2026 NPPES data Surgical Oncology Physician NPI 1366523417 MD
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Justin Baker, MD

Surgical Oncology Physician in Saint Paul, Minnesota. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,410 in Surgical Oncology 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
110
Medicare Part D claims · 84 beneficiaries · Surgical Oncology Physician avg: 97
MIPS score
83.5/100
▲ 0 pts above national avg 83.1 · Above neutral
Industry payments
$24.7
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Justin Baker, MD reported a CMS MIPS final score of 83.5/100 - above the 83.1 national average - and filed 110 Medicare Part D claims in 2023.

83.5/100
MIPS score · +0 vs avg
110
Part D claims, 2023
Likely
board-certified (heuristic)

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.

Justin Baker, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

84 42nd percentile higher than 42% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Where Justin Baker, MD sits

This provider among surgical oncology physician peers

Across the 416 surgical oncology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Justin Baker, MD writes more Part D claims than 73% of them and scores higher on MIPS quality than 43% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 30Justin Baker, MD-Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 43
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one surgical oncology physician peer from a representative sample of 60; the gold marker is Justin Baker, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Justin Baker, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Justin Baker, MD?

Near national average

NPI registry status

Active

Issued 10/17/2006

NPI 1366523417

Primary specialty

Surgical Oncology Physician

Niche

1,410 US NPIs in this specialty

Medicare Part D claims

110 13% vs specialty avg

2023 prescription claims

Specialty avg: 97

MIPS final score

83.5/100 0.4 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Minnesota

How Surgical Oncology Physician compares to other specialties among Minnesota providers

Minnesota providers

Largest specialties in Minnesota (% of in-state providers)

Behavior Technician - 11.7%Behavior Technician11.7%Clinical Social Worker - 4.7%Clinical Social Worker4.7%Physical Therapist - 4.1%Physical Therapist4.1%Pharmacist - 3.7%Pharmacist3.7%Student in an Organized Health Care Education/Training Program - 3.4%Student in an Organized Health Care Education/Training Program3.4%Mental Health Counselor - 3.1%Mental Health Counselor3.1%Surgical Oncology Physician - 0%Surgical Oncology Physician0%
Largest specialties in Minnesota (% of in-state providers)

Medicare quality performance, MIPS

Justin Baker, MD's 2023 MIPS final score plotted against the Surgical Oncology Physician national average

Near national average
MIPS Final Score
83.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgical Oncology Physician) - 83.5/100 vs national avg 83.1

0%100%National avg83%83.5%
MIPS final score (Surgical Oncology Physician) - 83.5/100 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).

Justin Baker, MD appears in the CMS NPPES registry as a Surgical Oncology Physician provider holding MD credentials at 280 SMITH AVE N, Saint Paul, MN, 55102, with a listed phone of (651) 241-3535. NPI 1366523417 was issued on 10/17/2006. 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 110 prescription claims written by this provider, covering 84 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 65.5%. 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 83.5/100 for the 2023 performance year (Quality 81.8, Cost 63.3), compared with the national average of 83.1.

Surgical Oncology Physician is a narrow specialty nationwide, with 1,410 enrolled providers across 50 states and an average of 97 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

280 SMITH AVE N
Saint Paul, MN 55102

Provider Details

NPI 1366523417
Specialty Surgical Oncology Physician
Credentials MD
Gender Male
NPI Issued 10/17/2006

CMS Quality Score (MIPS)

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

83.5331
Final Score
Avg: 83.1
81.7967
Quality
63.3136
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Justin 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.

Allina Health System
River Falls, WI

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 Justin Baker, MD. Source: openpaymentsdata.cms.gov.

Total received

$25

Largest payer

Abbott Laboratories

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

110
Total Claims
$5K
Total Drug Cost
84
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
125
Total Day Supply
1,327
Generic Drug Cost
$1K
Opioid Claims
72 (65.5% rate)
Antibiotic Claims
18

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
1.21
Gender Split
71% female / 29% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
61

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

Surgical Oncology Physician Overview

How Justin Baker, MD fits within the Surgical Oncology Physician landscape nationally.

1,410
Surgical Oncology Physician Providers in US
50
States with Surgical Oncology Physician
97
Avg Claims per Provider

Justin Baker, MD's 110 claims are above the specialty average of 97.

Nearby Surgical Oncology Physician Providers in Minnesota

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

Compare Surgical Oncology 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 Minnesota medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Surgical Oncology 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.

Frequently Asked Questions

What is Justin Baker, MD's specialty?
Justin Baker, MD specializes in Surgical Oncology Physician and practices in Saint Paul, Minnesota. Credentials: MD.
How much does Justin Baker, MD prescribe under Medicare Part D?
In 2023, Justin Baker, MD wrote 110 Medicare Part D claims totaling $5K in drug costs for 84 beneficiaries.
What is Justin Baker, MD's Medicare quality score?
Justin Baker, MD has a CMS MIPS Final Score of 83.5/100 (Quality: 81.8, Cost: 63.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Justin Baker, MD located?
Justin Baker, MD is located at 280 SMITH AVE N, Saint Paul, MN, 55102. Phone: (651) 241-3535.
What is Justin Baker, MD's NPI number?
Justin Baker, MD's National Provider Identifier (NPI) is 1366523417, issued on 10/17/2006.
Does Justin Baker, MD prescribe opioids?
Yes, Justin Baker, MD had 72 opioid claims in 2023 with an opioid prescribing rate of 65.5%.
How many Surgical Oncology Physician providers are there in the US?
There are 1,410 Surgical Oncology Physician providers across 50 states in the US. The average Surgical Oncology Physician provider writes 97 Medicare Part D claims per year.
What drugs does Justin Baker, MD prescribe most often?
Based on 2023 Medicare Part D data, Justin Baker, MD's most frequently prescribed drugs include Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Justin Baker, MD accept Medicare?
Justin Baker, MD appears in CMS Medicare data with 110 Part D claims and 84 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Justin Baker, MD's credentials?
Justin Baker, MD's NPI is 1366523417 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

Compiled from official public sources by the PlainDoctor editorial team.