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CARL LEWIS BACKER M.D.
NPI 1760477608
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lexington, KY

Active since September 16, 2005PECOS Enrolled
UK HEALTHCARE 740 S LIMESTONE SUITE A301, LEXINGTON, KY 40536(859) 323-6494(859) 257-4682 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2020, May 28, 2020, May 4, 2020 and 2 more (5 updates tracked since 2017).

About Carl Lewis Backer M.d. NPPES

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

CARL LEWIS BACKER M.D. (NPI 1760477608) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Lexington, Kentucky, licensed in Kentucky (53982) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1760477608
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameCARL LEWIS BACKERCredential: M.D.
Location AddressUK HEALTHCARE 740 S LIMESTONE SUITE A301Lexington, KY 40536-2991
Mailing Address3333 Burnet Ave, Mlc 2004Cincinnati, OH 45229-3026 · (513) 636-4770 · Fax (513) 636-3847
Phone(859) 323-6494
Fax(859) 257-4682
Sole ProprietorNo
Enumeration DateSeptember 16, 2005
Last NPPES UpdateAugust 31, 20205 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
✔ NPI 1760477608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in KY · 53982✔ Licensed in IL · 036064156✔ Licensed in KY · TP117✔ Licensed in OH · 35.139651
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.
UK HEALTHCARE 740 S LIMESTONE SUITE A301, Lexington, KY 40536
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Secondary Practice Location 1

Location 13333 Burnet Ave, MLC 2004Cincinnati, OH 45229-3026 · Phone (513) 636-4770 · Fax (513) 636-3847

Other Identifiers 5

Medicaid6435508KY
Medicaid036064156IL
Medicaid05825879MS
Other363283051IL · Owcp Provider Id
Other1627123IL · Bcbs Provider Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carl Lewis Backer M.d. 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Carl Backer reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
Same address
Family
UK COLLEGE OF DENTISTRY, 770 ROSE STREET, MN328
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1215449590 (859) 323-3368
Children's Hospital Medical Center
77 mi
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 110 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225
Osf Multi-Specialty Group
335 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050
Rockford Health Physicians
378 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
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.

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 Carl Backer's NPI number?

The NPI number for Carl Backer is 1760477608. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Carl Backer located?

Carl Backer practices at Uk Healthcare 740 S Limestone Suite A301, Lexington, KY 40536. The listed phone number is (859) 323-6494.

What is Carl Backer's specialty?

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

Is Carl Backer enrolled in Medicare?

Yes. Carl Backer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carl Backer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Backer reassigns Medicare benefits to 4 organizations: University Of Kentucky (Lexington, KY), Children's Hospital Medical Center (Cincinnati, OH), Osf Multi-Specialty Group (Peoria, IL) and Rockford Health Physicians (Rockford, IL). 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 Carl Backer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Backer accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Carl Backer 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.

When was this NPI record last updated?

The NPPES record for Carl Backer was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.