DR. JONATHAN GLENN BAKER (M.D.) – Dermatology Physician, NPI 1447233754
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16 DERMATOLOGY in WY
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Provider Addresses for DR. JONATHAN GLENN BAKER (M.D.)
West Broadway Street, Jackson County, Oklahoma, 73521, United States
SUITE 4
JACKSON, WY 830010000
Phone: (307) 734-1800
Fax: (307) 734-5012
Type: Location
PO BOX 14510
JACKSON, WY 830024510
Phone: (307) 734-1800
Fax: (307) 734-5012
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $299.
Total Amount is formed as General ($299) + Research ($0) + Ownership ($0) = $299.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: GENZYME CORPORATION ($170).
Total Amount
$299
General + Research + Ownership
Payments
9
Total payment records
General Amount
$299
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-09-09
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 |
|---|---|---|---|---|
| I20100909000965 | I | Dermatology | WY | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 7,200 | 31 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 930 | 170 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 365 | 279 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 254 | 203 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 118 | 100 | $0 |
Insurance plans in this area (ZIP 83001)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | WY | 11101 | Biopsy of each additional growth of skin and/or tissue | 29 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| D E R M A T O L O G Y | WY | |
| Physician Assistant | WY | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | WY |
Reviews
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