KIM WILLIS BAKER (MD) – Emergency Medicine Physician, NPI 1205897428

KIM WILLIS BAKER (MD) is a healthcare provider. based in Owatonna, Minnesota. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 28668 (MN). The NPI Number for KIM WILLIS BAKER (MD) is 1205897428

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
KIM WILLIS BAKER (MD)
NPI
1205897428
Phone
(507) 451-1120
Address
134 SOUTHVIEW ST
Enumeration Date
29 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8652716500
Graduation Year
1983 (43 years ago)
PAC ID
9739070657
Group Practice PAC ID
9234432881
Professional Enrollment ID
I20080613000349
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for KIM WILLIS BAKER (MD)

  • 134, Southview Street, Owatonna, Steele County, Minnesota, 55060, United States

    OWATONNA, MN 550603241

    Phone: (507) 451-1120

    Fax: (507) 444-6287

    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 1 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2023-06-15 • Largest payer in this snapshot: ABBVIE INC. ($145).

Total Amount

$145

General + Research + Ownership

Payments

1

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$145
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: 2008-06-13

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
I20080613000349IInternal 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 55060)

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Provider's Procedures

KIM WILLIS BAKER (MD) performs procedures in Emergency Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMN93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report8482

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: 9234432881View full group profile
NameSpecialtyState
-OH
Infectious Disease, Internal MedicineTN
Internal MedicineTN
Internal Medicine, Infectious DiseaseTN
Internal MedicineCA
Physician AssistantKY
Internal MedicineAL
Family PracticeKY
Internal MedicineTN
Internal MedicineTN

Reviews

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Frequently asked questions

Where can patients find KIM WILLIS BAKER (MD)'s NPI?
You can confirm KIM WILLIS BAKER (MD) with NPI 1205897428; it appears in the national provider directory.
Is KIM WILLIS BAKER (MD) currently active in the NPI registry?
CMS-published data lists KIM WILLIS BAKER (MD) as an active registrant.
Does KIM WILLIS BAKER (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for KIM WILLIS BAKER (MD). Clinical services aligned with this taxonomy classification.
Does KIM WILLIS BAKER (MD) practice in Minnesota?
You will see Owatonna, Minnesota on file for KIM WILLIS BAKER (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.