98684 and the phone number is (360) 882-2778
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: BridgeSpan Health Company, PacificSource 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.
Medicare beneficiaries should expect a typical cost of $88.29 with an average copayment of $22.07 for new patient appointments. Established patients should expect a typical charge of $100.78 and an average copayment of 25.19. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 06, 2006. 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].
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