Stacy Baker, M.D.
Individual provider Active NPI Family Medicine Physician · Rock Hill, SC
NPI 1528297611 · NPPES record last updated Jan 30, 2023
Key facts
- NPI
- 1528297611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2012-01201 (NC)
- Practice address
- 735 Cherry Rd
Rock Hill, SC 29732-3121 - Phone
- (803) 818-3932
- Fax
- (844) 729-6584
- NPI assigned
- Jul 9, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Florida College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Broken Better Urgent Care LLC
Practice addresses (Care Compare)
735 Cherry Rd
Rock Hill, SC 29732-3121
Phone (803) 818-3932
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.03 of 100
- Quality
- 81.15
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120514000004 | SC | Practitioner - Family Practice | 2769645696 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broken Better Urgent Care LLC | Current |
Accepting new patients | |
| Broken Better Urgent Care LLC | Current |
Accepting new patients |
Locations
735 Cherry Rd
Rock Hill, SC 29732
Phone (803) 818-3932
Interoperability endpoints
- stacy.baker.1@22263.direct.athenahealth.com
- https://api.platform.athenahealth.com/22263/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2012-01201 | NC | Yes |
Addresses
Primary practice location
735 Cherry Rd
Rock Hill, SC 29732-3121
Mailing address
735 Cherry Rd
Rock Hill, SC 29732-3121
Phone (803) 818-3932
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 317749 | Medicaid | SC | |
| 5921383 | Medicaid | NC |
Other providers in Rock Hill, SC
- Lisa Baker
- Logan S Baker
- Paula Maria Baker
- Robert W. Baker
- Shukairo Mack Baker
- Victoria Christine Baker
- Wendy K Baker
- Talal Tarak Baki
- Gretchen K B Baldwin
- Jill Marie Balik
All providers in Rock Hill, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.