Deactivated NPI 1831192525 Deactivated / Inactive NPI Male Practitioner

Dr. John L Baeke , MD

General Practice • San Antonio, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Baeke has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 27, 2005

NPI Deactivation Date March 17, 2006

Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. John Baeke, MD was a registered General Practice practicing in San Antonio, TX. Throughout an active medical career spanning 1 years, Dr. Baeke provided care at the practice location at 423 TREELINE PARK STE 310 until profile deactivation on 2006-03-17.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

423 Treeline Park Ste 310

San Antonio, TX 782092079

Telephone 9183802525

Fax 5304302026

Associated Practice Facility / Clinic

🏢 Park Place Plastic Surgery Pllc Facility NPI 1538860408

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in San Antonio, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.2 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

95 Specialists

Practicing in San Antonio, TX (1183 Statewide)

Telehealth Adoption Rate

2.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.1% 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	14	$198.11	$99.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$383.17	$186.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	15	$137.19	$68.97
99213 Established patient office or other outpatient visit, typically 15 minutes	16	11	$177.06	$65.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	21	$139.57	$71.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	13	$118.00	$61.92
99213 Established patient office or other outpatient visit, typically 15 minutes	20	12	$188.00	$99.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$267.00	$141.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$387.00	$193.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	40	$164.00	$80.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	34	$100.00	$49.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	26	$237.00	$117.40
11042 Removal of skin and tissue, 20.0 sq cm or less	21	12	$283.00	$136.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	16	$52.00	$24.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$234.00	$115.66
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$216.00	$106.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$355.00	$175.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	27	$156.00	$78.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	22	$95.00	$48.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	21	$230.00	$115.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	15	$82.30	$40.59
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	11	$48.00	$24.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$230.00	$114.25
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$161.00	$81.15

Medical Specialties & State Licenses

CMS Verified: 2025-06-20

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX T2821

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

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License CA G55894

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License TX T2821

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare

240003786 (KS)

Commercial Insurance / Payer ID Bcbs Of Kc

18537060 (KS)

Commercial Insurance / Payer ID Bcbs Of Ks

458239 (KS)

Secondary Practice Locations

11212 State Highway 151

San Antonio, TX 782514498

Phone: 9183802525

Career & Practice History Timeline

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

13 Historical Events

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2025

Plastic Surgery (License #G55894 in CA)

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Updated Practice Location February 09, 2024

Registered at 423 TREELINE PARK STE 310, SAN ANTONIO, TX 782092079 (Tel: 9183802525)

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Updated Business Mailing Address February 09, 2024

Registered at 26 DI LUSSO DR, BOERNE, TX 780064703 (Tel: 9183802525)

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2024

Plastic Surgery (License #T2821 in TX)

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Updated Practice Location May 06, 2022

Registered at 19338 BABCOCK RD STE 108109, SAN ANTONIO, TX 782552478 (Tel: 2108021661)

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Updated Business Mailing Address May 06, 2022

Registered at 17503 LA CANTERA PKWY # 104-409, SAN ANTONIO, TX 782578207 (Tel: 2108021661)

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2022

Plastic Surgery (License #G55894 in CA)

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Updated Practice Location May 31, 2018

Registered at 14950 NEWTON DR, OVERLAND PARK, KS 662232212 (Tel: 9136850101)

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Updated Business Mailing Address May 31, 2018

Registered at 14950 NEWTON DR, OVERLAND PARK, KS 662232212 (Tel: 9136850101)

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Provider Name / Credentials Updated May 31, 2018

Recorded as JOHN BAEKE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2018

Specialist (License #04-24238 in KS)

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NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

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Initial NPI Registration & Enumeration May 27, 2005

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: 1831192525

Entity Type:

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

Enumeration Date: May 27, 2005

Last Update: June 20, 2025

Deactivation Date: March 17, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

26 Di Lusso Dr

Boerne, TX 780064703

Phone: 9183802525

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.