WALLACE C BAKER M.D. NPI 1083696967

NPI Information

  • NPI: 1083696967
  • Provider Name: WALLACE C BAKER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1880 JOHN ADAMS PKWY
    IDAHO FALLS, ID
    ZIP 83401
  • Phone: (208) 524-6633

Map and Directions

Get Directions

NPI Details

Wallace C Baker, M.D. is a family medicine in Idaho Falls, ID with 32 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Wallace C Baker, M.D. NPI is 1083696967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

1880 JOHN ADAMS PKWY
IDAHO FALLS, ID
ZIP 83401-315
Phone: (208) 524-6633
Fax: (208) 524-9952

The NPI 1083696967 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin a1c level (HCPCS:83036)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Automated urinalysis test (HCPCS:81003)
  • Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b (HCPCS:87636)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 11/16/2005 and was last updated on 7/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineM2619IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DE1614OTHERIDAHORR MEDICARE GRP
272132OTHERIDAHOIDAHO BLUE CROSS PROVIDER
31134140148OTHERIDAHOBAKER FAMILY GROUP NPI
41134559MEDICARE ID-TYPE UNSPECIFIEDIDAHOMEDICARE PROVIDER NUMBER
5002796800MEDICAIDIDAHO
68K123OTHERIDAHOBLUE CROSS GROUP
7080097138OTHERIDAHORR MEDICARE
8G26485MEDICARE UPINIDAHO
91376964MEDICARE ID-TYPE UNSPECIFIEDIDAHOMEDICARE GROUP NUMBER
10000010001770OTHERIDAHOBLUE SHIELD PROVIDER NUMB
11000010027582OTHERIDAHOBLUE SHIELD GROUP
12266877OTHERIDAHODMBA
13807937700MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.