DR. JEFFREY JOHN BACKENSTOES D.O.
NPI 1215985270
Internal Medicine in Harrisburg, PA

Active since May 04, 2006Opted out of Medicare · through Jan 1, 2027
4807 JONESTOWN RD STE 141, HARRISBURG, PA 17109(717) 695-6177(717) 695-4369 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 26, 2019, Apr 24, 2018 (2 updates tracked since 2018).

About Dr. Jeffrey John Backenstoes D.o. NPPES

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

DR. JEFFREY JOHN BACKENSTOES D.O. (NPI 1215985270) is an individual internal medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (OS-008959-L) and active in the NPI registry since May 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215985270
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JEFFREY JOHN BACKENSTOESCredential: D.O.
Location Address4807 JONESTOWN RD STE 141Harrisburg, PA 17109-1744
Mailing Address4807 Jonestown Rd Ste 141Harrisburg, PA 17109-1744 · (717) 695-6177 · Fax (717) 695-4369
Fax(717) 695-4369
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateNovember 26, 20192 updates tracked since enumeration
NPI 1215985270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · OS-008959-L
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4807 JONESTOWN RD STE 141, Harrisburg, PA 17109

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Jeffrey John Backenstoes D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
14%21 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%167 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$35.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Internal Medicine
4807 JONESTOWN RD STE 141
HARRISBURG, PA 17109

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 Jeffrey Backenstoes's NPI number?

The NPI number for Jeffrey Backenstoes is 1215985270. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Jeffrey Backenstoes located?

Jeffrey Backenstoes practices at 4807 Jonestown Rd Ste 141, Harrisburg, PA 17109. The listed phone number is (717) 695-6177.

What is Jeffrey Backenstoes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jeffrey Backenstoes enrolled in Medicare?

No. Jeffrey Backenstoes has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeffrey Backenstoes was last updated on November 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.