NPI registry status
Active
2026 NPPES data Orthopaedic Surgery Physician NPI 1457359952 M.D
Verify on CMS → James Baker, M.D
Orthopaedic Surgery Physician in San Marcos, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,781 in Orthopaedic Surgery Physician, 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
118
Medicare Part D claims · 45 beneficiaries · Orthopaedic Surgery Physician avg: 324
Industry payments
$114.5
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
James Baker, M.D filed 118 Medicare Part D claims in 2023 as a Orthopaedic Surgery Physician in San Marcos, Texas.
- 118
- Part D claims, 2023
- $114.5
- industry payments (Sunshine Act)
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.
James Baker, M.D's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
118 35th percentile higher than 35% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
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Board-eligible specialty (heuristic, not verified)
James Baker, M.D practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about James Baker, M.D?
Quality data not reportedPrimary specialty
Orthopaedic Surgery Physician
Medicare Part D claims
118 64% vs specialty avg
Specialty distribution in Texas
How Orthopaedic Surgery Physician compares to other specialties among Texas 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 Orthopaedic Surgery Physician. 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).
James Baker, M.D appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding M.D credentials at 1305 WONDER WORLD DRIVE, San Marcos, TX, 78666, with a listed phone of (512) 353-8658. NPI 1457359952 was issued on 07/08/2005.
Medicare Part D records for calendar year 2023 show 118 prescription claims written by this provider, covering 45 Medicare beneficiaries and totaling roughly $712 in drug spend, with an opioid prescribing rate of 66.1%.
Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1457359952 |
|---|---|
| Specialty | Orthopaedic Surgery Physician |
| Credentials | M.D |
| Gender | Male |
| NPI Issued | 07/08/2005 |
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 James Baker, M.D. Source: openpaymentsdata.cms.gov.
Total received
$115
Largest payer
Zimmer Biomet Holdings, 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.
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to James Baker, M.D. To verify James Baker, M.D's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
118
Total Claims
$712
Total Drug Cost
45
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 118
- Total Day Supply
- 1,086
- Brand Drug Cost
- $0
- Generic Drug Cost
- $712
- Opioid Claims
- 78 (66.1% rate)
Patient Demographics
- Average Patient Age
- 72.0 years
- Avg HCC Risk Score
- 0.65
- Gender Split
- 67% female / 33% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What James Baker, M.D prescribes most
Top Medicare Part D drugs by claim count, 2023
- Acetaminophen-Code…
Acetaminophen-Codeine
29 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
26 claims
- Diclofenac Sodium
Diclofenac Sodium
17 claims
- Celecoxib
Celecoxib
12 claims
- Oxycodone-Acetamin… 11
Oxycodone-Acetaminophen
11 claims
- Tramadol Hcl 11
Tramadol Hcl
11 claims
| Drug | Claims |
|---|---|
| Acetaminophen-Codeine Acetaminophen With Codeine | 29 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 26 |
| Diclofenac Sodium | 17 |
| Celecoxib | 12 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 11 |
| Tramadol Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Orthopaedic Surgery Physician Overview
How James Baker, M.D fits within the Orthopaedic Surgery Physician landscape nationally.
25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider
James Baker, M.D's 118 claims are below the specialty average of 324.
Nearby Orthopaedic Surgery Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Baker.
Dr. Adham Abdelfattah
MD
San Antonio, TX
Dr. Abraham Abdo
M.D.
Mesquite, TX
Dr. Sharif Abdus-Salaam
MD
El Paso, TX
Dr. Ermias Abebe
M.D.
Texarkana, TX
Ricardo Abreu Irizarry
Houston, TX
Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Orthopaedic Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is James Baker, M.D's specialty? ▼
James Baker, M.D specializes in Orthopaedic Surgery Physician and practices in San Marcos, Texas. Credentials: M.D.
How much does James Baker, M.D prescribe under Medicare Part D? ▼
In 2023, James Baker, M.D wrote 118 Medicare Part D claims totaling $712 in drug costs for 45 beneficiaries.
Where is James Baker, M.D located? ▼
James Baker, M.D is located at 1305 WONDER WORLD DRIVE, San Marcos, TX, 78666. Phone: (512) 353-8658.
What is James Baker, M.D's NPI number? ▼
James Baker, M.D's National Provider Identifier (NPI) is 1457359952, issued on 07/08/2005.
Does James Baker, M.D prescribe opioids? ▼
Yes, James Baker, M.D had 78 opioid claims in 2023 with an opioid prescribing rate of 66.1%.
How many Orthopaedic Surgery Physician providers are there in the US? ▼
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does James Baker, M.D prescribe most often? ▼
Based on 2023 Medicare Part D data, James Baker, M.D's most frequently prescribed drugs include Acetaminophen-Codeine, Hydrocodone-Acetaminophen, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Baker, M.D accept Medicare? ▼
James Baker, M.D appears in CMS Medicare data with 118 Part D claims and 45 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Baker, M.D's credentials? ▼
James Baker, M.D's NPI is 1457359952 with credentials M.D. 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 (2023). 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 April 2026 (NPPES) / 2023 (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
Compiled from official public sources by the PlainDoctor editorial team.