MATTHEW V BACKENS MD
NPI 1972766996
Family Medicine in Va Beach, VA

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
351 EDWIN DR STE 102, VA BEACH, VA 23462(757) 499-5550 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 18, 2021, Dec 4, 2019, Nov 19, 2019 and 1 more (4 updates tracked since 2019).

About Matthew V Backens Md NPPES

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

MATTHEW V BACKENS MD (NPI 1972766996) is an individual family medicine provider in Va Beach, Virginia, licensed in Virginia (0101245355) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and maintains a secondary practice location in Chesapeake.

NPPES Registry Identity

NPI1972766996
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW V BACKENSCredential: MD
Location Address351 EDWIN DR STE 102Va Beach, VA 23462-4559
Mailing Address860 Omni Blvd Ste 101Newport News, VA 23606-4430 · (757) 232-8769 · Fax (757) 232-8875
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2006
Enumeration DateJuly 9, 2008
Last NPPES UpdateMarch 18, 20214 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
NPI 1972766996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101245355
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

351 EDWIN DR STE 102, Va Beach, VA 23462

Secondary Practice Location 1

Location 1675 Battlefield Blvd NChesapeake, VA 23320-4900 · Phone (757) 436-7888 · Fax (757) 548-5669

Other Identifiers 2

OtherP00840064Railroad Medicare
Medicaid1972766996VA

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

Matthew V Backens 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 ID6608920541
PECOS Enrollment IDI20090812000442
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 33

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 with moderate level of decision making, if using time, 30 minutes or more 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.
812 services370 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
486 services297 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
392 services268 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
373 services263 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
359 services254 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
259 services168 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Chesapeake General Hospital

Acute Care Hospitals · Chesapeake, VA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490120
Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23462 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

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
7 suppliers18 claims51 services$5.96 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,980 services$1.48 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers13 claims13 services$39.77 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$17.48 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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
351 EDWIN DR STE 102
VIRGINIA BEACH, VA 23462
Nurse Practitioner (Family)
351 EDWIN DR STE 102
VIRGINIA BEACH, VA 23462
Nurse Practitioner (Family)
351 EDWIN DR STE 102
VIRGINIA BEACH, VA 23462
Family Medicine
351 EDWIN DR STE 102
VIRGINIA BEACH, VA 23462
Family Medicine
351 EDWIN DR STE 102
VIRGINIA BEACH, VA 23462
Nurse Practitioner (Family)
351 EDWIN DR STE 102
VIRGINIA BEACH, VA 23462

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 Matthew Backens's NPI number?

The NPI number for Matthew Backens is 1972766996. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Matthew Backens located?

Matthew Backens practices at 351 Edwin Dr Ste 102, VA Beach, VA 23462. The listed phone number is (757) 499-5550.

What is Matthew Backens's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Backens enrolled in Medicare?

Yes. Matthew Backens 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.

Is Matthew Backens affiliated with any hospitals?

According to CMS data, Matthew Backens is affiliated with Sentara Albemarle Medical Center, Sentara Norfolk General Hospital, Sentara Leigh Hospital, Sentara Princess Anne Hospital and Chesapeake General Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Backens was last updated on March 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.