EPHRAIM E BACK MD
NPI 1649295254
Family Medicine in Glens Falls, NY
About Ephraim E Back Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EPHRAIM E BACK MD (NPI 1649295254) is an individual family medicine provider in Glens Falls, New York, licensed in New York (163541) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ephraim E Back Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Ephraim Back reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glens Falls, NY 12801
- Reassigned Medicare billing, New York enrollment
- 197 clinicians in this Medicare group
Glens Falls, NY 12801
- Reassigned Medicare billing, New York enrollment
- 201 clinicians in this Medicare group
Queensbury, NY 12804
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1629415740 (New York)
- 456 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Glens Falls Hospital
Acute Care Hospitals · Glens Falls, NYElizabethtown Community Hospital
Critical Access Hospitals · Elizabethtown, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12801 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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLENS FALLS, NY 12801
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 Ephraim Back's NPI number?
The NPI number for Ephraim Back is 1649295254. It was assigned to this individual provider in the NPPES registry on July 13, 2006.
Where is Ephraim Back located?
Ephraim Back practices at 38 Larose St, Glens Falls, NY 12801. The listed phone number is (518) 824-8181.
What is Ephraim Back's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ephraim Back enrolled in Medicare?
Yes. Ephraim Back 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.
Which organizations bill Medicare for Ephraim Back's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ephraim Back reassigns Medicare benefits to 3 organizations: Hudson Headwaters Health Network (Glens Falls, NY), Glens Falls Hospital Inc. (Glens Falls, NY) and Saratoga Hospital (Queensbury, NY). 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 Ephraim Back's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ephraim Back affiliated with any hospitals?
According to CMS data, Ephraim Back is affiliated with Glens Falls Hospital and Elizabethtown Community Hospital.
When was this NPI record last updated?
The NPPES record for Ephraim Back was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.
# Ephraim E Back, MD · NPI 1649295254
Family Medicine physician in Glens Falls, New York. Individual provider, active in the CMS NPPES registry since July 13, 2006.
## Identity
- **NPI:** 1649295254 (Entity type: Individual)
- **Enumerated:** July 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 163541 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 38 LAROSE ST, Glens Falls, NY 12801-3452
- **Phone:** (518) 824-8181 · **Fax:** (833) 819-0268
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Hudson Headwaters Health Network (NPI 1225719172, Glens Falls, NY); Glens Falls Hospital Inc. (NPI 1336198217, Glens Falls, NY); Saratoga Hospital (NPI 1275177321, Queensbury, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Buffalo School Of Medicine, class of 1984
## Record status
- **NPPES last updated:** October 7, 2026
- **Other identifiers:** Medicaid 01262862 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1649295254) · Data from the CMS NPPES public registry.