2026 NPPES data Obstetrics & Gynecology Physician NPI 1013962778 MD
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NATHAN BAKER, MD

Obstetrics & Gynecology Physician in WHITESBURG, Kentucky. 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
275
Medicare Part D claims · 62 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$128.94
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NATHAN BAKER, MD filed 275 Medicare Part D claims in 2023 as a Obstetrics & Gynecology Physician in WHITESBURG, Kentucky, prescribing 88% generic.

275
Part D claims, 2023
88%
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.

NATHAN BAKER, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

275 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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)

NATHAN BAKER, MD 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 NATHAN BAKER, MD?

Quality data not reported

NPI registry status

Active

Issued 05/23/2006

NPI 1013962778

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

275 54% vs specialty avg

2023 prescription claims

Specialty avg: 179

Specialty distribution in Kentucky

How Obstetrics & Gynecology Physician compares to other specialties among Kentucky providers

Kentucky providers

Obstetrics & Gynecology Physician share within Kentucky

1. Obstetrics & Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Physician share within Kentucky

Specialty board-certification context

Estimated specialty board-certified rate — Obstetrics & Gynecology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Obstetrics & Gynecology Physician ABMS/AOA estimate

Est. board-certified rate (Obstetrics & Gynecology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Obstetrics & Gynecology Physician) — ABMS / AOA estimate

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).

NATHAN BAKER, MD appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding MD credentials at 226 MEDICAL PLAZA LN, WHITESBURG, KY, 41858, with a listed phone of (606) 633-4871. NPI 1013962778 was issued on 05/23/2006. 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 275 prescription claims written by this provider, covering 62 Medicare beneficiaries and totaling roughly $22K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 8.0%. 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.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 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

226 MEDICAL PLAZA LN
WHITESBURG, KY 41858

Provider Details

NPI 1013962778
Specialty Obstetrics & Gynecology Physician
Credentials MD
Gender Male
NPI Issued 05/23/2006

Hospital and facility affiliations

Facilities where NATHAN 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.

MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
WHITESBURG, KY

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

Total received

$129

Largest payer

Exeltis, 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 · Typical

NATHAN BAKER, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 275 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.

275
Total Claims
$22K
Total Drug Cost
62
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
417
Total Day Supply
12,605
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$15K
Generic Drug Cost
$7K
Opioid Claims
22 (8.0% rate)
Antibiotic Claims
16

Patient Demographics

Average Patient Age
61.5 years
Avg HCC Risk Score
0.98
Age Distribution
<65: 26, 65-74: 24, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What NATHAN BAKER, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Estradiol
55
Ondansetron Hcl
15
Furosemide
12
Potassium Chloride
12
Raloxifene Hcl
12
Fluconazole
11
Oxybutynin Chloride Er
Oxybutynin Chloride
11
Premarin
"Estrogens
N/A

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

Obstetrics & Gynecology Physician Overview

How NATHAN BAKER, MD fits within the Obstetrics & Gynecology Physician landscape nationally.

44,313
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

NATHAN BAKER, MD's 275 claims are above the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in Kentucky

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

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NATHAN BAKER, MD's specialty?
NATHAN BAKER, MD specializes in Obstetrics & Gynecology Physician and practices in WHITESBURG, Kentucky. Credentials: MD.
How much does NATHAN BAKER, MD prescribe under Medicare Part D?
In 2023, NATHAN BAKER, MD wrote 275 Medicare Part D claims totaling $22K in drug costs for 62 beneficiaries.
Where is NATHAN BAKER, MD located?
NATHAN BAKER, MD is located at 226 MEDICAL PLAZA LN, WHITESBURG, KY, 41858. Phone: (606) 633-4871.
What is NATHAN BAKER, MD's NPI number?
NATHAN BAKER, MD's National Provider Identifier (NPI) is 1013962778, issued on 05/23/2006.
Does NATHAN BAKER, MD prescribe more brand-name or generic drugs?
NATHAN BAKER, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $15K in brand drug costs.
Does NATHAN BAKER, MD prescribe opioids?
Yes, NATHAN BAKER, MD had 22 opioid claims in 2023 with an opioid prescribing rate of 8.0%.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,313 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does NATHAN BAKER, MD prescribe most often?
Based on 2023 Medicare Part D data, NATHAN BAKER, MD's most frequently prescribed drugs include Estradiol, Ondansetron Hcl, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NATHAN BAKER, MD accept Medicare?
NATHAN BAKER, MD appears in CMS Medicare data with 275 Part D claims and 62 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NATHAN BAKER, MD's credentials?
NATHAN BAKER, MD's NPI is 1013962778 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.
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