BEN W BACK PA
NPI 1619942562
Physician Assistant - Medical in Hazard, KY

Q: What is Ben Back's NPI number?

The NPI number for Ben Back is 1619942562. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Q: What is Ben Back's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Ben Back was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment

210 BLACK GOLD BLVD STE 106, HAZARD, KY 41701(606) 436-0711(606) 436-0848 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2021, Jan 30, 2019 (2 updates tracked since 2019).

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About Ben W Back Pa NPPES

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

BEN W BACK PA (NPI 1619942562) is an individual medical provider in Hazard, Kentucky, licensed in Kentucky (PA364) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Hazard Arh Regional Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1619942562

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameBEN W BACKCredential: PA

Location Address210 BLACK GOLD BLVD STE 106Hazard, KY 41701-2620

Mailing AddressPo Box 959Hazard, KY 41702-0959 · (606) 589-5514 · Fax (606) 435-1322

Phone(606) 436-0711

Fax(606) 436-0848

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateFebruary 22, 2006

Last NPPES UpdateMay 13, 20212 updates tracked since enumeration

NPPES CertifiedMay 13, 2021

✔ NPI 1619942562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in KY · PA364

210 BLACK GOLD BLVD STE 106, Hazard, KY 41701

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Other Identifiers 1

Medicaid95000287KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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 and accepts Medicare assignment

Ben W Back Pa 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 ID2860590767

PECOS Enrollment IDI20070530000494

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 4

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.

Skin test for tuberculosis 86580

A skin test for tuberculosis, also known as a PPD test, is a simple procedure where a small amount of testing material is injected under the skin on your arm. After 48-72 hours, the test site is checked for a reaction which may indicate TB exposure.

33 services32 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

24 services22 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

21 services19 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

21 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180029

Location100 Medical Center DriveHazard, KY 41701 · Perry County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers37 claims71 services$6.24 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers19 claims24 services$1.17 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers17 claims17 services$924.90 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers34 claims34 services$109.05 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers17 claims17 services$24.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CHELSEA WALKER APRN

Nurse Practitioner (Family)