KENNETH WILSON BACKSTRAND MD
NPI 1114915477
Anesthesiology - Pain Medicine in Cape Coral, FL

NPI Status: Active since October 11, 2005

Contact Information

2721 DEL PRADO BLVD S
CAPE CORAL, FL
ZIP 33904
Phone: (239) 242-8010
Fax: (239) 242-8020

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  • Individual
  • Male
  • Anesthesiology
  • Pain Medicine
  • PECOS Enrolled
  • Medicare Quality Reporting

About KENNETH BACKSTRAND

This page provides the complete NPI Profile along with additional information for Kenneth Backstrand, a provider established in Cape Coral, Florida with a medical specialization in Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1114915477 assigned on October 2005. The practitioner's primary taxonomy code is 207LP2900X with license number ME50622 (FL). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1114915477
Provider Name
KENNETH WILSON BACKSTRAND MD
Gender
Male
Entity Type
Individual
Location Address
2721 DEL PRADO BLVD S CAPE CORAL, FL 33904
Location Phone
(239) 242-8010
Location Fax
(239) 242-8020
Mailing Address
40 BARKLEY CIR STE 3 FORT MYERS, FL 33907
Mailing Phone
(239) 226-0910
Mailing Fax
(239) 242-8020
Is Sole Proprietor?
Yes
Enumeration Date
10-11-2005
Last Update Date
03-08-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
License No.
ME50622
License State
FL
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

ME0050622 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
046206300MEDICAID (05)FL 

Medicare Participation & PECOS Enrollment Status

Kenneth Backstrand is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Participation in an AHRQ-listed patient safety organization.YesN/A
Participation in an AHRQ-listed patient safety organization.
Pre-operative OSA assessment 33% 39
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Use of QCDR data for quality improvement such as comparative analysis reports across patient populationsYesN/A
Participation in a QCDR, clinical data registries, or other registries run by other government agencies such as FDA, or private entities such as a hospital or medical or surgical society. Activity must include use of QCDR data for quality improvement (e.g., comparative analysis across specific patient populations for adverse outcomes after an outpatient surgical procedure and corrective steps to address adverse outcome).
Use of QCDR for feedback reports that incorporate population healthYesN/A
Use of a QCDR to generate regular feedback reports that summarize local practice patterns and treatment outcomes, including for vulnerable populations.
Use of QCDR to support clinical decision makingYesN/A
Participation in a QCDR, demonstrating performance of activities that promote implementation of shared clinical decision making capabilities.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114915477, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 1 + 8 + 1 + 1 + 0 + 4 + 1 + 4 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1114915477.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
2721 DEL PRADO BLVD S, SUITE 200
CAPE CORAL, FL 33904
Internal Medicine (Gastroenterology)
2721 DEL PRADO BLVD S, SUITE 200
CAPE CORAL, FL 33904
Internal Medicine (Gastroenterology)
2721 DEL PRADO BLVD S, SUITE 200
CAPE CORAL, FL 33904
Nurse Anesthetist, Certified Registered
2721 DEL PRADO BLVD S
CAPE CORAL, FL 33904
Emergency Medicine
2721 DEL PRADO BLVD S, SUITE 240
CAPE CORAL, FL 33904
Orthopaedic Surgery
2721 DEL PRADO BLVD S, SUITE 250
CAPE CORAL, FL 33904
Specialist
2721 DEL PRADO BLVD S, SUITE 260
CAPE CORAL, FL 33904
Counselor (Mental Health)
2721 DEL PRADO BLVD S, SUITE 200
CAPE CORAL, FL 33904
Nurse Anesthetist, Certified Registered
2721 DEL PRADO BLVD S, SUITE 100
CAPE CORAL, FL 33904
Clinic/Center (Ambulatory Surgical)
2721 DEL PRADO BLVD S, SUITE 100
CAPE CORAL, FL 33904
Clinic/Center (Mental Health (Including Community Mental Health Center))
2721 DEL PRADO BLVD S, SUITE 200
CAPE CORAL, FL 33904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114915477, enumerated as an "individual" on October 11, 2005.

The provider is located at 2721 DEL PRADO BLVD S CAPE CORAL, FL 33904 and the phone number is (239) 242-8010.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.