Michael Backues, MSM, ATC, PA-C
NPI 1114900131ActiveIndividual· Physician Assistant· Columbia, TN
Physician Assistant (MSM, ATC, PA-C) with Privia Medical Group Tennessee LLC, practicing in Columbia, Tennessee. 130 Medicare patients in 2024, $19,936 paid; all of their 151 Part D prescriptions were generic.
Overview
| NPI | 1114900131 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSM, ATC, PA-C |
| Sole proprietor | No |
| NPI issued | Nov 23, 2005 |
| Last updated in NPPES | Jan 9, 2020 |
| Certified by provider | Jan 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2267 | TN |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 627 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 130 |
|---|---|
| Services billed | 3,720 across 38 procedure codes |
| Paid by Medicare | $19,936 |
Part D prescriptions in 2024
| Prescriptions (claims) | 151 · 153 30-day fills |
|---|---|
| Patients | 97 |
| Total drug cost | $978.34 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Privia Medical Group Tennessee LLCMt Juliet, TN · 140 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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