NPPES file of Aug 9, 2026

Carl W. Baker, MD

Retina Specialist (Ophthalmology) Physician · Hilton Head Island, SC

Carl W. Baker, MD is a retina specialist (ophthalmology) physician with a practice address in Hilton Head Island, South Carolina, and NPI 1154398253, issued on Mar 7, 2006. Check the license (South Carolina 17421, as entered in NPPES) on the South Carolina Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1154398253
Name
Carl W. Baker
Credential
MD
Primary taxonomy
Retina Specialist (Ophthalmology) Physician 207WX0107X
License numbers
17421 SC
32965 KY
Self-reported in NPPES; status is on the state search
Practice location
15 Lafayette PL Ste C, Hilton Head Island, SC 29926
Phone
(843) 715-2424
Enumerated
Mar 7, 2006
Record last updated
Mar 17, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(843) 715-2945
Medicaid IDs
7100053130 KY
64329659 KY
Medicare enrollment
Enrolled (PECOS I20190923001862); accepts Medicare assignment
Medical or professional school
University Of Kentucky College Of Medicine, 1993
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Carl W. Baker in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersSouth Carolina Board of Medical Examiners
    Search for license 17421
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the South Carolina license search

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15% fewer Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024

530 Medicare Part D claims for 182 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 42% of claims.

  1. Carl Baker530
  2. Specialty average620

Most prescribed

  1. Prednisolone Acetate179 claims
  2. Timolol Maleate74 claims
  3. Diclofenac Sodium42 claims
  4. Latanoprost28 claims
  5. Ofloxacin28 claims
  6. Brimonidine Tartrate27 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $724.39

27 payments; by number, the most common kind was food and beverage; the largest payer was Apellis Pharmaceuticals, Inc. The 1,253 providers of this specialty with any payment received $7,667.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Carl Baker$724.39
  2. Specialty average$7,667.49

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. The Ophthalmology Group LLCPaducah, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Carl W. Baker among 20 retina specialist (ophthalmology) physician records in South Carolina

Carl W. Baker, MD is one of 20 retina specialist (ophthalmology) physician records with a practice address in South Carolina. 100% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 25% of them.

  • NPI issued2006 · 25% of these records are older, 35% newer
  • In a Medicare fileYes · 100% of these records are
  • In the CMS Doctors and Clinicians fileYes · 90% of these records are
  • Graduated1993 · median 1998 among the 18 with a school on file
  • Record last updated2021 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0107X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Retina Specialist (Ophthalmology) Physician providers in South Carolina

There are 20 retina specialist (ophthalmology) physician records in South Carolina.

The 8 retina specialist (ophthalmology) physician records with the nearest ZIP codes

  1. Peter Liggett, M.D.Hilton Head, SC 299261396775326
  2. Arman Farr, MDRock Hill, SC 297321962472639
  3. Nasrollah Samiy, MDRock Hill, SC 297321730159401
  4. Charles Tucker, MDRock Hill, SC 297321033189501
  5. James Hall, MDGreenville, SC 296051538142179
  6. Adam Pflugrath, MDGreenville, SC 296051134515042
  7. Robert Prinzi, MDLittle River, SC 295661508131954
  8. Jeffrey Blice, M.D.Charleston, SC 294251215930805

Common questions

What is Carl W. Baker, MD's NPI number?

Carl W. Baker, MD's National Provider Identifier (NPI) is 1154398253, issued on Mar 7, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Carl W. Baker, MD located?

The NPPES record lists a practice address at 15 Lafayette PL Ste C, Hilton Head Island, SC, 29926. Phone: (843) 715-2424. Providers update this record themselves, so call before visiting.

How can I verify Carl W. Baker, MD's license?

NPPES lists South Carolina license number 17421, as entered by the provider. Search the South Carolina Board of Medical Examiners at https://verify.llronline.com/LicLookup/Med/Med.aspx?div=22. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Carl W. Baker, MD prescribe under Medicare Part D?

In 2024, Carl W. Baker, MD had 530 Medicare Part D claims for 182 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.

What is Carl W. Baker, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.