HEATHER DAWN BACK (D.O.) – Family Medicine Physician, NPI 1750545364
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,656 FAMILY PRACTICE in IA
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Provider Addresses for HEATHER DAWN BACK (D.O.)
PO BOX 424
DES MOINES, IA 503020424
Phone: (515) 875-9255
Fax: (515) 875-9223
Type: Mailing
Madison County Memorial Hospital, 300, West Hutchings Street, Winterset, Madison County, Iowa, 50273, United States
WINTERSET, IA 502732109
Phone: (515) 462-2950
Fax: (515) 462-5100
Type: Mailing
7147 VISTA DR STE 150
WEST DES MOINES, IA 502669317
Phone: (515) 875-9925
Type: Mailing
5950 UNIVERSITY AVE STE 220
WEST DES MOINES, IA 502668231
Phone: (515) 875-9410
Fax: (515) 875-9412
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2024-03-04 • Largest payer in this snapshot: Abbott Laboratories ($128).
Total Amount
$128
General + Research + Ownership
Payments
1
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $128 |
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: 2014-03-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140313001455 | I | Family Practice | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 237 | 130 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 227 | 136 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 119 | 85 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 89 | 82 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 83 | 83 | $0 |
Insurance plans in this area (ZIP 50302)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IA | |
| Nurse Practitioner | IA | |
| P O D I A T R Y | IA | |
| Internal Medicine | IA | |
| Family Practice | IA | |
| - | IA | |
| Family Practice | IA | |
| Orthopedic Surgery | MO | |
| Internal Medicine | IA | |
| Family Practice | IA |
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