Active NPI 1124043252 Individual Practitioner Male Practitioner

Dr. Craig A Backs , MD

Internal Medicine • Springfield, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Craig Backs, MD is a certified Internal Medicine practicing in Springfield, IL. With approximately 45 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 1981, Dr. Backs delivers high-quality medical care to the local community at 2921 GREENBRIAR DR.

Dr. Backs accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound of both sides of head and neck blood flow, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2921 Greenbriar Dr

Springfield, IL 627046421

Telephone 2173211987

Fax 8665947830

Associated Practice Facility / Clinic

🏢 Psychological Services Of Central Illinois, P.c. Facility NPI 1245281583

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +25.9 yrs vs City Avg

City Avg: 19.1 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

206 Specialists

Practicing in Springfield, IL (7544 Statewide)

Telehealth Adoption Rate

4.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

40.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Backs (45 Years) 45 Yrs

Springfield Specialty Average (19.1 Years) 19.1 Yrs

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	109	$160.00	$113.54
93880 Ultrasound of both sides of head and neck blood flow	131	112	$400.00	$174.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	126	100	$225.00	$163.08
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$300.00	$198.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	109	$160.00	$115.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	135	109	$225.00	$164.09
93880 Ultrasound of both sides of head and neck blood flow	125	113	$400.00	$178.38
99213 Established patient office or other outpatient visit, typically 15 minutes	29	18	$115.00	$83.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$300.00	$197.38

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	149	117	$225.00	$170.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	89	$160.00	$120.34
93880 Ultrasound of both sides of head and neck blood flow	115	108	$400.00	$183.46
99213 Established patient office or other outpatient visit, typically 15 minutes	32	19	$115.00	$86.68
99442 Telephone medical discussion with physician, 11-20 minutes	21	19	$95.00	$88.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$240.00	$163.98

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	162	109	$225.00	$175.06
93880 Ultrasound of both sides of head and neck blood flow	136	111	$400.00	$188.13
36415 Insertion of needle into vein for collection of blood sample	85	69	$14.94	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	58	$160.00	$125.69
99213 Established patient office or other outpatient visit, typically 15 minutes	33	21	$114.55	$88.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$300.00	$211.42

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	132	97	$225.00	$142.19
93880 Ultrasound of both sides of head and neck blood flow	116	100	$400.00	$189.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	77	$160.00	$105.59
99213 Established patient office or other outpatient visit, typically 15 minutes	51	35	$110.00	$72.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$300.00	$202.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	93	$160.00	$101.88
93880 Ultrasound of both sides of head and neck blood flow	142	113	$400.00	$182.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	120	97	$225.00	$136.10
99213 Established patient office or other outpatient visit, typically 15 minutes	112	51	$110.00	$68.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$300.00	$195.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	113	$160.00	$96.83
93882 Ultrasound of one side of head and neck blood flow	117	104	$235.62	$115.11
99213 Established patient office or other outpatient visit, typically 15 minutes	79	41	$110.00	$66.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$225.00	$133.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$70.00	$39.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$240.00	$151.91
93880 Ultrasound of both sides of head and neck blood flow	12	12	$400.00	$181.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	93	$149.29	$96.66
99213 Established patient office or other outpatient visit, typically 15 minutes	153	60	$97.97	$66.11
93882 Ultrasound of one side of head and neck blood flow	76	70	$199.00	$112.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$64.29	$39.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$209.62	$131.25
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$40.00	$15.18

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036065128

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036065128 (IL)

Commercial Insurance / Payer ID Black Lung

020057300 (IL)

Commercial Insurance / Payer ID Healthlink

100364 (IL)

Commercial Insurance / Payer ID Caterpillar

6394P (IL)

Commercial Insurance / Payer ID Rr Medicare Pin

110201127 (IL)

Commercial Insurance / Payer ID Acs-Owcp

133586700 (IL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

08421024 (IL)

Commercial Insurance / Payer ID Clia Cert

14D0949277 (IL)

Commercial Insurance / Payer ID Rr Medicare Grp

CD7143 (IL)

Commercial Insurance / Payer ID Health Alliance

008546 (IL)

Practice Associates & Co-Workers

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

8 Associated Practitioners

Patricia Reichart , NP

Nurse Practitioner

NPI 1225024136

Nurse Practitioner

Laurie Salvacion , PT

Physical Therapist

NPI 1386923043

Physical Therapist

Dr. Richard Dimond , PhD

Psychologist - Clinical

NPI 1548212145

Doctor of Philosophy (Ph.D.)

Bradley Blevins , PTA

Physical Therapy Assistant

NPI 1629200548

Physical Therapist Assistant

Darrell Simmermaker , MS, PTA

Physical Therapy Assistant

NPI 1639447295

Master of Science, Physical Therapist Assistant

Dr. Joanne Moussette , PsyD

Psychologist - Clinical

NPI 1750332037

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 22, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 22, 2011

Registered at 2921 GREENBRIAR DR, SPRINGFIELD, IL 627046421 (Tel: 2173211987)

📍

Updated Business Mailing Address September 22, 2011

Registered at 2921 GREENBRIAR DR, SPRINGFIELD, IL 627046421 (Tel: 2173211987)

👤

Provider Name / Credentials Updated September 22, 2011

Recorded as CRAIG BACKS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2011

Internal Medicine (License #036065128 in IL)

🟢

Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1124043252

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 12, 2006

Last Update: September 22, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2921 Greenbriar Dr

Springfield, IL 627046421

Phone: 2173211987

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.