ELLIOT DANIEL BACKER (PA-C) – Physician Assistant, NPI 1689104986
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
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Provider Addresses for ELLIOT DANIEL BACKER (PA-C)
CVS Pharmacy, 6905, York Avenue South, Southdale, Edina, Hennepin County, Minnesota, 55435, United States
EDINA, MN 554352517
Phone:
Type: Mailing
2 CARLSON PKWY N STE 240
PLYMOUTH, MN 554474485
Phone: (763) 367-7110
Type: Mailing
6425 NICOLLET AVE STE 202
RICHFIELD, MN 554231668
Phone: (612) 869-2086
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $309.
Total Amount is formed as General ($309) + Research ($0) + Ownership ($0) = $309.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Janssen Biotech, Inc. ($43).
Total Amount
$309
General + Research + Ownership
Payments
18
Total payment records
General Amount
$309
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $43 |
| GENZYME CORPORATION | $37 |
| LEO Pharma Inc. | $36 |
| Dermavant Sciences, Inc. | $29 |
| UCB, Inc. | $24 |
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: 2017-09-25
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 |
|---|---|---|---|---|
| I20170925000163 | I | Physician Assistant | MN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 905 | 136 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 321 | 223 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 212 | 167 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 176 | 148 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 139 | 100 | $0 |
Insurance plans in this area (ZIP 55435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| D E R M A T O L O G Y | WI | |
| Nurse Practitioner | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| Dermatology, Internal Medicine | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MA | |
| D E R M A T O L O G Y | MN |
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