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

Active since October 11, 2005PECOS Enrolled
2721 DEL PRADO BLVD S, CAPE CORAL, FL 33904(239) 242-8010(239) 242-8020 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth Wilson Backstrand Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH WILSON BACKSTRAND MD (NPI 1114915477) is an individual pain medicine provider in Cape Coral, Florida, licensed in Florida (ME50622) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114915477
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameKENNETH WILSON BACKSTRANDCredential: MD
Location Address2721 DEL PRADO BLVD SCape Coral, FL 33904-5781
Mailing Address40 Barkley Cir Ste 3Fort Myers, FL 33907-4518 · (239) 226-0910 · Fax (239) 226-0912
Fax(239) 242-8020
Sole ProprietorYes
Enumeration DateOctober 11, 2005
Last NPPES UpdateMarch 8, 2018
NPI 1114915477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in FL · ME50622
Definition
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.
Also ListedAnesthesiologyTaxonomy 207L00000X · License ME0050622 (FL)
2721 DEL PRADO BLVD S, Cape Coral, FL 33904

Other Identifiers 1

Medicaid046206300FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenneth Wilson Backstrand Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pre-operative OSA assessment
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)
33%39 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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
Emergency Medicine
2721 DEL PRADO BLVD S, SUITE 240
CAPE CORAL, FL 33904
Clinic/Center (Mental Health (Including Community Mental Health Center))
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
Orthopaedic Surgery
2721 DEL PRADO BLVD S, SUITE 250
CAPE CORAL, FL 33904
Internal Medicine (Gastroenterology)
2721 DEL PRADO BLVD S, SUITE 200
CAPE CORAL, FL 33904
Counselor (Mental Health)
2721 DEL PRADO BLVD S, SUITE 200
CAPE CORAL, FL 33904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Backstrand's NPI number?

The NPI number for Kenneth Backstrand is 1114915477. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Kenneth Backstrand located?

Kenneth Backstrand practices at 2721 Del Prado Blvd S, Cape Coral, FL 33904. The listed phone number is (239) 242-8010.

What is Kenneth Backstrand's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Kenneth Backstrand enrolled in Medicare?

Yes. Kenneth Backstrand is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Backstrand was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.