Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962407080 Individual Practitioner Male Practitioner

Dr. Michael B Back , DC

Chiropractor • Vancouver, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Back, DC is a certified Chiropractor practicing in Vancouver, WA. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Back delivers high-quality medical care to the local community at 11802 NE 65TH ST.

Dr. Back is affiliated with Nw Interventional Medicine And Orthopedic Rehab Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 1-2 spinal regions, chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11802 Ne 65th St
Suite 100

Vancouver, WA 986625521

Telephone 3602536883
Fax 3608927040
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Vancouver, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
34 Yrs +16.2 yrs vs City Avg
City Avg: 17.8 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
211 Specialists

Practicing in Vancouver, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Back (34 Years) 34 Yrs
Vancouver Specialty Average (17.8 Years) 17.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
48 14 $65.00 $28.34

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH00002774

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
84058466 (WA)
Commercial Insurance / Payer ID Dept Of Labor & Inds.
0187146 (WA)
Commercial Insurance / Payer ID Medicare Railroad
P00169111 (WA)

Hospital & Practice Group Affiliations

Nw Interventional Medicine And Orthopedic Rehab Pllc

11802 Ne 65th St, Vancouver, WA 986625521

Phone: 3602536883

Practice Associates & Co-Workers

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

7 Associated Practitioners
Allen Holden , LMP

Massage Therapist

NPI 1437495504

Licensed Massage Practitioner

William Mackenzie , PT

Physical Therapist

NPI 1457356404

Physical Therapist

NPI 1558521708

Licensed Massage Practitioner

Karen Wilson , LMP

Massage Therapist

NPI 1568722130

Licensed Massage Practitioner

Jennifer Logan , APRN, FNP-BC

Nurse Practitioner - Family

NPI 1598039984

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Kawika Maraccini , LMT

Massage Therapist

NPI 1639878382

Licensed Massage Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 19, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 19, 2008

Registered at 11802 NE 65TH ST, SUITE 100, VANCOUVER, WA 986625521 (Tel: 3602536883)

📍
Updated Business Mailing Address February 19, 2008

Registered at 11802 NE 65TH ST, SUITE 100, VANCOUVER, WA 986625521 (Tel: 3602536883)

👤
Provider Name / Credentials Updated February 19, 2008

Recorded as MICHAEL BACK, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2008

Chiropractor (License #CH00002774 in WA)

🟢
Initial NPI Registration & Enumeration June 15, 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: 1962407080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2005
Last Update: February 19, 2008
Sole Proprietor: Yes

Mailing Address

11802 Ne 65th St, Suite 100

Vancouver, WA 986625521

Phone: 3602536883

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.