LIA BACK PA
NPI 1669486197
Physician Assistant in Lexington, KY

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
1221 S BROADWAY, LEXINGTON, KY 40504(859) 258-4000(859) 258-6203 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lia Back Pa NPPES

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

LIA BACK PA (NPI 1669486197) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA435) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and maintains a secondary practice location in Hazard.

NPPES Registry Identity

NPI1669486197
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLIA BACKCredential: PA
Location Address1221 S BROADWAYLexington, KY 40504-2701
Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203
Fax(859) 258-6203
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 28, 2006
Last NPPES UpdateMay 24, 2023
NPPES CertifiedMay 24, 2023
NPI 1669486197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KY · PA435
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1221 S BROADWAY, Lexington, KY 40504

Secondary Practice Location 1

Location 1145 Citizens LnHazard, KY 41701-1320 · Phone (606) 439-1300 · Fax (606) 436-5282

Other Identifiers 3

Other412840162IN · Medicare
Medicaid7100097340KY
Medicaid300026152IN

Accepted 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

Lia 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 ID1951361302
PECOS Enrollment IDI20041012000265
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.

Hospital Affiliations CMS Care Compare

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

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

Radiology (Body Imaging)
1221 S BROADWAY
LEXINGTON, KY 40504
Nurse Practitioner
1221 S BROADWAY
LEXINGTON, KY 40504
Nurse Practitioner
1221 S BROADWAY
LEXINGTON, KY 40504
Internal Medicine
1221 S BROADWAY
LEXINGTON, KY 40504
Radiology (Diagnostic Radiology)
1221 S BROADWAY
LEXINGTON, KY 40504
Nurse Practitioner (Family)
1221 S BROADWAY
LEXINGTON, KY 40504
Nurse Practitioner
1221 S BROADWAY
LEXINGTON, KY 40504
Emergency Medicine
1221 S BROADWAY
LEXINGTON, KY 40504

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 Lia Back's NPI number?

The NPI number for Lia Back is 1669486197. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Lia Back located?

Lia Back practices at 1221 S Broadway, Lexington, KY 40504. The listed phone number is (859) 258-4000.

What is Lia Back's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lia Back enrolled in Medicare?

Yes. Lia 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.

What insurance does Lia Back accept?

Health plans from CareSource list Lia Back 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 Lia Back affiliated with any hospitals?

According to CMS data, Lia Back is affiliated with Saint Joseph London.

When was this NPI record last updated?

The NPPES record for Lia Back was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.