NPI registry status
Active
2026 NPPES data Otolaryngology Physician NPI 1568406148 MD
Verify on CMS → Terry Baker, MD
Otolaryngology Physician in Idaho Falls, Idaho.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,060 in Otolaryngology 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
1K
Medicare Part D claims · 298 beneficiaries · Otolaryngology Physician avg: 536
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$32.58
2 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Terry Baker, MD carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 1,129 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 1K
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥77th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Terry Baker, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1568406148), first enumerated 06/15/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,129 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$32.58 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1568406148 · Otolaryngology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-NEUTRAL · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1568406148
- ENUM-LEGACY 2006
- TAX-MID 11K Otolaryngology Physician
- MIPS-NEUTRAL 75/100
- RX-MID 1,129
- BOOK-THIN 41 in Idaho
- PHOTO-ENUM Timothy Shaw, MD · 2006
Terry Baker, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
1,129 ≥ 77th percentile 77% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Terry 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 Terry Baker, MD?
CMS neutral score, not measuredPrimary specialty
Otolaryngology Physician
Medicare Part D claims
1,129 111% vs specialty avg
MIPS final score
75/100
Specialty distribution in Idaho
How Otolaryngology Physician compares to other specialties among Idaho providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
Practice Address
Provider Details
| NPI | 1568406148 |
|---|---|
| Specialty | Otolaryngology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/15/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Hospital and facility affiliations
Facilities where Terry 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 View Hospital LLC
Idaho Falls, ID
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 Terry Baker, MD. Source: openpaymentsdata.cms.gov.
Total received
$33
Largest payer
Optinose US, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
1,129
Total Claims
$152K
Total Drug Cost
298
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,581.433
- Total Day Supply
- 42,538
- Generic Drug Cost
- $20K
- Opioid Claims
- 15 (1.3% rate)
- Antibiotic Claims
- 115
Patient Demographics
- Average Patient Age
- 71.4 years
- Avg HCC Risk Score
- 1.30
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 38, 65-74: 153, 75-84: 83, 85+: 24
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Terry Baker, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Omeprazole
Omeprazole
217 claims
- Levothyroxine Sodium
Levothyroxine Sodium
201 claims
- Ipratropium Bromide
Ipratropium Bromide
127 claims
- Cefdinir 75
Cefdinir
75 claims
- Fluticasone Propio… 48
Fluticasone Propionate
48 claims
- Famotidine 38
Famotidine
38 claims
- Liothyronine Sodium 25
Liothyronine Sodium
25 claims
- Dupixent Syringe 21
Dupixent Syringe
21 claims
| Drug | Claims |
|---|---|
| Omeprazole | 217 |
| Levothyroxine Sodium | 201 |
| Ipratropium Bromide | 127 |
| Cefdinir | 75 |
| Fluticasone Propionate | 48 |
| Famotidine | 38 |
| Liothyronine Sodium | 25 |
| Dupixent Syringe Dupilumab | 21 |
| Acetazolamide | 19 |
| Pilocarpine Hcl | 19 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Otolaryngology Physician Overview
How Terry Baker, MD fits within the Otolaryngology Physician landscape nationally.
11,060
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
536
Avg Claims per Provider
Terry Baker, MD's 1,129 claims are above the specialty average of 536.
Nationwide Otolaryngology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Baker, both outside Idaho so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Otolaryngology Physician Providers in Idaho
Other clinicians with the same primary specialty enrolled in Idaho, drawn from the same CMS NPPES roster as Baker.
One of 41 Otolaryngology Physician providers enrolled in Idaho, 5 are shown here.
Dr. Brian Affleck
MD
Nampa, ID
Dr. Austin Baker
DO
Idaho Falls, ID
Dr. Donald Beasley
MD
Boise, ID
Dr. Daniel Cannon
MD
Coeur D Alene, ID
Dr. Mark Capener
M.D.
Idaho Falls, ID
Compare Otolaryngology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Terry Baker, MD's specialty? ▼
Terry Baker, MD specializes in Otolaryngology Physician and practices in Idaho Falls, Idaho. Credentials: MD.
How much does Terry Baker, MD prescribe under Medicare Part D? ▼
In 2024, Terry Baker, MD wrote 1,129 Medicare Part D claims totaling $152K in drug costs for 298 beneficiaries.
What is Terry Baker, MD's Medicare quality score? ▼
Terry Baker, MD has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Terry Baker, MD located? ▼
Terry Baker, MD is located at 3200 CHANNING WAY, Idaho Falls, ID, 83404. Phone: (208) 552-9530.
What is Terry Baker, MD's NPI number? ▼
Terry Baker, MD's National Provider Identifier (NPI) is 1568406148, issued on 06/15/2006.
Does Terry Baker, MD prescribe opioids? ▼
Yes, Terry Baker, MD had 15 opioid claims in 2024 with an opioid prescribing rate of 1.3%.
How many Otolaryngology Physician providers are there in the US? ▼
There are 11,060 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 536 Medicare Part D claims per year.
What drugs does Terry Baker, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Terry Baker, MD's most frequently prescribed drugs include Omeprazole, Levothyroxine Sodium, Ipratropium Bromide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Terry Baker, MD accept Medicare? ▼
Terry Baker, MD appears in CMS Medicare data with 1,129 Part D claims and 298 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Terry Baker, MD's credentials? ▼
Terry Baker, MD's NPI is 1568406148 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.