RANDAL BAKER (MD) – Surgery Physician, NPI 1104867480
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 GENERAL SURGERY in MI
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Provider Addresses for RANDAL BAKER (MD)
2060, Paris Avenue Southeast, Third Ward, Grand Rapids, Kent County, Michigan, 49507, United States
SUITE 100
GRAND RAPIDS, MI 495466113
Phone: (616) 956-6657
Fax: (616) 956-6637
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 40 Open Payments records for all available years, with a total value of $14,983.
Total Amount is formed as General ($14,983) + Research ($0) + Ownership ($0) = $14,983.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($8,230).
Total Amount
$14,983
General + Research + Ownership
Payments
40
Total payment records
General Amount
$14,983
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $8,230 |
| W. L. Gore & Associates, Inc. | $5,665 |
| Ethicon Inc. | $1,010 |
| Boston Scientific Corporation | $56 |
| Ethicon US, LLC | $23 |
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: 2009-01-27
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 |
|---|---|---|---|---|
| I20090127000438 | I | General Surgery | MI | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 34 | 25 | $0 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 32 | 29 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 25 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 16 | $0 |
| 43282 | Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 49546)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| General Surgery | MI | |
| - | MI | |
| Physician Assistant | MI | |
| - | AZ | |
| Physician Assistant | MI | |
| General Surgery | MI |
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