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Active NPI 1841273554 Individual Practitioner Female Practitioner

Dawn R Back , PA

Physician Assistant • Santa Rosa, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dawn Back, PA is a certified Physician Assistant practicing in Santa Rosa, NM. With approximately 23 years of clinical experience since completing medical education in 2003, Dawn Back delivers high-quality medical care to the local community at 117 CAMINO DE VIDA.

Dawn Back maintains professional affiliations with St Josephs Medical Center, Aitkin Community Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, emergency department visit with straightforward medical decision making, blood glucose (sugar) test performed by hand-held instrument. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

117 Camino De Vida
Suite 300

Santa Rosa, NM 88435

Telephone 5754724311
Fax 5754724313
Associated Practice Facility / Clinic
🏢 Guadalupe County Facility NPI 1346249968

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Santa Rosa, NM

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +7.0 yrs vs City Avg
City Avg: 16.0 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Santa Rosa, NM (865 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Back (23 Years) 23 Yrs
Santa Rosa Specialty Average (16.0 Years) 16.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
335 130 $115.00 $59.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
133 83 $155.00 $88.38
99282 Emergency department visit with straightforward medical decision making
80 72 $296.00 $35.14
82962 Blood glucose (sugar) test performed by hand-held instrument
59 37 $10.00 $3.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
51 51 $250.00 $92.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
47 24 $115.00 $60.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes
41 12 $183.00 $32.98
99281 Emergency department visit for problem that may not require health care professional
39 30 $182.00 $17.99
99238 Hospital discharge day management, 30 minutes or less
34 31 $130.00 $60.37
83036 Hemoglobin A1C level
32 26 $38.00 $13.05
99283 Emergency department visit with low level of medical decision making
29 29 $531.00 $52.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
27 25 $250.00 $115.07
93000 Routine ekg using at least 12 leads including interpretation and report
23 23 $50.00 $13.84
99284 Emergency department visit with moderate level of medical decision making
23 21 $859.00 $99.79
81002 Urinalysis, manual test
15 14 $16.00 $3.43
82044 Urine microalbumin (protein) analysis
13 13 $25.00 $6.15

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NM PA2016-0044

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License AK 2103

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CO PA.0003777

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
54452015 (NM)

Hospital & Practice Group Affiliations

Aitkin Community Hospital Inc

200 Bunker Hill Dr, Aitkin, MN 564311865

Phone: 2189272121

St Josephs Medical Center

523 N 3rd St, Brainerd, MN 564013054

Phone: 2188287400

Practice Associates & Co-Workers

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

19 Associated Practitioners
Tommie Salinas , CNP

Nurse Practitioner - Family

NPI 1003798877

Certified Nurse Practitioner

Krista Mericle , RN

Nurse Practitioner - Family

NPI 1023551363

Registered Nurse

NPI 1134626070

Doctor of Medicine (M.D.)

Senora Campos

Nurse Practitioner - Family

NPI 1225695018
Janice Ulibarri

Community Health Worker

NPI 1235926643
Dr. Miranda Haley , MD

Family Medicine

NPI 1326334814

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active February 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2017

Registered at 117 CAMINO DE VIDA, SUITE 300, SANTA ROSA, NM 88435 (Tel: 5754724311)

📍
Updated Business Mailing Address February 08, 2017

Registered at 117 CAMINO DE VIDA, SUITE 300, SANTA ROSA, NM 88435 (Tel: 5754724311)

👤
Provider Name / Credentials Updated February 08, 2017

Recorded as DAWN BACK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2017

Physician Assistant (License #PA2016-0044 in NM)

NPI Profile Active October 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2013

Registered at 1208 LUTHER ST, EADS, CO 81036 (Tel: 7194385401)

📍
Updated Business Mailing Address October 16, 2013

Registered at PO BOX 817, EADS, CO 810360817 (Tel: 7194385401)

👤
Provider Name / Credentials Updated October 16, 2013

Recorded as DAWN BACK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2013

Physician Assistant (License #PA.0003777 in CO)

🟢
Initial NPI Registration & Enumeration November 28, 2005

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: 1841273554
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2005
Last Update: February 08, 2017
Sole Proprietor: No

Mailing Address

117 Camino De Vida, Suite 300

Santa Rosa, NM 88435

Phone: 5754724311

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.