Carl W Baker, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

17421 Issued in SC

Practice address

15 Lafayette PL Ste C
Hilton Head Island, SC 29926-2277

Phone

(843) 715-2424

Fax

(843) 715-2945

NPI assigned

Mar 7, 2006

Last updated

Mar 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in KY, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

University of Kentucky College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Ophthalmology Group LLCGroup PAC ID 0840227013, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.22 of 100Reported as group

Quality

100

Improvement activities

40

Cost

77.41

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbaker@paducaheyes.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hilton Head Retina Institute, LLC

  • Retina Specialist (Ophthalmology) Physician
  • Hilton Head Island, SC
  • NPI 1508463142
  Medicare reassignment NPD Authorized official
• The Ophthalmology Group, LLC

  • Ophthalmology Physician
  • Paducah, KY
  • NPI 1598717027
  Medicare reassignment Care Compare group
• Bishop Eye Associates, PA

  • Ophthalmology Physician
  • Hilton Head Island, SC
  • NPI 1659494821
  Medicare reassignment NPD
• Marion Eye Care Center PLLC

  • Optometrist
  • Marion, KY
  • NPI 1164530887
  NPD (past)
• The Ophthalmology Group LLP

  dba Keene Optical

  • Eyewear Supplier
  • Paducah, KY
  • NPI 1134155047
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1154398253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LAFAYETTE PL STE C",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262277",
            "telephone_number": "843-715-2424",
            "fax_number": "843-715-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LAFAYETTE PL STE C",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262277",
            "telephone_number": "843-715-2424",
            "fax_number": "843-715-2945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4630 Village Square Dr",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420017502",
            "country_code": "US",
            "telephone_number": "270-442-1671",
            "fax_number": "270-442-7307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CARL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "17421",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "32965",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KY",
            "license": "32965",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "SC",
            "license": "17421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64329659",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "610706763",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100053130",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000044963",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180029586",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Retina Specialist (Ophthalmology) Physician in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Retina Specialist (Ophthalmology) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.