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SHANE ANDREW BACKMAN PA-C
NPI 1376929299
Physician Assistant in Salt Lake City, UT

Active since August 03, 2015PECOS Enrolled
30 N 1900 E RM 3B110, SALT LAKE CITY, UT 84132(801) 581-8738 Get Directions Write a Review

NPPES record last updated: October 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2021, Nov 24, 2015 (2 updates tracked since 2015).

About Shane Andrew Backman Pa-c NPPES

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

SHANE ANDREW BACKMAN PA-C (NPI 1376929299) is an individual physician assistant in Salt Lake City, Utah and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376929299
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHANE ANDREW BACKMANCredential: PA-C
Location Address30 N 1900 E RM 3B110Salt Lake City, UT 84132-2101
Mailing Address30 N 1900 E Rm 3b110Salt Lake City, UT 84132-2101 · (801) 581-8738
Phone(801) 581-8738
Sole ProprietorNo
Enumeration DateAugust 3, 2015
Last NPPES UpdateOctober 16, 20212 updates tracked since enumeration
NPPES CertifiedOctober 16, 2021
✔ NPI 1376929299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
30 N 1900 E RM 3B110, Salt Lake City, UT 84132
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Andrew Backman Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
3 suppliers11 claims260 services$8.49 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
6 suppliers16 claims800 services$0.23 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
3 suppliers11 claims220 services$2.61 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
6 suppliers18 claims550 services$0.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shane Backman's NPI number?

The NPI number for Shane Backman is 1376929299. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Where is Shane Backman located?

Shane Backman practices at 30 N 1900 E Rm 3b110, Salt Lake City, UT 84132. The listed phone number is (801) 581-8738.

What is Shane Backman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shane Backman enrolled in Medicare?

Yes. Shane Backman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Backman was last updated on October 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.