NPI registry status
Active
2026 NPPES data Psychiatric/Mental Health Clinical Nurse Specialist NPI 1306277991 PMH, CNS
Verify on CMS → Carol Baker, PMH, CNS
Psychiatric/Mental Health Clinical Nurse Specialist in Macon, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 985 in Psychiatric/Mental Health Clinical Nurse Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
308
Medicare Part D claims · 21 beneficiaries · Psychiatric/Mental Health Clinical Nurse Specialist avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$150.54
7 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Carol Baker, PMH, CNS filed 308 Medicare Part D claims in 2024 as a Psychiatric/Mental Health Clinical Nurse Specialist in Macon, Georgia, prescribing 91% generic.
- 308
- Part D claims, 2024
- 91%
- generic prescribing
- $150.54
- industry payments (Sunshine Act)
- ≥56th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Carol Baker, PMH, CNS
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1306277991), first enumerated 12/06/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 308 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Industry payment transparency
$150.54 in reported industry payments (7 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1306277991 · Psychiatric/Mental Health Clinical Nurse Specialist
NPI-10 · ENUM-MID · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1306277991
- ENUM-MID 2013
- TAX-NARROW 985
- RX-LIGHT 308
- BOOK-THIN 45 in Georgia
- PHOTO-ENUM Abidemi Ajuwon, APRN… · 2013
Carol Baker, PMH, CNS's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
308 ≥ 56th percentile 56% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about Carol Baker, PMH, CNS?
Quality data not reportedPrimary specialty
Psychiatric/Mental Health Clinical Nurse Specialist
Medicare Part D claims
308 71% vs specialty avg
Specialty distribution in Georgia
How Psychiatric/Mental Health Clinical Nurse Specialist compares to other specialties among Georgia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Psychiatric/Mental Health Clinical Nurse Specialist. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1306277991 |
|---|---|
| Specialty | Psychiatric/Mental Health Clinical Nurse Specialist |
| Credentials | PMH, CNS |
| Gender | Female |
| NPI Issued | 12/06/2013 |
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Carol Baker, PMH, CNS. Source: openpaymentsdata.cms.gov.
Total received
$151
Largest payer
Teva Pharmaceuticals USA, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Generic-heavy
Carol Baker, PMH, CNS - brand share 9.0%
Psychiatric/Mental Health Clinical Nurse Specialist average
9% brand-name claims vs 91% generic, on 308 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
308
Total Claims
$87K
Total Drug Cost
21
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 367.533
- Total Day Supply
- 10,924
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $82K
- Generic Drug Cost
- $5K
Patient Demographics
- Average Patient Age
- 54.5 years
- Avg HCC Risk Score
- 0.97
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Carol Baker, PMH, CNS prescribes most
Top Medicare Part D drugs by claim count, 2024
- Lamotrigine
Lamotrigine
29 claims
- Prazosin Hcl
Prazosin Hcl
24 claims
- Trazodone Hcl
Trazodone Hcl
22 claims
- Aripiprazole
Aripiprazole
16 claims
- Paliperidone Er
Paliperidone Er
15 claims
- Citalopram Hbr
Citalopram Hbr
14 claims
- Doxepin Hcl
Doxepin Hcl
14 claims
- Quetiapine Fumarate
Quetiapine Fumarate
14 claims
| Drug | Claims |
|---|---|
| Lamotrigine | 29 |
| Prazosin Hcl | 24 |
| Trazodone Hcl | 22 |
| Aripiprazole | 16 |
| Paliperidone Er Paliperidone | 15 |
| Citalopram Hbr Citalopram Hydrobromide | 14 |
| Doxepin Hcl | 14 |
| Quetiapine Fumarate | 14 |
| Buspirone Hcl | 13 |
| Haloperidol Decanoate | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Psychiatric/Mental Health Clinical Nurse Specialist in GA →
All providers in Georgia →
Compare specialties →
Psychiatric/Mental Health Clinical Nurse Specialist Overview
How Carol Baker, PMH, CNS fits within the Psychiatric/Mental Health Clinical Nurse Specialist landscape nationally.
985
Psychiatric/Mental Health Clinical Nurse Specialist Providers in US
50
States with Psychiatric/Mental Health Clinical Nurse Specialist
1,065
Avg Claims per Provider
Carol Baker, PMH, CNS's 308 claims are below the specialty average of 1,065.
Nationwide Psychiatric/Mental Health Clinical Nurse Specialist peers with similar MIPS or enrollment year
Two federal-record peer sets for Baker, both outside Georgia so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Psychiatric/Mental Health Clinical Nurse Specialist Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Baker.
One of 45 Psychiatric/Mental Health Clinical Nurse Specialist providers enrolled in Georgia, 5 are shown here.
Frequently Asked Questions
What is Carol Baker, PMH, CNS's specialty? ▼
Carol Baker, PMH, CNS specializes in Psychiatric/Mental Health Clinical Nurse Specialist and practices in Macon, Georgia. Credentials: PMH, CNS.
How much does Carol Baker, PMH, CNS prescribe under Medicare Part D? ▼
In 2024, Carol Baker, PMH, CNS wrote 308 Medicare Part D claims totaling $87K in drug costs for 21 beneficiaries.
Where is Carol Baker, PMH, CNS located? ▼
Carol Baker, PMH, CNS is located at 175 EMERY HWY, Macon, GA, 31217. Phone: (478) 803-7600.
What is Carol Baker, PMH, CNS's NPI number? ▼
Carol Baker, PMH, CNS's National Provider Identifier (NPI) is 1306277991, issued on 12/06/2013.
Does Carol Baker, PMH, CNS prescribe more brand-name or generic drugs? ▼
Carol Baker, PMH, CNS's prescribing is 9% brand-name and 91% generic drugs by claim count, with $82K in brand drug costs.
How many Psychiatric/Mental Health Clinical Nurse Specialist providers are there in the US? ▼
There are 985 Psychiatric/Mental Health Clinical Nurse Specialist providers across 50 states in the US. The average Psychiatric/Mental Health Clinical Nurse Specialist provider writes 1,065 Medicare Part D claims per year.
What drugs does Carol Baker, PMH, CNS prescribe most often? ▼
Based on 2024 Medicare Part D data, Carol Baker, PMH, CNS's most frequently prescribed drugs include Lamotrigine, Prazosin Hcl, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carol Baker, PMH, CNS accept Medicare? ▼
Carol Baker, PMH, CNS appears in CMS Medicare data with 308 Part D claims and 21 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carol Baker, PMH, CNS's credentials? ▼
Carol Baker, PMH, CNS's NPI is 1306277991 with credentials PMH, CNS. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.