MR. MATTHEW TSAMPICO BAKER (PA-C) – Physician Assistant, NPI 1255789392

MR. MATTHEW TSAMPICO BAKER (PA-C) is a healthcare provider. based in New smyrna beach, Florida. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PAX000012566 (FL). The NPI Number for MR. MATTHEW TSAMPICO BAKER (PA-C) is 1255789392

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. MATTHEW TSAMPICO BAKER (PA-C)
NPI
1255789392
Phone
(386) 428-5554
Address
807 STATE ROAD 44
Enumeration Date
31 May 2016
Last Update Date
29 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862544000
Graduation Year
2016 (10 years ago)
PAC ID
5597046755
Group Practice PAC ID
1254238090
Professional Enrollment ID
I20161229001588
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

Provider Addresses for MR. MATTHEW TSAMPICO BAKER (PA-C)

  • 807 STATE ROAD 44

    NEW SMYRNA BEACH, FL 321687271

    Phone: (386) 428-5554

    Fax: (386) 428-6291

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Exact Sciences Corporation ($57).

Total Amount

$75

General + Research + Ownership

Payments

4

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2016-12-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20161229001588IPhysician AssistantFLTBD

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 32168)

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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: 1254238090View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YFL
Nurse PractitionerFL
Physician AssistantFL
U R O L O G YFL
Internal Medicine, Hematology/OncologyFL
Family PracticeFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
--
Emergency MedicineFL
Nurse PractitionerTN

Reviews

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Frequently asked questions

Does MR. MATTHEW TSAMPICO BAKER (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. MATTHEW TSAMPICO BAKER (PA-C) uses 1255789392.
Is MR. MATTHEW TSAMPICO BAKER (PA-C) listed as active for patients and plans?
The listing shows MR. MATTHEW TSAMPICO BAKER (PA-C) as active in the NPI system.
What is MR. MATTHEW TSAMPICO BAKER (PA-C)'s primary classification?
Physician Assistant is the headline specialty for MR. MATTHEW TSAMPICO BAKER (PA-C) here. Clinical services aligned with this taxonomy classification.
Where is MR. MATTHEW TSAMPICO BAKER (PA-C) based?
MR. MATTHEW TSAMPICO BAKER (PA-C) is tied to New Smyrna Beach, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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