JOHN WILDER BAKER (M D) – Specialist, NPI 1447239116

JOHN WILDER BAKER (M D) is a healthcare provider. based in Little rock, Arkansas. specializing in GENERAL SURGERY. They hold the professional credentials M D. They hold a License No. 311310 (LA). The NPI Number for JOHN WILDER BAKER (M D) is 1447239116

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
JOHN WILDER BAKER (M D)
NPI
1447239116
Phone
(501) 221-9175
Address
1 LILE CT
Enumeration Date
11 January 2006
Last Update Date
26 January 2023

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
9077968713
Graduation Year
1983 (43 years ago)
PAC ID
2062588221
Group Practice PAC ID
1759469174
Professional Enrollment ID
I20260224002002
Address ID
AK998017800JU3268XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

300 GENERAL SURGERY in AR

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Provider Addresses for JOHN WILDER BAKER (M D)

  • Lile Court, Little Rock, Pulaski County, Arkansas, 772211, United States

    LITTLE ROCK, AR 722056239

    Phone: (501) 221-9175

    Fax: (501) 221-9672

    Type: Mailing

  • 7300 LAKESHORE DR APT 4

    NEW ORLEANS, LA 701242461

    Phone: (501) 247-4887

    Fax: (504) 541-9201

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $529.

Total Amount is formed as General ($529) + Research ($0) + Ownership ($0) = $529.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Ethicon US, LLC ($412).

Total Amount

$529

General + Research + Ownership

Payments

5

Total payment records

General Amount

$529

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ethicon US, LLC$412
Medtronic, Inc.$116
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: 2026-02-24

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
I20190131000267IGeneral SurgeryLATBD
I20260224002002IGeneral SurgeryAKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72205)

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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: 1759469174View full group profile
NameSpecialtyState
Physician AssistantAK
Internal MedicineAK
Internal MedicineAK
-WA
O P H T H A L M O L O G YFL
Pediatric Medicine, Internal MedicineAK
Internal MedicineUT
Family PracticeOR
Family Practice, HospitalistAK
Family PracticeAK

Reviews

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Frequently asked questions

Is there an official ID for JOHN WILDER BAKER (M D) in U.S. healthcare records?
The official identifier for JOHN WILDER BAKER (M D) is NPI 1447239116.
Is JOHN WILDER BAKER (M D) still an active registrant?
JOHN WILDER BAKER (M D) carries an active NPI according to the public dataset.
What clinical focus is listed for JOHN WILDER BAKER (M D)?
At a glance, JOHN WILDER BAKER (M D) is tied to Other Service Providers. Clinical services aligned with this taxonomy classification.
What locale is associated with JOHN WILDER BAKER (M D)?
Directory geography for JOHN WILDER BAKER (M D) centers on Little Rock, Arkansas.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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