Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407884950 Individual Practitioner Male Practitioner

Kenneth E. Baker , PA-C

Physician Assistant • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Kenneth Baker, PA-C is a registered healthcare professional specializing in Physician Assistant in Orlando, FL. Practice services are available at 4215 EDGEWATER DR under active NPI credentials.

Frequently performed procedures and clinical services include insertion of multi-component inflatable penile prosthesis, insertion of inflatable urethra or bladder neck sphincter, creation of sling around urethra in male to control leakage. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4215 Edgewater Dr

Orlando, FL 328042206

Telephone 4075392000
Fax 4073980050
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.6 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
552 Specialists

Practicing in Orlando, FL (10376 Statewide)

Telehealth Adoption Rate
10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
54405 Insertion of multi-component inflatable penile prosthesis
23 23 $812.88 $111.64
53445 Insertion of inflatable urethra or bladder neck sphincter
15 15 $774.00 $104.85
53440 Creation of sling around urethra in male to control leakage
13 13 $775.00 $68.08
50545 Removal of kidney and lymph nodes using an endoscope
11 11 $1389.00 $183.52
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope
11 11 $1794.00 $191.93

Medical Specialties & State Licenses

CMS Verified: 2021-03-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9100970

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NY 010532

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Qss Scs Medicare Ptan
CU700Y (FL)
Commercial Insurance / Payer ID Qss Scs Group Ptan
HF826A (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Michael Hammoor , PA-C

Physician Assistant - Surgical

NPI 1043272255

Physician Assistant (Certified)

Denise Livingston , ARNP

Nurse Practitioner - Adult Health

NPI 1083968820

Advanced Registered Nurse Practitioner

Penn Mattox , PA-C

Physician Assistant - Surgical

NPI 1104805001

Physician Assistant (Certified)

Richard Chapman , PA-C

Physician Assistant - Surgical

NPI 1437144953

Physician Assistant (Certified)

Christopher Kondor , PA-C

Physician Assistant - Surgical

NPI 1457345449

Physician Assistant (Certified)

Kevin Boerner , PA-C

Physician Assistant - Surgical

NPI 1457346959

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address March 11, 2021

Registered at PO BOX 4059, WAYNE, NJ 074744059 (Tel: 9738268291)

NPI Profile Active August 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2013

Registered at 4215 EDGEWATER DR, ORLANDO, FL 328042206 (Tel: 4075392000)

📍
Updated Business Mailing Address August 02, 2013

Registered at 145 US HIGHWAY 46, SUITE 304, WAYNE, NJ 074706830 (Tel: 9738941263)

👤
Provider Name / Credentials Updated August 02, 2013

Recorded as KENNETH BAKER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2013

Physician Assistant (License #PA9100970 in FL)

🟢
Initial NPI Registration & Enumeration June 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407884950
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2006
Last Update: March 11, 2021
Sole Proprietor: No

Mailing Address

Po Box 4059

Wayne, NJ 074744059

Phone: 9738268291

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.