DR. NORMAN D JR. BAKER (D.O.) – Emergency Medicine Physician, NPI 1215948492

DR. NORMAN D JR. BAKER (D.O.) is a healthcare provider. based in Moscow, Idaho. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 2213 (TN). The NPI Number for DR. NORMAN D JR. BAKER (D.O.) is 1215948492

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. NORMAN D JR. BAKER (D.O.)
NPI
1215948492
Phone
(208) 882-4511
Address
700 S Main St
Enumeration Date
11 August 2006
Last Update Date
6 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6063878000
Graduation Year
2001 (25 years ago)
PAC ID
7810950508
Group Practice PAC ID
2466364997
Professional Enrollment ID
I20170203001639
Address ID
KY426021654AL723XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

270 EMERGENCY MEDICINE in ID

Provider Addresses for DR. NORMAN D JR. BAKER (D.O.)

  • 700 S Main St

    Moscow, ID 838433046

    Phone: (208) 882-4511

    Fax: (208) 883-6580

    Type: Location

  • 3642 SUNSET POINT DR

    GAINESVILLE, GA 305065003

    Phone: (770) 267-1789

    Type: Mailing

  • 604 GREEN ST NE STE 1

    GAINESVILLE, GA 30501

    Phone: (770) 267-1789

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20130604000516IFamily PracticeIDTBD
I20170203001639IEmergency MedicineKYTBD
I20250224002418IEmergency MedicineALTBD
I20260114001018IEmergency MedicineTNTBD

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 83843)

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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: 2466364997View full group profile
NameSpecialtyState
Nurse PractitionerTN
Emergency MedicineTN
Emergency MedicineWV
-AR
Emergency MedicineMA
-TN
-KY
Emergency Medicine, Internal Medicine, Emergency MedicineFL
Emergency MedicineTX
Family Practice, Emergency MedicineAR

Reviews

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Frequently asked questions

Does DR. NORMAN D JR. BAKER (D.O.) have a public NPI I can cite?
Public records show DR. NORMAN D JR. BAKER (D.O.) under NPI 1215948492.
Does the public listing show DR. NORMAN D JR. BAKER (D.O.) as active?
DR. NORMAN D JR. BAKER (D.O.)'s NPI record reflects an active status in NPPES.
What type of care does DR. NORMAN D JR. BAKER (D.O.) provide?
DR. NORMAN D JR. BAKER (D.O.)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. NORMAN D JR. BAKER (D.O.)?
DR. NORMAN D JR. BAKER (D.O.) shows a connection to Moscow, Idaho in registry-derived data.
Who maintains DR. NORMAN D JR. BAKER (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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