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Deactivated NPI 1215905831 Deactivated / Inactive NPI Male Practitioner

Dr. John Randolph Backman , MD

Specialist • Encinitas, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Backman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 09, 2006
NPI Deactivation Date May 29, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. John Backman, MD was a registered Specialist practicing in Encinitas, CA. Throughout an active medical career spanning 19 years, Dr. Backman provided care at the practice location at 320 SANTA FE DR until profile deactivation on 2025-05-29.

Historical Medicare Part B clinical services included established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

320 Santa Fe Dr
Suite 204

Encinitas, CA 920245138

Telephone 7609447300
Fax 7606333949
Associated Practice Facility / Clinic
🏢 Scott Mercer, Md, Inc Facility NPI 1942201785

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Encinitas, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.8 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Encinitas, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
632 267 $308.00 $189.70
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
630 266 $41.00 $16.85
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
521 349 $36.00 $8.24
93000 Routine ekg using at least 12 leads including interpretation and report
163 110 $36.00 $15.41
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
99 90 $455.00 $216.07
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
32 32 $435.00 $232.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 13 $230.00 $136.94

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA G29156

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Anne Burns , NP

Nurse Practitioner

NPI 1033134119

Nurse Practitioner

Dr. Batyrjan Bulibek , MD

Internal Medicine - Interventional Cardiology

NPI 1033369947

Doctor of Medicine (M.D.)

Dr. Roy Avalos , MD

Internal Medicine - Cardiovascular Disease

NPI 1154399632

Doctor of Medicine (M.D.)

Maria Campbell , NP

Nurse Practitioner

NPI 1154526986

Nurse Practitioner

Dr. David Hill , MD

Internal Medicine - Cardiovascular Disease

NPI 1215905872

Doctor of Medicine (M.D.)

Dr. Damian Rasch , DO

Internal Medicine - Cardiovascular Disease

NPI 1295977122

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated May 29, 2025

Record deactivated on May 29, 2025

NPI Profile Active September 13, 2016

NPI status registered as active in NPPES database

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Updated Practice Location September 13, 2016

Registered at 320 SANTA FE DR, SUITE 204, ENCINITAS, CA 920245138 (Tel: 7609447300)

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Updated Business Mailing Address September 13, 2016

Registered at 320 SANTA FE DR, STE 204, ENCINITAS, CA 920245179 (Tel: 7609447300)

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Provider Name / Credentials Updated September 13, 2016

Recorded as JOHN BACKMAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2016

Specialist (License #G29156 in CA)

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Initial NPI Registration & Enumeration March 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215905831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2006
Last Update: September 13, 2016
Deactivation Date: May 29, 2025

Mailing Address

320 Santa Fe Dr, Ste 204

Encinitas, CA 920245179

Phone: 7609447300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.