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LEAH MONIQUE BACKHUS M.D.
NPI 1528293677
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Palo Alto, CA

Active since May 19, 2009PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
300 PASTEUR DR, PALO ALTO, CA 94304(650) 723-4000 Get Directions Write a Review

NPPES record last updated: April 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leah Monique Backhus M.d. NPPES

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

LEAH MONIQUE BACKHUS M.D. (NPI 1528293677) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Palo Alto, California, licensed in California (A77191) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2000).

NPPES Registry Identity

NPI1528293677
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameLEAH MONIQUE BACKHUSCredential: M.D.
Location Address300 PASTEUR DRPalo Alto, CA 94304-2203
Mailing Address300 Pasteur DrPalo Alto, CA 94304-2203 · (650) 723-4000
Phone(650) 723-4000
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2000
Enumeration DateMay 19, 2009
Last NPPES UpdateApril 27, 2024
NPPES CertifiedApril 27, 2024
✔ NPI 1528293677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in CA · A77191
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License A77191 (CA)
300 PASTEUR DR, Palo Alto, CA 94304
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Other Names 1

Former Name (1)Leah Monique Fuller M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leah Monique Backhus M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264461680
PECOS Enrollment IDI20050805000732
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94304 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

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.

RHEA MATHEW
Nurse Practitioner (Adult Health)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (209) 675-3787
JUSTIN AYALA BIRNBAUM M.D.
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
MAHENDRA TAKASHI BHATI MD
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
ANDREA ERIKA AMENT M.D.
Psychiatry & Neurology (Psychosomatic Medicine)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
CATHERINE BENEDICT PHD
Psychologist (Clinical)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
RYAN THOMAS ASH MD, PHD
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
ARDEN MARIE MORRIS MD
Colon & Rectal Surgery
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
BENJAMIN ZEWDU BELAI MD
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000

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 Leah Backhus's NPI number?

The NPI number for Leah Backhus is 1528293677. It was assigned to this individual provider in the NPPES registry on May 19, 2009. The provider is also known as Leah Monique Fuller M.D..

Where is Leah Backhus located?

Leah Backhus practices at 300 Pasteur Dr, Palo Alto, CA 94304. The listed phone number is (650) 723-4000.

What is Leah Backhus's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Leah Backhus enrolled in Medicare?

Yes. Leah Backhus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Leah Backhus was last updated on April 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.