DAVID BACKSTEDT (MD) – Gastroenterology Physician, NPI 1245587203

DAVID BACKSTEDT (MD) is a healthcare provider. based in Little rock, Arkansas. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. E-10719 (AR). The NPI Number for DAVID BACKSTEDT (MD) is 1245587203

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DAVID BACKSTEDT (MD)
NPI
1245587203
Phone
(501) 664-6980
Address
409 N UNIVERSITY AVE
Enumeration Date
9 August 2012
Last Update Date
15 November 2017

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
5016646980
Graduation Year
2011 (15 years ago)
PAC ID
0941579791
Group Practice PAC ID
5698687101
Professional Enrollment ID
I20170711000100
Address ID
AR722231705LI11700RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

120 GASTROENTEROLOGY in AR

Provider Addresses for DAVID BACKSTEDT (MD)

  • 409 N UNIVERSITY AVE

    LITTLE ROCK, AR 722053108

    Phone: (501) 664-6980

    Fax: (501) 664-4738

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 340 Open Payments records for all available years, with a total value of $5,944.

Total Amount is formed as General ($5,944) + Research ($0) + Ownership ($0) = $5,944.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($2,202).

Total Amount

$5,944

General + Research + Ownership

Payments

340

Total payment records

General Amount

$5,944

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170711000100IGastroenterologyARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare120119$0
99214Established patient office or other outpatient visit, 30-39 minutes11281$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope112107$0
99213Established patient office or other outpatient visit, 20-29 minutes5855$0
45380Biopsy of large bowel using a flexible endoscope5454$0
View full utilization report →

Insurance plans in this area (ZIP 72205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698687101View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineAR
Gastroenterology, Internal MedicineAR
Gastroenterology, Internal MedicineAR
Certified Registered Nurse Anesthetist (Crna)MO
G A S T R O E N T E R O L O G YAL
Gastroenterology, Internal MedicineAR
Nurse PractitionerAR
Gastroenterology, Internal MedicineAR
Certified Registered Nurse Anesthetist (Crna)AR
Gastroenterology, Internal MedicineAR

Reviews

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Frequently asked questions

Can I cross-check DAVID BACKSTEDT (MD) using NPI 1245587203?
NPI 1245587203 belongs to DAVID BACKSTEDT (MD); compare other details if you need extra assurance.
Is DAVID BACKSTEDT (MD) still an active registrant?
DAVID BACKSTEDT (MD) carries an active NPI according to the public dataset.
How would a patient describe DAVID BACKSTEDT (MD)'s focus?
For DAVID BACKSTEDT (MD), the primary taxonomy reads as Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is DAVID BACKSTEDT (MD) located near Little Rock?
DAVID BACKSTEDT (MD) currently maps to Little Rock, Arkansas in this extract.
Can I trust this NPI listing for DAVID BACKSTEDT (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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