Active NPI 1457359952 Individual Practitioner Male Practitioner

Dr. James Keith Baker , MD

Orthopaedic Surgery • San Marcos, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Baker, MD is a certified Orthopaedic Surgery practicing in San Marcos, TX. With approximately 38 years of clinical experience since graduating from Tulane University School Of Medicine in 1988, Dr. Baker delivers high-quality medical care to the local community at 1305 WONDER WORLD DRIVE.

Dr. Baker accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1305 Wonder World Drive
Suite 100

San Marcos, TX 786667502

Telephone 5123538658

Fax 5123538533

Associated Practice Facility / Clinic

🏢 Lone Star Orthopedics Pa Facility NPI 1851484463

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in San Marcos, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +4.2 yrs vs City Avg

City Avg: 33.8 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

4 Specialists

Practicing in San Marcos, TX (1627 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baker (38 Years) 38 Yrs

San Marcos Specialty Average (33.8 Years) 33.8 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	151	83	$175.00	$85.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	53	$275.00	$119.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$250.00	$106.43
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	34	11	$12.00	$7.01
20610 Aspiration and/or injection of fluid from large joint	15	11	$160.00	$65.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$379.00	$165.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	160	80	$175.00	$86.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	75	$275.00	$120.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$250.00	$107.42
20610 Aspiration and/or injection of fluid from large joint	40	21	$160.00	$61.69
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	37	18	$12.00	$6.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	135	77	$175.00	$86.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	58	$266.86	$124.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$250.00	$108.12
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	37	14	$12.00	$6.68
20610 Aspiration and/or injection of fluid from large joint	22	12	$160.00	$62.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	180	76	$171.89	$88.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	56	$225.00	$125.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$250.00	$109.20
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	42	21	$12.00	$6.87
20610 Aspiration and/or injection of fluid from large joint	41	24	$160.00	$65.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	192	98	$135.00	$72.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	63	$210.06	$105.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$225.43	$102.58
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	37	13	$12.00	$6.73
20610 Aspiration and/or injection of fluid from large joint	20	13	$160.00	$68.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	275	137	$135.00	$68.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	109	$175.00	$100.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$175.00	$101.23
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	62	27	$12.00	$6.75
20610 Aspiration and/or injection of fluid from large joint	44	29	$160.00	$58.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	12	$116.00	$68.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	13	$379.00	$190.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	315	169	$135.00	$69.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	99	$175.00	$103.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$175.00	$103.50
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	70	26	$12.00	$7.07
20610 Aspiration and/or injection of fluid from large joint	56	30	$160.00	$60.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	379	169	$135.00	$69.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	117	$175.00	$99.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$175.00	$100.45
20610 Aspiration and/or injection of fluid from large joint	101	44	$160.00	$58.90
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	100	39	$12.00	$6.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$220.00	$132.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$379.00	$196.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$205.00	$157.06

Medical Specialties & State Licenses

CMS Verified: 2022-01-28

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX M3153

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1138355 (LA)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Abel Galaviz , MD

Surgery

NPI 1659315471

Doctor of Medicine (M.D.)

Dr. Kenneth Long , MD

Internal Medicine

NPI 1932125846

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 Business Mailing Address January 28, 2022

Registered at 1305 WONDER WORLD DR STE 307, SAN MARCOS, TX 786667542 (Tel: 5123538658)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2022

Orthopaedic Surgery (License #M3153 in TX)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 1305 WONDER WORLD DRIVE, SUITE 100, SAN MARCOS, TX 786667502 (Tel: 5123538658)

📍

Updated Business Mailing Address July 09, 2007

Registered at 1305 WONDER WORLD DRIVE, SUITE 100, SAN MARCOS, TX 786667502 (Tel: 5123538658)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as JAMES BAKER, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #MD.019987 in LA)

🟢

Initial NPI Registration & Enumeration July 08, 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: 1457359952

Entity Type:

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

Enumeration Date: July 08, 2005

Last Update: January 28, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1305 Wonder World Dr Ste 307

San Marcos, TX 786667542

Phone: 5123538658

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.