Active NPI 1568403616 Individual Practitioner Female Practitioner

Dorothy R Baker , RN MSN ARNP

Nurse Practitioner • Florence, KY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dorothy Baker, RN MSN ARNP is a certified Nurse Practitioner practicing in Florence, KY. With approximately 29 years of clinical experience since completing medical education in 1997, Dorothy Baker delivers high-quality medical care to the local community at 8726 US HWY 42.

Dorothy Baker is affiliated with Summit Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8726 Us Hwy 42

Florence, KY 41042

Telephone 8593842660

Fax 8593845248

Associated Practice Facility / Clinic

🏢 Cincinnati Healthcare Group Psc, Dba Patient First Physicians Group Facility NPI 1225050222

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Florence, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +16.6 yrs vs City Avg

City Avg: 12.4 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

50 Specialists

Practicing in Florence, KY (1865 Statewide)

Telehealth Adoption Rate

24.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

72.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baker (29 Years) 29 Yrs

Florence Specialty Average (12.4 Years) 12.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	138	$301.00	$84.21
99213 Established patient office or other outpatient visit, typically 15 minutes	112	90	$213.00	$65.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$305.00	$11.11
G0008 Administration of influenza virus vaccine	34	34	$95.85	$26.86
90662 Influenza vaccine split virus, preservative free	32	32	$141.00	$76.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$132.00	$53.64
83036 Hemoglobin A1C level	24	19	$25.00	$9.12
82044 Urine microalbumin (protein) analysis	23	23	$16.00	$6.11
91320 Sarscv2 vac 30mcg trs-suc im	23	21	$289.00	$128.93
90480 Admn sarscov2 vacc 1 dose	23	21	$90.00	$36.10
82570 Creatinine level to test for kidney function or muscle injury	23	23	$13.00	$5.08
93000 Routine ekg using at least 12 leads including interpretation and report	22	20	$64.00	$10.86
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$392.00	$116.61
99495 Transitional care management services for problem of at least moderate complexity	16	15	$479.00	$77.48

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	221	138	$180.00	$85.33
99213 Established patient office or other outpatient visit, typically 15 minutes	103	84	$135.00	$61.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	97	97	$275.00	$15.45
90662 Influenza vaccine split virus, preservative free	33	33	$110.00	$71.62
G0008 Administration of influenza virus vaccine	33	33	$38.00	$28.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$80.00	$45.56
93000 Routine ekg using at least 12 leads including interpretation and report	25	25	$41.00	$10.71
83036 Hemoglobin A1C level	23	18	$23.00	$9.52
82044 Urine microalbumin (protein) analysis	22	21	$12.00	$6.11
82570 Creatinine level to test for kidney function or muscle injury	22	21	$13.00	$5.08
G0009 Administration of pneumococcal vaccine	16	16	$38.00	$26.81
0124A Fee covid-19 vac 13 res	15	15	$90.00	$38.12
99496 Transitional care management services for problem of high complexity	14	12	$465.00	$124.61
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$525.00	$258.51
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	12	12	$110.00	$34.62
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$285.00	$57.22

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	203	134	$175.79	$89.00
99213 Established patient office or other outpatient visit, typically 15 minutes	91	84	$127.62	$66.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$271.32	$17.60
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	27	26	$90.00	$36.01
G0009 Administration of pneumococcal vaccine	22	22	$38.00	$27.10
G0008 Administration of influenza virus vaccine	21	20	$38.00	$27.18
90662 Influenza vaccine split virus, preservative free	19	18	$110.00	$67.16
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$517.61	$279.15
83036 Hemoglobin A1C level	17	15	$23.00	$9.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$74.50	$60.99
0124A Fee covid-19 vac 13 res	14	14	$90.00	$35.64
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$285.00	$24.13
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$40.17	$10.72

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	315	158	$173.00	$83.16
99213 Established patient office or other outpatient visit, typically 15 minutes	104	85	$119.00	$53.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	98	98	$188.00	$107.65
G0008 Administration of influenza virus vaccine	71	71	$38.00	$15.62
90662 Influenza vaccine split virus, preservative free	68	68	$109.71	$64.24
J1100 Injection, dexamethasone sodium phosphate, 1 mg	60	11	$1.00	$0.16
0004A Fee covid-19 vac 1 res	27	27	$90.00	$36.67
83036 Hemoglobin A1C level	26	20	$23.00	$9.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$72.00	$34.24
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$40.00	$11.84
0064A Adm sarscov2 50mcg/0.25mlbst	17	17	$90.00	$36.67
99496 Transitional care management services for problem of high complexity	17	16	$394.12	$225.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	13	$50.00	$11.32
81003 Automated urinalysis test	17	15	$6.00	$2.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$221.56	$117.67
J1040 Injection, methylprednisolone acetate, 80 mg	15	11	$18.00	$10.65
G0009 Administration of pneumococcal vaccine	15	15	$38.00	$15.62
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$270.00	$137.28
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$285.00	$127.39

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	263	140	$173.00	$69.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	99	99	$188.00	$94.18
99213 Established patient office or other outpatient visit, typically 15 minutes	80	64	$119.00	$47.07
G0008 Administration of influenza virus vaccine	49	49	$38.00	$15.60
90662 Influenza vaccine split virus, preservative free	46	46	$90.00	$60.58
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	33	33	$164.39	$118.95
G0009 Administration of pneumococcal vaccine	33	33	$38.00	$15.58
82044 Urine microalbumin (protein) analysis	27	27	$7.00	$5.98
82570 Creatinine level to test for kidney function or muscle injury	23	23	$13.00	$4.95
83036 Hemoglobin A1C level	21	19	$23.00	$9.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$270.00	$136.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$72.00	$28.85
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$40.00	$12.84
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$35.00	$13.61

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	254	148	$170.60	$70.11
99213 Established patient office or other outpatient visit, typically 15 minutes	150	117	$115.83	$46.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	89	89	$182.19	$93.38
G0008 Administration of influenza virus vaccine	45	45	$38.00	$15.31
81002 Urinalysis, manual test	44	40	$6.00	$3.41
90662 Influenza vaccine split virus, preservative free	40	40	$90.00	$54.76
83036 Hemoglobin A1C level	33	26	$23.00	$10.57
G0009 Administration of pneumococcal vaccine	30	30	$38.00	$15.31
82044 Urine microalbumin (protein) analysis	29	29	$7.00	$6.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$69.89	$25.77
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$130.00	$111.23
90670 Pneumococcal vaccine for injection into muscle	12	12	$325.00	$210.19
99496 Transitional care management services for problem of high complexity	12	11	$363.00	$186.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$274.91	$138.55

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	274	147	$168.00	$73.18
99213 Established patient office or other outpatient visit, typically 15 minutes	130	97	$114.00	$50.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$177.00	$91.40
G0008 Administration of influenza virus vaccine	47	46	$38.00	$18.71
90662 Influenza vaccine split virus, preservative free	46	45	$88.15	$52.12
G0009 Administration of pneumococcal vaccine	43	43	$38.00	$18.27
81002 Urinalysis, manual test	38	34	$6.00	$3.41
82044 Urine microalbumin (protein) analysis	31	30	$7.00	$6.11
90670 Pneumococcal vaccine for injection into muscle	29	29	$325.00	$185.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$67.00	$29.51
83036 Hemoglobin A1C level	19	16	$23.00	$11.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$266.00	$136.97
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$130.00	$105.59
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$258.00	$133.03
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$37.00	$11.23

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	259	148	$168.00	$81.58
99213 Established patient office or other outpatient visit, typically 15 minutes	135	108	$114.00	$54.41
81002 Urinalysis, manual test	44	40	$6.00	$3.16
G0008 Administration of influenza virus vaccine	35	34	$38.00	$22.90
82044 Urine microalbumin (protein) analysis	31	29	$7.00	$6.15
90662 Influenza vaccine split virus, preservative free	28	27	$71.64	$47.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$67.00	$32.64
G0009 Administration of pneumococcal vaccine	26	26	$38.00	$22.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$177.00	$91.26
83036 Hemoglobin A1C level	23	21	$23.00	$13.05
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$37.00	$13.26
90670 Pneumococcal vaccine for injection into muscle	16	16	$265.50	$186.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	11	$50.00	$16.79

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 2539P

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License OH 221135

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License KY 1058398

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License OH APRN.CNP.07753

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

78004041 (KY)

Medicaid State Provider ID

2544670 (OH)

Commercial Insurance / Payer ID Railroad Medicare

P00374145 (KY)

Hospital & Practice Group Affiliations

Summit Medical Group Inc

300 Barnes Rd, Williamstown, KY 410979483

Phone: 8598248400

Summit Medical Group Inc

Po Box, Cincinnati, OH 452635283

Summit Medical Group Inc

Po Box, Cincinnati, OH 452635283

Practice Associates & Co-Workers

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

11 Associated Practitioners

Bradley Gray

Family Medicine

NPI 1073752010

Dr. Michael Bowlin , MD

Family Medicine

NPI 1154560225

Doctor of Medicine (M.D.)

Chrystal Souder , APRN

Nurse Practitioner

NPI 1164958609

Advanced Practice Registered Nurse

Dr. Shaun Jennings , DO

Internal Medicine

NPI 1194766253

Doctor of Osteopathic Medicine (D.O.)

Lindsey Jensen

Family Medicine

NPI 1215503800

Dr. Scott Jones , MD

Family Medicine

NPI 1619918703

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 07, 2018

Registered at 8726 US HWY 42, FLORENCE, KY 41042 (Tel: 8593842660)

📍

Updated Business Mailing Address September 07, 2018

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8593842660)

✅

NPI Profile Active September 26, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 26, 2016

Registered at 8726 US HWY 42, FLORENCE, KY 410429625 (Tel: 8593842660)

📍

Updated Business Mailing Address September 26, 2016

Registered at 2300 CHAMBER CENTER DR, SUITE 200, LAKESIDE PARK, KY 410171673 (Tel: 8593445555)

👤

Provider Name / Credentials Updated September 26, 2016

Recorded as DOROTHY BAKER, RN MSN ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2016

Registered Nurse (License #221135 in OH)

🟢

Initial NPI Registration & Enumeration June 09, 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: 1568403616

Entity Type:

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

Enumeration Date: June 09, 2006

Last Update: September 07, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 635283

Cincinnati, OH 452635283

Phone: 8593842660

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.