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Active NPI 1053370098 Individual Practitioner Male Practitioner

Dr. Clifton A Baker , MD

General Practice • Denton, NC

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Clifton Baker, MD is a certified General Practice practicing in Denton, NC. With approximately 43 years of clinical experience since graduating from Wake Forest University School Of Medicine in 1983, Dr. Baker delivers high-quality medical care to the local community at 18539 S NC HIGHWAY 109.

Dr. Baker accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18539 S Nc Highway 109

Denton, NC 272397713

Telephone 3368595001
Fax 3368591952
Associated Practice Facility / Clinic
🏢 Denton Healthcare Pllc Facility NPI 1891959094

Medicare Profile & Education

Medical School

Wake Forest University School Of Medicine

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Denton, NC

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
43 Yrs Matches City Avg
City Avg: 43.0 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Denton, NC (265 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
35.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baker (43 Years) 43 Yrs
Denton Specialty Average (43.0 Years) 43.0 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
744 218 $25.00 $15.48
99213 Established patient office or other outpatient visit, typically 15 minutes
612 195 $115.03 $85.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
308 174 $157.86 $120.19
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
254 28 $100.00 $58.77
99497 Advance care planning, first 30 minutes
192 191 $100.00 $77.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
180 180 $200.00 $121.56
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
87 23 $115.00 $69.66
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
78 26 $91.00 $37.64
36415 Insertion of needle into vein for collection of blood sample
73 24 $13.00 $8.65
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes
63 15 $140.00 $42.71
81003 Automated urinalysis test
51 32 $16.00 $2.20
99496 Transitional care management services for problem of high complexity
39 30 $300.00 $261.36
83036 Hemoglobin A1C level
28 22 $18.00 $9.52
87804 Detection test by immunoassay with direct visual observation for influenza virus
26 25 $30.00 $16.22
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
22 21 $48.64 $34.62
99442 Telephone medical discussion with physician, 11-20 minutes
20 15 $112.65 $83.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
17 14 $59.00 $21.60
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
15 12 $180.00 $71.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
14 14 $158.00 $104.65
99306 Initial nursing facility visit, typically 45 minutes per day
13 12 $208.00 $170.91
G0136 Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes
12 12 $20.00 $17.69

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NC 28122

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8913112 (NC)
Commercial Insurance / Payer ID Railroad Medicare
930123535 (NC)
Commercial Insurance / Payer ID Blue Cross
12739 (NC)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. J Smith , DNP, FNP-BC, RN

Nurse Practitioner - Primary Care

NPI 1467178830

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified), Registered Nurse

Helen Blackburn

Nurse Practitioner - Primary Care

NPI 1932215563

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2019

General Practice (License #28122 in NC)

NPI Profile Active May 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2017

Registered at 18539 S NC HIGHWAY 109, DENTON, NC 272397713 (Tel: 3368595001)

📍
Updated Business Mailing Address May 03, 2017

Registered at 18539 S. N.C. HWY 109, DENTON, NC 272396807 (Tel: 3368595001)

👤
Provider Name / Credentials Updated May 03, 2017

Recorded as CLIFTON BAKER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2017

Family Medicine (License #28122 in NC)

NPI Profile Active November 19, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2010

Registered at 18539 S NC HIGHWAY 109, DENTON, NC 272397713 (Tel: 3368595001)

📍
Updated Business Mailing Address November 19, 2010

Registered at 18539 S. N.C. HWY 109, DENTON, NC 272396807 (Tel: 3368595001)

👤
Provider Name / Credentials Updated November 19, 2010

Recorded as CLIFTON BAKER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2010

Clinic/Center

🟢
Initial NPI Registration & Enumeration March 20, 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: 1053370098
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2006
Last Update: August 29, 2019
Sole Proprietor: Yes

Mailing Address

18539 S. N.c. Hwy 109

Denton, NC 272396807

Phone: 3368595001

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.