Physician

James Douglas Baker, MD

According to 2025 Medicare claims, James Baker, MD (NPI: 1588879860) practices hand surgery in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Kenton, KY. This provider's primary affiliated billing organization is ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC (NPI: 1598714560; TIN: 611274265) and primary practice location at 41017-3405. Baker is affiliated with the Healthcare Solutions Network (ACO ID: A3283), participating under the MSSP model.

Baker's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 429 traditional Medicare patients, billed 2,091 HCPCS/CPT codes, and received $201,375 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 558 prescription claims across 406 beneficiaries totaling $21,835 in drug costs, led by Cephalexin (Cephalexin). DME data shows 34 claims. Open Payments data shows 19 records totaling $2,209. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have risen steadily, from $4,175 to $21,835. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	388	1,549	$121,008
2016	488	2,341	$148,728
2017	521	1,656	$194,362
2018	547	2,176	$204,839
2019	596	2,187	$192,444
2020	510	1,728	$168,361
2021	490	1,722	$180,790
2022	411	1,383	$153,197
2023	432	1,546	$165,719
2024	429	2,091	$201,375

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	126	223	$4,175
2016	142	183	$2,517
2017	170	211	$15,207
2018	201	249	$28,315
2019	290	387	$66,057
2020	386	548	$48,749
2021	373	550	$90,682
2022	372	566	$74,315
2023	359	491	$77,046
2024	406	558	$21,835

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	48	48	$5,286
2016	60	60	$9,678
2017	58	58	$6,678
2018	72	73	$4,975
2019	90	93	$6,391
2020	48	49	$2,720
2021	53	53	$2,907
2022	39	58	$7,057
2023	45	45	$2,923
2024	34	34	$2,630

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	143	144	$107
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	136	$88
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$72
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	84	107	$64
73140	X-ray of finger, minimum of 2 views	90	128	$22

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Cephalexin	Cephalexin	237	929	$803
Oxycodone Hcl	Oxycodone Hcl	157	348	$325
Clindamycin Hcl	Clindamycin Hcl	37	131	$136
Methylprednisolone	Methylprednisolone	27	162	$106
Meloxicam	Meloxicam	48	1,425	$97

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L3924	Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf	N	22	22	$1,924
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	N	12	12	$705

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	19	$2,209	Skeletal Dynamics Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for James Douglas Baker, MD?

Tedicare shows public-source Medicare data for James Douglas Baker, MD (NPI 1588879860), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does James Douglas Baker, MD have ACO affiliation data?

James Douglas Baker, MD is shown with ACO affiliation data for Healthcare Solutions Network (MSSP, ACO ID A3283).

What billing organization is linked to James Douglas Baker, MD?

James Douglas Baker, MD is linked to ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC (billing NPI 1598714560) in the available physician profile data.

Does James Douglas Baker, MD have Open Payments data?

James Douglas Baker, MD has 19 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.