WALLACE C BAKER (M.D.) – Family Medicine Physician, NPI 1083696967
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
971 FAMILY PRACTICE in ID
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Provider Addresses for WALLACE C BAKER (M.D.)
1880, John Adams Parkway, Idaho Falls, Bonneville County, Idaho, 83401, United States
IDAHO FALLS, ID 834014315
Phone: (208) 524-6633
Fax: (208) 524-9952
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 210 Open Payments records for all available years, with a total value of $4,060.
Total Amount is formed as General ($4,060) + Research ($0) + Ownership ($0) = $4,060.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($725).
Total Amount
$4,060
General + Research + Ownership
Payments
210
Total payment records
General Amount
$4,060
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $725 |
| Otsuka America Pharmaceutical, Inc. | $393 |
| Lilly USA, LLC | $223 |
| Supernus Pharmaceuticals, Inc. | $196 |
| GlaxoSmithKline, LLC. | $154 |
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: 2010-08-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100823001005 | I | Family Practice | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 256 | 105 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 210 | 112 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 200 | 143 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 183 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 166 | 135 | $0 |
Insurance plans in this area (ZIP 83401)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID |
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