MR. MICHAEL BACKUES (MSM, ATC, PA-C) – Physician Assistant, NPI 1114900131

MR. MICHAEL BACKUES (MSM, ATC, PA-C) is a healthcare provider. based in Columbia, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MSM, ATC, PA-C. They hold a License No. 627 (TN). The NPI Number for MR. MICHAEL BACKUES (MSM, ATC, PA-C) is 1114900131

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL BACKUES (MSM, ATC, PA-C)
NPI
1114900131
Phone
Not provided
Address
1224 TROTWOOD AVE
Enumeration Date
23 November 2005
Last Update Date
9 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6158614444
Graduation Year
2008 (18 years ago)
PAC ID
5597918292
Group Practice PAC ID
0547667552
Professional Enrollment ID
I20130109000039
Address ID
TN371743254SP4816XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

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Provider Addresses for MR. MICHAEL BACKUES (MSM, ATC, PA-C)

  • Maury Regional Medical Center, 1224, Trotwood Avenue, Rolling Fields, Columbia, Maury County, Tennessee, 38401, United States

    COLUMBIA, TN 384014802

    Phone:

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-01-09

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
I20130109000039IPhysician AssistantTNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8349$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance3618$0
99203New patient office or other outpatient visit, 30-44 minutes3434$0
73560X-ray of knee, 1-2 views2221$0
73564X-ray of knee, 4 or more views1919$0
View full utilization report →

Insurance plans in this area (ZIP 38401)

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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: 0547667552View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Nurse PractitionerTN
Family PracticeTN
General Surgery, GastroenterologyTN
Physician AssistantTN
Family PracticeNC
Orthopedic SurgeryTN
Pulmonary DiseaseTN
Internal MedicineTN
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

Can I verify MR. MICHAEL BACKUES (MSM, ATC, PA-C) with an NPI only?
You can start verification with NPI 1114900131 for MR. MICHAEL BACKUES (MSM, ATC, PA-C), then check state licensing separately.
Is MR. MICHAEL BACKUES (MSM, ATC, PA-C) still practicing?
MR. MICHAEL BACKUES (MSM, ATC, PA-C) is currently listed as active in the public NPI registry.
What is MR. MICHAEL BACKUES (MSM, ATC, PA-C)'s primary classification?
Physician Assistant is the headline specialty for MR. MICHAEL BACKUES (MSM, ATC, PA-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MICHAEL BACKUES (MSM, ATC, PA-C)?
MR. MICHAEL BACKUES (MSM, ATC, PA-C)'s geographic hint is Columbia, Tennessee in our summary view.
Why does MR. MICHAEL BACKUES (MSM, ATC, PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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