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DENNIS BACKSTROM MD
NPI 1497892012
Emergency Medicine in Jacksonville, IL

Active since January 31, 2007PECOS Enrolled
1600 W WALNUT ST, JACKSONVILLE, IL 62650(217) 245-9541(217) 479-8781 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dennis Backstrom Md NPPES

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

DENNIS BACKSTROM MD (NPI 1497892012) is an individual emergency medicine provider in Jacksonville, Illinois and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497892012
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDENNIS BACKSTROMCredential: MD
Location Address1600 W WALNUT STJacksonville, IL 62650-1136
Mailing Address1600 W Walnut StJacksonville, IL 62650-1136 · (217) 245-9541 · Fax (217) 479-8781
Phone(217) 245-9541
Fax(217) 479-8781
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1497892012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1600 W WALNUT ST, Jacksonville, IL 62650
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Other Identifiers 3

Medicare ID-Type UnspecifiedL60256IL · Medicare Number
Other049626IL · Health Alliance
Medicare UPIND15758IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dennis Backstrom 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62650 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

HEALTHCARE NETWORK ASSOCIATES
Clinic/Center (Multi-Specialty)
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-5437
PATRICIA HOBSON
Physical Therapist
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-9541
HEALTHCARE NETWORK ASSOCIATES OF SANGAMON
Pediatrics
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-5437
JEFFREY L OLEJNIK LLC
Obstetrics & Gynecology
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-5930
DR. ELI G GOODMAN MD
Internal Medicine (Geriatric Medicine)
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 479-5890
CENTER FOR PSYCHIATRIC HEALTH
Psychiatry & Neurology (Psychiatry)
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-9541
MICHELLE LEE GEISS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-7275
MATTHEW J BEDNARCHIK CRNA
Nurse Anesthetist, Certified Registered
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-9541

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 Dennis Backstrom's NPI number?

The NPI number for Dennis Backstrom is 1497892012. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Dennis Backstrom located?

Dennis Backstrom practices at 1600 W Walnut St, Jacksonville, IL 62650. The listed phone number is (217) 245-9541.

What is Dennis Backstrom's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Dennis Backstrom enrolled in Medicare?

Yes. Dennis Backstrom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dennis Backstrom was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.