2026 NPPES data Internal Medicine Physician NPI 1396805644 MD
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JOSEPH BAKER, MD

Internal Medicine Physician in ROME, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
22K
Medicare Part D claims · 1K beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.4511/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$70.92
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSEPH BAKER, MD is a Internal Medicine Physician ([object Object]) practicing in ROME, Georgia with a Medicare Part D prescribing footprint of 22K claims across 1K beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 77.4511/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $70.92 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSEPH BAKER, MD reported a CMS MIPS final score of 77.4511 out of 100, below the 83.1 national average, and filed 21,687 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOSEPH BAKER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOSEPH BAKER, MD at a glance

Below national average

NPI registry status

Active

Issued 12/09/2006

NPI 1396805644

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

21,687 698% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

77.4511/100 5.648899999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Internal Medicine Physician compares to other specialties among Georgia providers

Georgia providers

Internal Medicine Physician share within Georgia

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Georgia

Medicare quality performance — MIPS

JOSEPH BAKER, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
77.4511/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 77.4511/100 vs national avg 83.1

0%100%National avg83%77.5%
MIPS final score (Internal Medicine Physician) — 77.4511/100 vs national avg 83.1

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).

JOSEPH BAKER, MD is a Internal Medicine Physician provider practicing in ROME, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1396805644. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOSEPH BAKER, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 1825 MARTHA BERRY BLVD NW, ROME, GA, 30165, with a listed phone of (706) 295-5331. NPI 1396805644 was issued on 12/09/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAKER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 21,687 prescription claims written by this provider, covering 1,155 Medicare beneficiaries and totaling roughly $1.9 million in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 2.5%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.4511/100 for the 2023 performance year (Quality 60.8695, Cost 63.9675), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

1825 MARTHA BERRY BLVD NW
ROME, GA 30165

Provider Details

NPI 1396805644
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 12/09/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

77.4511
Final Score
Avg: 83.1
60.8695
Quality
63.9675
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOSEPH BAKER, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

HARBIN CLINIC LLC
ROME, GA
SELECT REHABILITATION, LLC
GLENVIEW, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 JOSEPH BAKER, MD. Source: openpaymentsdata.cms.gov.

Total received

$71

Largest payer

ABBVIE 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 · Typical

JOSEPH BAKER, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 21,687 2023 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 2023.

21,687
Total Claims
$1.9M
Total Drug Cost
1,155
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
48,259
Total Day Supply
1,403,400
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$1.5M
Generic Drug Cost
$329K
Opioid Claims
553 (2.5% rate)
Antibiotic Claims
395

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
1.27
Gender Split
57% female / 43% male
Age Distribution
<65: 113, 65-74: 461, 75-84: 455, 85+: 126

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
1,023
Amlodipine Besylate
890
Levothyroxine Sodium
782
Lisinopril
779
Alprazolam
596
Omeprazole
538
Gabapentin
474
Pravastatin Sodium
471
Losartan Potassium
427
Metoprolol Succinate
405

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How JOSEPH BAKER, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

JOSEPH BAKER, MD's 21,687 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as BAKER.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSEPH BAKER, MD's specialty?
JOSEPH BAKER, MD specializes in Internal Medicine Physician and practices in ROME, Georgia. Credentials: MD.
How much does JOSEPH BAKER, MD prescribe under Medicare Part D?
In 2023, JOSEPH BAKER, MD wrote 21,687 Medicare Part D claims totaling $1.9M in drug costs for 1,155 beneficiaries.
What is JOSEPH BAKER, MD's Medicare quality score?
JOSEPH BAKER, MD has a CMS MIPS Final Score of 77.4511/100 (Quality: 60.8695, Cost: 63.9675). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSEPH BAKER, MD located?
JOSEPH BAKER, MD is located at 1825 MARTHA BERRY BLVD NW, ROME, GA, 30165. Phone: (706) 295-5331.
What is JOSEPH BAKER, MD's NPI number?
JOSEPH BAKER, MD's National Provider Identifier (NPI) is 1396805644, issued on 12/09/2006.
Does JOSEPH BAKER, MD prescribe more brand-name or generic drugs?
JOSEPH BAKER, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $1.5M in brand drug costs.
Does JOSEPH BAKER, MD prescribe opioids?
Yes, JOSEPH BAKER, MD had 553 opioid claims in 2023 with an opioid prescribing rate of 2.5%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does JOSEPH BAKER, MD prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH BAKER, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH BAKER, MD accept Medicare?
JOSEPH BAKER, MD appears in CMS Medicare data with 21,687 Part D claims and 1,155 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH BAKER, MD's credentials?
JOSEPH BAKER, MD's NPI is 1396805644 with credentials MD. 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

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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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