Active NPI 1265448310 Individual Practitioner Male Practitioner

Dr. Randolph Marshall Baker , MD

Internal Medicine • Palmyra, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Randolph Baker, MD is a certified Internal Medicine practicing in Palmyra, VA. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Baker delivers high-quality medical care to the local community at 33 REBECCA DR.

Dr. Baker is affiliated with Martha Jefferson Medical Group Llc 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, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

33 Rebecca Dr

Palmyra, VA 229636242

Telephone 4346544680

Fax 4345896688

Associated Practice Facility / Clinic

🏢 Rmh Medical Group Llc Facility NPI 1376706952

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Palmyra, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +10.3 yrs vs City Avg

City Avg: 20.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Palmyra, VA (3758 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

46.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baker (31 Years) 31 Yrs

Palmyra Specialty Average (20.7 Years) 20.7 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	425	295	$249.00	$128.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	322	322	$253.71	$133.06
99213 Established patient office or other outpatient visit, typically 15 minutes	305	206	$174.39	$91.23
36415 Insertion of needle into vein for collection of blood sample	194	160	$9.00	$8.65
G0008 Administration of influenza virus vaccine	77	76	$40.00	$31.41
90653 Vaccine for influenza for injection into muscle	67	67	$76.00	$74.48
87804 Detection test by immunoassay with direct visual observation for influenza virus	52	24	$34.00	$16.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	44	$350.39	$182.24
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	30	27	$71.00	$34.62
99495 Transitional care management services for problem of at least moderate complexity	29	27	$396.62	$210.08
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	26	26	$578.00	$291.37
G0009 Administration of pneumococcal vaccine	26	26	$38.00	$31.41
93000 Routine ekg using at least 12 leads including interpretation and report	25	24	$42.00	$14.32
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	25	22	$34.00	$16.20
81003 Automated urinalysis test	23	21	$5.00	$2.20
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	12	$104.00	$54.27
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	17	16	$79.00	$28.26
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$323.71	$169.54
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$321.67	$169.56
91320 Sarscv2 vac 30mcg trs-suc im	11	11	$263.00	$152.78
90480 Admn sarscov2 vacc 1 dose	11	11	$42.00	$41.16

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	488	305	$239.73	$127.25
36415 Insertion of needle into vein for collection of blood sample	396	270	$8.07	$7.62
99213 Established patient office or other outpatient visit, typically 15 minutes	340	217	$170.56	$89.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	323	323	$303.22	$129.18
G0008 Administration of influenza virus vaccine	106	106	$39.96	$30.15
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	97	97	$144.00	$75.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	75	69	$332.48	$178.30
93000 Routine ekg using at least 12 leads including interpretation and report	36	32	$42.61	$14.40
99495 Transitional care management services for problem of at least moderate complexity	35	33	$373.43	$203.68
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	27	27	$556.74	$281.46
G0009 Administration of pneumococcal vaccine	27	27	$38.00	$30.15
81003 Automated urinalysis test	27	26	$5.59	$2.20
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	16	16	$80.56	$28.21
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$111.60	$52.10
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$341.79	$165.42
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$30.64	$14.39

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	613	363	$219.00	$129.15
36415 Insertion of needle into vein for collection of blood sample	357	253	$6.00	$2.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	310	310	$385.00	$132.19
99213 Established patient office or other outpatient visit, typically 15 minutes	241	183	$149.80	$91.20
85610 Blood test, clotting time	104	11	$11.00	$4.24
G0008 Administration of influenza virus vaccine	102	102	$38.00	$29.36
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	92	92	$68.00	$66.63
93793 Anticoagulant management of patient taking warfarin	89	11	$25.00	$11.35
G0009 Administration of pneumococcal vaccine	45	45	$38.00	$29.64
99495 Transitional care management services for problem of at least moderate complexity	35	32	$330.00	$208.35
93000 Routine ekg using at least 12 leads including interpretation and report	32	32	$44.00	$14.44
81003 Automated urinalysis test	32	28	$7.00	$2.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	25	$293.00	$181.93
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	23	23	$84.00	$28.94
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$530.00	$278.56
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$229.00	$133.12
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$385.00	$169.28
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	17	17	$35.00	$14.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$91.00	$57.26
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$385.00	$169.70

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	577	350	$218.82	$130.08
99213 Established patient office or other outpatient visit, typically 15 minutes	389	247	$149.76	$91.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	326	326	$385.00	$132.86
36415 Insertion of needle into vein for collection of blood sample	271	214	$6.00	$3.00
85610 Blood test, clotting time	107	12	$11.00	$4.29
G0008 Administration of influenza virus vaccine	107	107	$38.00	$17.01
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	102	102	$68.00	$66.38
93000 Routine ekg using at least 12 leads including interpretation and report	52	52	$44.00	$14.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	47	$91.00	$56.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	41	$293.00	$182.04
81003 Automated urinalysis test	36	31	$7.00	$2.25
99495 Transitional care management services for problem of at least moderate complexity	34	33	$330.00	$206.83
G0009 Administration of pneumococcal vaccine	32	32	$38.00	$16.97
99441 Telephone medical discussion with physician, 5-10 minutes	22	19	$91.00	$56.54
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$229.00	$125.37
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	21	21	$84.00	$28.77
0011A Adm sarscov2 100mcg/0.5ml1st	20	20	$21.10	$18.05
99443 Telephone medical discussion with physician, 21-30 minutes	15	15	$219.00	$130.71
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$385.00	$168.67
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$35.00	$14.89

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	541	321	$217.23	$109.54
36415 Insertion of needle into vein for collection of blood sample	362	268	$6.00	$2.97
99213 Established patient office or other outpatient visit, typically 15 minutes	318	221	$147.78	$74.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	278	278	$384.46	$117.63
G0008 Administration of influenza virus vaccine	85	85	$38.00	$16.75
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	77	77	$68.00	$60.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	46	$90.44	$45.26
99442 Telephone medical discussion with physician, 11-20 minutes	45	37	$147.78	$75.58
99443 Telephone medical discussion with physician, 21-30 minutes	44	38	$217.64	$109.54
G0009 Administration of pneumococcal vaccine	40	40	$38.00	$16.68
99495 Transitional care management services for problem of at least moderate complexity	31	30	$330.19	$186.02
93000 Routine ekg using at least 12 leads including interpretation and report	30	28	$44.00	$17.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$293.00	$148.58
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$229.00	$118.02
81003 Automated urinalysis test	20	18	$7.00	$2.23
90670 Pneumococcal vaccine for injection into muscle	19	19	$431.00	$224.93
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	14	14	$84.00	$27.88
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$385.00	$169.11
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$385.00	$173.40
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	$17.25

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	579	319	$213.00	$107.80
36415 Insertion of needle into vein for collection of blood sample	465	320	$6.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	462	268	$145.15	$73.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	277	277	$385.00	$114.71
85610 Blood test, clotting time	167	16	$16.00	$4.28
G0008 Administration of influenza virus vaccine	127	127	$50.00	$16.42
90653 Vaccine for influenza for injection into muscle	103	103	$100.00	$58.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	99	99	$288.00	$144.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	81	12	$53.00	$16.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	68	15	$40.00	$22.47
81003 Automated urinalysis test	51	40	$14.00	$2.44
G0009 Administration of pneumococcal vaccine	50	50	$50.00	$16.42
93000 Routine ekg using at least 12 leads including interpretation and report	49	47	$52.00	$16.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	38	$87.00	$44.75
90670 Pneumococcal vaccine for injection into muscle	27	27	$346.00	$208.42
80305 Testing for presence of drug, read by direct observation	23	19	$30.00	$12.35
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$165.00	$111.38
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	19	$36.00	$18.65
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	17	16	$69.71	$28.39
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$385.00	$164.14
99496 Transitional care management services for problem of high complexity	16	14	$459.00	$228.98
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	14	$37.00	$14.69
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$385.00	$169.33
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	15	15	$41.00	$16.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$327.00	$163.60

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	468	242	$212.85	$106.95
99213 Established patient office or other outpatient visit, typically 15 minutes	391	240	$145.00	$72.38
36415 Insertion of needle into vein for collection of blood sample	390	243	$6.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	228	228	$385.00	$115.61
G0008 Administration of influenza virus vaccine	73	72	$50.00	$20.24
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	71	13	$40.00	$21.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	51	$87.00	$42.90
G0009 Administration of pneumococcal vaccine	56	55	$50.00	$20.24
90653 Vaccine for influenza for injection into muscle	50	50	$100.00	$53.58
81003 Automated urinalysis test	39	31	$14.00	$2.71
90670 Pneumococcal vaccine for injection into muscle	37	37	$346.00	$198.04
93000 Routine ekg using at least 12 leads including interpretation and report	35	32	$52.00	$16.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$288.00	$143.85
99496 Transitional care management services for problem of high complexity	21	20	$459.00	$230.57
69209 Removal of impacted ear wax by washing	19	17	$30.26	$17.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$327.00	$164.02
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$165.00	$105.59
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	17	15	$37.00	$13.49
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	15	15	$57.00	$26.46
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$385.00	$164.97
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$41.00	$17.02

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	472	262	$213.00	$105.20
99213 Established patient office or other outpatient visit, typically 15 minutes	433	244	$145.00	$71.43
36415 Insertion of needle into vein for collection of blood sample	360	258	$6.00	$2.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	181	181	$263.40	$114.00
85610 Blood test, clotting time	159	16	$16.00	$5.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	99	24	$40.00	$19.90
G0008 Administration of influenza virus vaccine	68	66	$50.00	$24.99
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	63	62	$26.00	$17.12
81003 Automated urinalysis test	54	41	$14.00	$3.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	12	$53.00	$25.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	42	$87.00	$42.98
93000 Routine ekg using at least 12 leads including interpretation and report	44	40	$53.50	$16.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$327.00	$162.48
G0009 Administration of pneumococcal vaccine	34	34	$49.00	$24.90
90670 Pneumococcal vaccine for injection into muscle	26	26	$343.54	$185.73
90471 Administration of 1 vaccine	24	24	$50.00	$25.19
99496 Transitional care management services for problem of high complexity	22	19	$459.00	$227.61
99495 Transitional care management services for problem of at least moderate complexity	14	13	$325.00	$161.12
82947 Blood glucose (sugar) level	14	12	$18.00	$4.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$215.00	$107.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$288.00	$142.51

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101259557

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Martha Jefferson Medical Group Llc

33 Rebecca Dr, Palmyra, VA 229636242

Phone: 4346544680

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Katherine Smyth , MD

Pediatrics

NPI 1316991227

Doctor of Medicine (M.D.)

Dr. Justin Coles , MD

Student in an Organized Health Care Education/Training Program

NPI 1336767391

Doctor of Medicine (M.D.)

Jessica Harlow-Wood , NP

Nurse Practitioner - Family

NPI 1770313322

Nurse Practitioner

Dr. Laura Howard , MD

Internal Medicine

NPI 1942413109

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 30, 2016

Registered at 33 REBECCA DR, PALMYRA, VA 229636242 (Tel: 4346544680)

📍

Updated Business Mailing Address November 30, 2016

Registered at PO BOX 79777, BALTIMORE, MD 212790777 (Tel: 4346547794)

👤

Provider Name / Credentials Updated November 30, 2016

Recorded as RANDOLPH BAKER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Internal Medicine (License #0101259557 in VA)

🟢

Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1265448310

Entity Type:

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

Enumeration Date: July 31, 2006

Last Update: November 30, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 79777

Baltimore, MD 212790777

Phone: 4346547794

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.