CHAMP L. BAKER (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1912128448

CHAMP L. BAKER (MD) is a healthcare provider. based in Dothan, Alabama. specializing in SPORTS MEDICINE, ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 061038 (GA). The NPI Number for CHAMP L. BAKER (MD) is 1912128448

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
CHAMP L. BAKER (MD)
NPI
1912128448
Phone
(334) 699-5747
Address
512 N Shady Ln
Enumeration Date
1 May 2007
Last Update Date
20 November 2020

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
3346995747
Graduation Year
2002 (24 years ago)
PAC ID
1052411360
Group Practice PAC ID
1355254780
Professional Enrollment ID
I20080630000358
Address ID
AL363032991DO512XXLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

112 SPORTS MEDICINE in AL

Provider Addresses for CHAMP L. BAKER (MD)

  • 512 N Shady Ln

    Dothan, AL 363032991

    Phone: (334) 699-5747

    Fax: (334) 699-5750

    Type: Location

  • PO BOX 370

    FORTSON, GA 318080370

    Phone:

    Fax: (706) 494-3008

    Type: Mailing

  • 6262 VETERANS PKWY

    COLUMBUS, GA 319093540

    Phone: (706) 324-6661

    Fax: (706) 494-3201

    Type: Location

  • 107 Calumet Center Rd

    LaGrange, GA 302416705

    Phone: (706) 884-3274

    Fax: (706) 882-2940

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $6,009.

Total Amount is formed as General ($6,009) + Research ($0) + Ownership ($0) = $6,009.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: CGG Medical Inc ($4,150).

Total Amount

$6,009

General + Research + Ownership

Payments

30

Total payment records

General Amount

$6,009

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080611000465ISports MedicineGATBD
I20080630000358ISports MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg1,63218$0
99213Established patient office or other outpatient visit, 20-29 minutes318202$0
J1030Injection, methylprednisolone acetate, 40 mg247123$0
99203New patient office or other outpatient visit, 30-44 minutes205205$0
20610Aspiration and/or injection of fluid from large joint171116$0
View full utilization report →

Insurance plans in this area (ZIP 36303)

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Provider's Procedures

CHAMP L. BAKER (MD) performs procedures in SPORTS MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
SPORTS MEDICINEGA20610Aspiration and/or injection of large joint or joint capsule215147

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355254780View full group profile
NameSpecialtyState
-GA
-AL
Physical Therapist In Private PracticeGA
Physician AssistantAL
Physical Therapist In Private PracticeGA
Sports Medicine, Orthopedic Surgery, Orthopedic SurgeryGA
Nurse PractitionerGA
Physical Therapist In Private PracticeSC
Sports Medicine, Orthopedic SurgeryGA
Occupational Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Does CHAMP L. BAKER (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CHAMP L. BAKER (MD) uses 1912128448.
Does the file indicate CHAMP L. BAKER (MD) is practicing under active NPI?
Directory data currently reports CHAMP L. BAKER (MD) as active.
What healthcare role does CHAMP L. BAKER (MD) hold?
Scheduling teams often label CHAMP L. BAKER (MD) under Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for CHAMP L. BAKER (MD)?
CHAMP L. BAKER (MD)'s geographic hint is Dothan, Alabama in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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