RICHARD J BACKES MD
NPI 1871595686
Internal Medicine - Cardiovascular Disease in Saint Cloud, MN

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment
1200 6TH AVE N, SAINT CLOUD, MN 56303(320) 252-5131(320) 255-5714 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard J Backes Md NPPES

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

RICHARD J BACKES MD (NPI 1871595686) is an individual cardiovascular disease provider in Saint Cloud, Minnesota, licensed in Minnesota (30055) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Mayo Medical School (1985).

NPPES Registry Identity

NPI1871595686
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameRICHARD J BACKESCredential: MD
Location Address1200 6TH AVE NSaint Cloud, MN 56303-2735
Mailing Address1200 6th Ave NSaint Cloud, MN 56303-2735 · (320) 252-5131 · Fax (320) 240-2118
Fax(320) 255-5714
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 1985
Enumeration DateAugust 11, 2005
Last NPPES UpdateAugust 21, 2024
NPI 1871595686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MN · 30055
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1200 6TH AVE N, Saint Cloud, MN 56303

Other Identifiers 10

Other2529866Medica Health Plans
Other060067019Rr Medicare
Other54G89BABlue Cross Blue Shield
Other20820Araz Group Americas Ppo
Other1029878Preferred One
Other1065675First Health Plan
Other121558U Care
Medicaid383363100MN
Other383363100Medical Assistance
OtherHP34882Health Partners

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

Richard J Backes 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.

PECOS PAC ID648322750
PECOS Enrollment IDI20090721000759
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 8

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, 20-29 minutes 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.
157 services142 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
81 services76 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
36 services36 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
21 services21 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Chippewa County Hospital

Critical Access Hospitals · Montevideo, MN
OwnershipGovernment - Local
CMS Certification Number241325
Location824 North 11th StreetMontevideo, MN 56265 · Chippewa County
Emergency services

Appleton Area Health

Critical Access Hospitals · Appleton, MN
OwnershipGovernment - Local
CMS Certification Number241341
Location30 S Behl StAppleton, MN 56208 · Swift County
Emergency services

Centracare - Benson

Critical Access Hospitals · Benson, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241365
Location1815 Wisconsin AvenueBenson, MN 56215 · Swift County
Emergency services

Madison Hospital

Critical Access Hospitals · Madison, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241372
Location820 Third AvenueMadison, MN 56256 · Lac Qui Parle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Nurse Practitioner (Adult Health)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Dermatology
1200 6TH AVE N
SAINT CLOUD, MN 56303
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Internal Medicine (Cardiovascular Disease)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1200 6TH AVE N
ST CLOUD, MN 56303
Internal Medicine (Cardiovascular Disease)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Dermatology
1200 6TH AVE N
SAINT CLOUD, MN 56303
Internal Medicine (Cardiovascular Disease)
1200 6TH AVE N
SAINT CLOUD, MN 56303

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 Richard Backes's NPI number?

The NPI number for Richard Backes is 1871595686. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Richard Backes located?

Richard Backes practices at 1200 6th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 252-5131.

What is Richard Backes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Richard Backes enrolled in Medicare?

Yes. Richard Backes 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 Richard Backes accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Richard Backes 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 Richard Backes affiliated with any hospitals?

According to CMS data, Richard Backes is affiliated with St Cloud Hospital, Chippewa County Hospital, Appleton Area Health, Centracare - Benson and Madison Hospital.

When was this NPI record last updated?

The NPPES record for Richard Backes was last updated on August 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.