NPI registry status
Active
2026 NPPES data Neurology with Special Qualifications in Child Neurology Physician NPI 1558378885 M.D.
Verify on CMS → Karen Baker, M.D.
Neurology with Special Qualifications in Child Neurology Physician in Maitland, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,803 in Neurology with Special Qualifications in Child Neurology 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
242
Medicare Part D claims · 48 beneficiaries · Neurology with Special Qualifications in Child Neurology Physician avg: 359
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.4K
36 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
Karen Baker, M.D. filed 242 Medicare Part D claims in 2023 as a Neurology with Special Qualifications in Child Neurology Physician in Maitland, Florida, prescribing 83% generic.
- 242
- Part D claims, 2023
- 83%
- generic prescribing
- 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.
Karen Baker, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
242 49th percentile higher than 49% 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
✓
Board certification likely (heuristic, not verified)
Karen Baker, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Karen Baker, M.D.?
Quality data not reportedPrimary specialty
Neurology with Special Qualifications in Child Neurology Physician
Medicare Part D claims
242 33% vs specialty avg
Specialty distribution in Florida
How Neurology with Special Qualifications in Child Neurology Physician compares to other specialties among Florida 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 Neurology with Special Qualifications in Child Neurology 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).
Karen Baker, M.D. appears in the CMS NPPES registry as a Neurology with Special Qualifications in Child Neurology Physician provider holding M.D. credentials at 557 N WYMORE RD STE 202, Maitland, FL, 32751, with a listed phone of (407) 794-8000. NPI 1558378885 was issued on 08/01/2006.
Medicare Part D records for calendar year 2023 show 242 prescription claims written by this provider, covering 48 Medicare beneficiaries and totaling roughly $43K in drug spend, split 17% brand-name and 83% generic by claim count.
Neurology with Special Qualifications in Child Neurology Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 51 states and an average of 359 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 | 1558378885 |
|---|---|
| Specialty | Neurology with Special Qualifications in Child Neurology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 08/01/2006 |
Hospital and facility affiliations
Facilities where Karen Baker, M.D. 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.
Bird And Thornton PA
Maitland, FL
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 Karen Baker, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.4K
Largest payer
Inspire Medical Systems, 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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Karen Baker, M.D.. To verify Karen Baker, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Karen Baker, M.D. - brand share 17.0%
Neurology with Special Qualifications in Child Neurology Physician average
17% brand-name claims vs 83% generic, on 242 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.
242
Total Claims
$43K
Total Drug Cost
48
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 264
- Total Day Supply
- 7,583
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $36K
- Generic Drug Cost
- $7K
Patient Demographics
- Average Patient Age
- 71.1 years
- Avg HCC Risk Score
- 1.37
- Gender Split
- 56% female / 44% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Karen Baker, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Zolpidem Tartrate
Zolpidem Tartrate
55 claims
- Clonazepam
Clonazepam
30 claims
- Eszopiclone
Eszopiclone
27 claims
- Sunosi
Sunosi
23 claims
- Modafinil 20
Modafinil
20 claims
- Armodafinil 17
Armodafinil
17 claims
- Concerta 12
Concerta
12 claims
- Pregabalin 12
Pregabalin
12 claims
| Drug | Claims |
|---|---|
| Zolpidem Tartrate | 55 |
| Clonazepam | 30 |
| Eszopiclone | 27 |
| Sunosi Solriamfetol Hcl | 23 |
| Modafinil | 20 |
| Armodafinil | 17 |
| Concerta Methylphenidate Hcl | 12 |
| Pregabalin | 12 |
| Temazepam | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Neurology with Special Qualifications in Child Neurology Physician in FL →
All providers in Florida →
Compare specialties →
Neurology with Special Qualifications in Child Neurology Physician Overview
How Karen Baker, M.D. fits within the Neurology with Special Qualifications in Child Neurology Physician landscape nationally.
1,803
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
359
Avg Claims per Provider
Karen Baker, M.D.'s 242 claims are below the specialty average of 359.
Nearby Neurology with Special Qualifications in Child Neurology Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Baker.
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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Neurology with Special Qualifications in Child Neurology 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 Karen Baker, M.D.'s specialty? ▼
Karen Baker, M.D. specializes in Neurology with Special Qualifications in Child Neurology Physician and practices in Maitland, Florida. Credentials: M.D..
How much does Karen Baker, M.D. prescribe under Medicare Part D? ▼
In 2023, Karen Baker, M.D. wrote 242 Medicare Part D claims totaling $43K in drug costs for 48 beneficiaries.
Where is Karen Baker, M.D. located? ▼
Karen Baker, M.D. is located at 557 N WYMORE RD STE 202, Maitland, FL, 32751. Phone: (407) 794-8000.
What is Karen Baker, M.D.'s NPI number? ▼
Karen Baker, M.D.'s National Provider Identifier (NPI) is 1558378885, issued on 08/01/2006.
Does Karen Baker, M.D. prescribe more brand-name or generic drugs? ▼
Karen Baker, M.D.'s prescribing is 17% brand-name and 83% generic drugs by claim count, with $36K in brand drug costs.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US? ▼
There are 1,803 Neurology with Special Qualifications in Child Neurology Physician providers across 51 states in the US. The average Neurology with Special Qualifications in Child Neurology Physician provider writes 359 Medicare Part D claims per year.
What drugs does Karen Baker, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Karen Baker, M.D.'s most frequently prescribed drugs include Zolpidem Tartrate, Clonazepam, Eszopiclone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karen Baker, M.D. accept Medicare? ▼
Karen Baker, M.D. appears in CMS Medicare data with 242 Part D claims and 48 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karen Baker, M.D.'s credentials? ▼
Karen Baker, M.D.'s NPI is 1558378885 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.