ANDREW MARK BAKER (DDS MD) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1295148880

ANDREW MARK BAKER (DDS MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in ORAL SURGERY. They hold the professional credentials DDS MD. They hold a License No. 2901601271 (MI). The NPI Number for ANDREW MARK BAKER (DDS MD) is 1295148880

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW MARK BAKER (DDS MD)
NPI
1295148880
Phone
(616) 977-5000
Address
4500 CASCADE RD SE STE 208
Enumeration Date
11 June 2014
Last Update Date
2 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY
Secondary Phone
6169775000
Graduation Year
2014 (12 years ago)
PAC ID
2264747252
Group Practice PAC ID
0547349458
Professional Enrollment ID
I20220728001929
Address ID
MI495453556GR4500XSEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

90 ORAL SURGERY in MI

Provider Addresses for ANDREW MARK BAKER (DDS MD)

  • 4500 CASCADE RD SE STE 208

    GRAND RAPIDS, MI 495463665

    Phone: (616) 977-5000

    Fax: (616) 977-0020

    Type: Location

  • 1515 E HOSPITAL DR

    TOWLSEY CTR G1218G, SPC 5222

    ANN ARBOR, MI 481095000

    Phone: (734) 936-5950

    Type: Mailing

  • 2240 S State Rd

    Ionia, MI 488462149

    Phone: (616) 523-9000

    Fax: (616) 523-9001

    Type: Location

  • 5238 W St Joe Hwy Ste 2

    Lansing, MI 489174085

    Phone: (517) 323-1000

    Fax: (517) 886-5566

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2023-12-22 • Largest payer in this snapshot: AXOGEN ($80).

Total Amount

$94

General + Research + Ownership

Payments

2

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-22

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: 2022-07-28

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
I20220728001929IOral SurgeryMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2213$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 49546)

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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: 0547349458View full group profile
NameSpecialtyState
Maxillofacial Surgery, Dentist, Oral Surgery, General SurgeryMI
Maxillofacial SurgeryMI
Maxillofacial SurgeryMI
Maxillofacial Surgery, Oral SurgeryMI
Maxillofacial Surgery, Oral SurgeryMI

Reviews

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Frequently asked questions

Is there an official ID for ANDREW MARK BAKER (DDS MD) in U.S. healthcare records?
The official identifier for ANDREW MARK BAKER (DDS MD) is NPI 1295148880.
Is ANDREW MARK BAKER (DDS MD) still an active registrant?
ANDREW MARK BAKER (DDS MD) carries an active NPI according to the public dataset.
What clinical focus is listed for ANDREW MARK BAKER (DDS MD)?
At a glance, ANDREW MARK BAKER (DDS MD) is tied to Oral & Maxillofacial Surgery (D.M.D.). Clinical services aligned with this taxonomy classification.
Where in Michigan is ANDREW MARK BAKER (DDS MD) registered?
Use Grand Rapids, Michigan as the headline location for ANDREW MARK BAKER (DDS MD) here.
Can I trust this NPI listing for ANDREW MARK BAKER (DDS MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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