What is James Baker's specialty?

James Baker (NPI 1477530301) is a Medicare-billing provider whose primary specialty is Rheumatology in Johnson City, TN.

Where does James Baker practice?

James Baker practices in Johnson City, TN, based on the location reported in the CMS Medicare provider datasets for NPI 1477530301.

How much does Medicare pay James Baker?

James Baker (NPI 1477530301) received approximately $182K in total Medicare Part B payments, serving 224 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1477530301

James BakerM.D.

RheumatologyJohnson City, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

980

Unique beneficiaries

—

Total services

1,886

Distinct HCPCS

Medicare payment

$45K

Peer benchmark

Total Medicare services vs. 96 Rheumatology providers in TN — above median (cohort median 2,318).

PRESCRIBING · PART D · 2024

Total Rx claims

2,117

Beneficiaries

—

Total drug cost

$2.4M

Distinct drugs

Brand share

39.6%

Top prescribed drugs

Hydroxychloroquine Sulfate600 claims

Methotrexate Sodium486 claims

Prednisone278 claims

Folic Acid132 claims

Adalimumab80 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

121

By payment type

Food and Beverage$2K

Top paying entities

Food and Beverage$2K

REFERRAL NETWORK

Where James Baker's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 5 inbound referrers · 8 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Guy Robins Family Practice · Johnson City, TN	182	394
SOLSTAS LAB PARTNERS GROUP LLC	181	509
Summer Hopson Nurse Practitioner · Johnson City, TN	26	32
CRESCENDO BIOSCIENCE, INC	17	24
MOUNTAIN STATES HEALTH ALLIANCE	16	19

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MOUNTAIN STATES HEALTH ALLIANCE	76	154
Summer Hopson Nurse Practitioner · Johnson City, TN	66	104
SOLSTAS LAB PARTNERS GROUP LLC	64	163
Guy Robins Family Practice · Johnson City, TN	46	108
Laboratory Corporation Of America Holdings Clinical Laboratory · Burlington, NC	13	27
CHUNG, SUE	13	18
MOUNTAIN STATES HEALTH ALLIANCE	12	22
LAUGHLIN MEMORIAL HOSPITAL, INC.	12	32

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history