JAMES W BACKSTROM MD
NPI 1497721146
Radiology - Diagnostic Radiology in Pittsburgh, PA
About James W Backstrom Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES W BACKSTROM MD (NPI 1497721146) is an individual diagnostic radiology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD418526) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Heritage Valley Beaver, and maintains a secondary practice location in Charlottesville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
James W Backstrom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
9Medicare enrollment records show James Backstrom reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wexford, PA 15090
- Reassigned Medicare billing, District of Columbia, Maryland, Ohio and Pennsylvania enrollments
- 39 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Pennsylvania enrollment
- 33 clinicians in this Medicare group
Hot Springs, VA 24445
- Reassigned Medicare billing, Virginia enrollment
- 129 clinicians in this Medicare group
Fishersville, VA 22939
- Reassigned Medicare billing, Virginia enrollment
- 96 clinicians in this Medicare group
Fishersville, VA 22939
- Reassigned Medicare billing, Virginia enrollment
- 434 clinicians in this Medicare group
Charlottesville, VA 22903
- Reassigned Medicare billing, Virginia enrollment
- 308 clinicians in this Medicare group
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 2,820 clinicians in this Medicare group
Louisville, KY 40241
- Reassigned Medicare billing, Kentucky and Pennsylvania enrollments
- Also billed through NPI 1316294127 (Pennsylvania)
- 2,337 clinicians in this Medicare group
Springfield, MA 01107
- Reassigned Medicare billing, Massachusetts enrollment
- Medicare enrollment name: Chelmsford Mri PC
- 99 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 54
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Heritage Valley Beaver
Acute Care Hospitals · Beaver, PAUpmc Williamsport
Acute Care Hospitals · Williamsport, PAWayne Memorial Hospital
Acute Care Hospitals · Honesdale, PAUpmc Cole
Critical Access Hospitals · Coudersport, PACommunity Memorial Hospital
Acute Care Hospitals · South Hill, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15222 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
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.
PITTSBURGH, PA 15222
PITTSBURGH, PA 15222
PITTSBURGH, PA 15222
PITTSBURGH, PA 15222
PITTSBURGH, PA 15222
PITTSBURGH, PA 15222
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 James Backstrom's NPI number?
The NPI number for James Backstrom is 1497721146. It was assigned to this individual provider in the NPPES registry on February 23, 2006.
Where is James Backstrom located?
James Backstrom practices at 401 Liberty Ave Ste 2000 Three Gateway Center, 20th Floor, Pittsburgh, PA 15222. The listed phone number is (412) 223-2272.
What is James Backstrom's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is James Backstrom enrolled in Medicare?
Yes. James Backstrom is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for James Backstrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Backstrom reassigns Medicare benefits to 9 organizations: Foundation Radiology Group PC (Wexford, PA), University Hospitals Medical Group Inc (Cleveland, OH), Bath County Community Hospital (Hot Springs, VA), Augusta Health Care, Inc. (Fishersville, VA), Augusta Medical Group (Fishersville, VA) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Backstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Backstrom accept?
Health plans from CareSource and Oscar Health list James Backstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is James Backstrom affiliated with any hospitals?
According to CMS data, James Backstrom is affiliated with Heritage Valley Beaver, Upmc Williamsport, Wayne Memorial Hospital, Upmc Cole and Community Memorial Hospital.
When was this NPI record last updated?
The NPPES record for James Backstrom was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.