Active NPI 1205929155 Individual Practitioner Male Practitioner

Dr. Gregory L. Baker , MD

Otolaryngology • Ashland, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Baker, MD is a certified Otolaryngology practicing in Ashland, KY. With approximately 48 years of clinical experience since completing medical education in 1978, Dr. Baker delivers high-quality medical care to the local community at 613 23RD ST STE 420.

Dr. Baker is affiliated with Kings Daughters Medical Specialties Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of impacted ear wax, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

613 23rd St Ste 420

Ashland, KY 411012885

Telephone 6063258561

Fax 6063253591

Associated Practice Facility / Clinic

🏢 Ear, Nose And Throat Associates Of Ashland Pllc Facility NPI 1043306020

Medicare Profile & Education

Medical School

Other

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Ashland, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +13.0 yrs vs City Avg

City Avg: 35.0 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Ashland, KY (160 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baker (48 Years) 48 Yrs

Ashland Specialty Average (35.0 Years) 35.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	182	107	$78.00	$61.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	95	$140.00	$90.78
69210 Removal of impacted ear wax	112	70	$94.00	$30.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$253.00	$124.55
92567 Eardrum testing using ear probe	78	58	$31.00	$9.99
31575 Diagnostic exam of voice box using a flexible endoscope	75	68	$192.00	$63.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$126.00	$76.65
30520 Reshaping of nasal cartilage	13	13	$1906.00	$548.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$417.00	$162.05
30140 Removal of nasal air passage under lining tissue	12	12	$1022.00	$116.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	102	$142.14	$92.39
99213 Established patient office or other outpatient visit, typically 15 minutes	144	89	$83.92	$62.15
69210 Removal of impacted ear wax	111	64	$120.70	$30.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$249.49	$126.38
92567 Eardrum testing using ear probe	70	55	$30.46	$10.21
31575 Diagnostic exam of voice box using a flexible endoscope	60	50	$265.67	$63.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$132.86	$78.50
20605 Aspiration and/or injection of medium joint or joint capsule	14	11	$186.86	$41.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	182	101	$94.00	$64.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	122	$146.00	$94.31
69210 Removal of impacted ear wax	114	70	$146.00	$31.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$243.00	$129.97
92567 Eardrum testing using ear probe	89	73	$30.00	$10.18
31575 Diagnostic exam of voice box using a flexible endoscope	65	53	$322.00	$63.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$142.00	$80.22
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	35	15	$1826.00	$226.63
20605 Aspiration and/or injection of medium joint or joint capsule	21	16	$212.86	$42.42
30520 Reshaping of nasal cartilage	18	17	$1763.00	$602.31
30140 Removal of nasal air passage under lining tissue	18	17	$2486.00	$127.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	11	$229.60	$120.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	246	137	$94.00	$65.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	205	147	$146.00	$96.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$243.00	$131.77
69210 Removal of impacted ear wax	103	60	$146.00	$32.10
92567 Eardrum testing using ear probe	86	68	$30.00	$10.36
31575 Diagnostic exam of voice box using a flexible endoscope	84	70	$322.00	$62.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$145.53	$80.94
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	51	26	$1772.29	$223.71
99213 Established patient office or other outpatient visit, typically 15 minutes	31	21	$164.45	$81.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	21	$216.76	$119.00
20605 Aspiration and/or injection of medium joint or joint capsule	28	20	$159.64	$35.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$321.00	$160.09
30520 Reshaping of nasal cartilage	23	23	$1763.00	$496.63
30140 Removal of nasal air passage under lining tissue	23	23	$2486.00	$128.47
31575 Diagnostic exam of voice box using a flexible endoscope	19	12	$322.00	$118.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$214.00	$100.11
31267 Removal of nasal sinus tissue using an endoscope	13	13	$1796.00	$251.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$376.00	$192.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	340	192	$94.00	$50.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	85	$146.00	$77.60
92567 Eardrum testing using ear probe	105	87	$30.00	$10.73
69210 Removal of impacted ear wax	102	67	$146.00	$32.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$142.00	$74.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$243.00	$127.18
31575 Diagnostic exam of voice box using a flexible endoscope	69	60	$322.00	$63.98
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	34	20	$1745.44	$221.20
99213 Established patient office or other outpatient visit, typically 15 minutes	29	24	$169.31	$71.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$199.20	$97.94
20605 Aspiration and/or injection of medium joint or joint capsule	19	16	$196.05	$40.81
30520 Reshaping of nasal cartilage	19	18	$1763.00	$550.63
30140 Removal of nasal air passage under lining tissue	19	18	$2486.00	$131.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$338.33	$157.73
69436 Incision of eardrum with placement of eardrum tube under general anesthesia	11	11	$746.18	$191.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	728	323	$94.14	$49.55
92567 Eardrum testing using ear probe	214	165	$30.00	$10.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$142.00	$73.80
69210 Removal of impacted ear wax	127	76	$146.00	$31.69
31575 Diagnostic exam of voice box using a flexible endoscope	122	101	$322.00	$63.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$243.00	$125.10
99213 Established patient office or other outpatient visit, typically 15 minutes	69	49	$173.88	$68.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	34	$146.00	$76.41
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	32	23	$1797.47	$230.33
20605 Aspiration and/or injection of medium joint or joint capsule	27	22	$182.11	$39.97
31575 Diagnostic exam of voice box using a flexible endoscope	26	22	$322.00	$103.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$222.00	$96.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$319.82	$156.36
69436 Incision of eardrum with placement of eardrum tube under general anesthesia	21	19	$846.86	$215.14
30520 Reshaping of nasal cartilage	21	21	$1763.00	$512.71
30140 Removal of nasal air passage under lining tissue	21	21	$2486.00	$130.36
92567 Eardrum testing using ear probe	20	20	$30.00	$13.32
69220 Removal of skin debris and drainage of mastoid cavity	19	13	$194.53	$50.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	683	317	$94.15	$49.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	148	148	$144.11	$73.49
69210 Removal of impacted ear wax	111	71	$146.00	$31.49
92567 Eardrum testing using ear probe	106	88	$30.00	$10.50
31575 Diagnostic exam of voice box using a flexible endoscope	105	88	$322.00	$62.13
99213 Established patient office or other outpatient visit, typically 15 minutes	98	62	$192.69	$67.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$247.43	$124.00
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	52	23	$1808.44	$217.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$231.56	$99.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$146.00	$75.36
69436 Incision of eardrum with placement of eardrum tube under general anesthesia	28	27	$814.29	$197.48
31575 Diagnostic exam of voice box using a flexible endoscope	26	18	$322.00	$100.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$352.20	$150.65
30520 Reshaping of nasal cartilage	25	24	$1763.00	$525.30
30140 Removal of nasal air passage under lining tissue	23	23	$2486.00	$128.56
20605 Aspiration and/or injection of medium joint or joint capsule	16	13	$195.56	$42.15
31256 Incision of nasal sinus using an endoscope	12	12	$1120.00	$130.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$47.00	$24.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	560	329	$198.00	$67.69
99213 Established patient office or other outpatient visit, typically 15 minutes	281	172	$94.37	$48.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	189	189	$246.00	$100.13
31575 Diagnostic exam of voice box using a flexible endoscope	124	106	$322.00	$103.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$373.00	$154.09
92567 Eardrum testing using ear probe	70	67	$30.00	$13.57
31575 Diagnostic exam of voice box using a flexible endoscope	58	55	$322.00	$59.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$149.30	$73.03
69210 Removal of impacted ear wax	55	44	$146.00	$44.86
69210 Removal of impacted ear wax	38	33	$146.00	$29.55
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	38	24	$1777.95	$332.65
92567 Eardrum testing using ear probe	36	34	$30.00	$10.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	30	$141.00	$40.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$255.58	$123.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$260.00	$100.56
30520 Reshaping of nasal cartilage	26	26	$1763.00	$369.01
69436 Incision of eardrum with placement of eardrum tube under general anesthesia	23	21	$753.39	$190.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$256.00	$130.76
31256 Incision of nasal sinus using an endoscope	16	16	$1120.00	$127.87
30802 Destruction of soft tissue in nasal passages	12	12	$538.00	$103.84
31287 Incision of nasal sinus using an endoscope	12	12	$1316.00	$144.92

Medical Specialties & State Licenses

CMS Verified: 2021-11-18

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License KY 33745

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64373459 (KY)

Medicaid State Provider ID

2108918 (OH)

Medicaid State Provider ID

0100936000 (WV)

Commercial Insurance / Payer ID Rr Medicare

P00885633 (KY)

Hospital & Practice Group Affiliations

Kings Daughters Medical Specialties Inc

617 23rd St, Ashland, KY 411012880

Kings Daughters Medical Specialties Inc

14395 State Route 93, Jackson, OH 456409798

Phone: 6063242600

Kings Daughters Medical Specialties Inc

391 W Tom T Hall Blvd, Olive Hill, KY 411647688

Phone: 6062868039

Kings Daughters Medical Specialties Inc

2201 Lexington Ave, Ashland, KY 411012843

Phone: 6064084000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. William Van Beneden , DO

Otolaryngology

NPI 1518172014

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location December 03, 2018

Registered at 613 23RD ST STE 420, ASHLAND, KY 411012885 (Tel: 6063258561)

✅

NPI Profile Active April 13, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 13, 2011

Registered at 404 EUCLID AVE, PAINTSVILLE, KY 412401167 (Tel: 6067889304)

📍

Updated Business Mailing Address April 13, 2011

Registered at PO BOX 2379, ASHLAND, KY 411052379 (Tel: 6064084000)

👤

Provider Name / Credentials Updated April 13, 2011

Recorded as GREGORY BAKER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2011

Otolaryngology (License #33745 in KY)

🟢

Initial NPI Registration & Enumeration October 02, 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: 1205929155

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 02, 2006

Last Update: November 18, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 2379

Ashland, KY 411052379

Phone: 6064084000

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.