THOMAS EVAN BACKERIS DMD
NPI 1417497850
Dentist - Oral and Maxillofacial Surgery in Maywood, IL

Q: What is Thomas Backeris's NPI number?

The NPI number for Thomas Backeris is 1417497850. It was assigned to this individual provider in the NPPES registry on March 5, 2017.

Q: What is Thomas Backeris's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Backeris was last updated on March 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 05, 2017PECOS Enrolled

2160 S 1ST AVE, MAYWOOD, IL 60153(708) 327-3041 Get Directions Write a Review

NPPES record last updated: March 5, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Thomas Evan Backeris Dmd NPPES

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

THOMAS EVAN BACKERIS DMD (NPI 1417497850) is an individual oral and maxillofacial surgery provider in Maywood, Illinois, licensed in Illinois (1223S0112X) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417497850

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameTHOMAS EVAN BACKERISCredential: DMD

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 327-3041

Phone(708) 327-3041

Sole ProprietorNo

Enumeration DateMarch 5, 2017

✔ NPI 1417497850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in IL · 1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2160 S 1ST AVE, Maywood, IL 60153

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Evan Backeris Dmd 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 60153 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

Other Providers at the Same Location NPPES 20

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

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