Shawn Baca, MD
NPI 1649373523 · Rheumatology Physician · Delray Beach, FL
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shawn Baca, MD is a Rheumatology Physician provider in Delray Beach, FL (NPI 1649373523).
Provider details
- NPI number
- 1649373523
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME 53832 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
19,777 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,910 | $129 |
| Administration of Non-Hormonal Anti-Neoplastic Chemotherapy Under Skin Or Into Muscle96401 | 1,598 | $71 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 1,588 | $9 |
| Calcium Level, Total82310 | 1,016 | $5 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 972 | $92 |
| Vitamin D-3 Level82306 | 928 | $29 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 59 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Alendronate Sodium | 937 | 323 |
| Prednisone | 372 | 141 |
| Tramadol Hcl | 346 | 75 |
| Gabapentin | 287 | 89 |
| Duloxetine Hcl | 235 | 76 |
| Hydroxychloroquine Sulfate | 232 | 79 |
| Methotrexate Sodiumbrand: Methotrexate | 205 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,912 across 135 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2007-07-08
Frequently asked questions
- What is Shawn Baca's NPI number?
- Shawn Baca's National Provider Identifier (NPI) is 1649373523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawn Baca's specialty?
- Shawn Baca is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Shawn Baca located?
- Shawn Baca's practice location on file with NPPES is 5162 Linton Blvd, Delray Beach, FL 33484-6567.
- What is Shawn Baca's phone number?
- The practice phone number listed in the NPPES registry for Shawn Baca is (561) 498-1114.
- Does Shawn Baca accept Medicare?
- Shawn Baca is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shawn Baca's NPI active?
- Yes — Shawn Baca's NPI (1649373523) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.