Medicare Enrolled

Dr. Douglas Backous, MD

Otology & Neurotology Physician · Puyallup, WA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
104 27TH AVE SE, Puyallup, WA 98374
2537709000
In practice since 2006 (19 years)
NPI: 1669589974 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Backous from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Backous

Dr. Douglas Backous is an otology & neurotology physician in Puyallup, WA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Backous performed 594 Medicare services across 554 unique beneficiaries.

Between the years covered by Open Payments, Dr. Backous received a total of $33,631 from 17 pharmaceutical and/or device companies across 93 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otology & neurotology physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Backous is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ 594 Medicare services $33,631 industry payments

Medicare Practice Summary

Medicare Utilization ↗
594
Medicare services
Bottom 25% in WA for otology & neurotology physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
554
Unique beneficiaries
$149
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~31 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
160 $120 $361
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
155 $63 $175
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
112 $93 $249
Ear wax removal
A procedure to remove impacted ear wax from the ear canal.
43 $30 $168
Cochlear implant insertion
Surgical placement of a device into the inner ear to provide sound signals to the brain for hearing.
36 $1,067 $3,446
CT scan of head, without contrast
A CT scan uses X-rays to create detailed images of the brain and skull. This specific scan is performed without the use of contrast dye.
34 $134 $828
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
26 $40 $120
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
17 $59 $237
Ear cartilage harvest for grafting
Surgical removal of cartilage from the ear to be used as a graft in another part of the body.
11 $270 $1,839
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$33,631
Total received (2018-2024)
Avg $4,804/year across 7 years
Top 29% in WA for otology & neurotology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
17
Companies
93
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$13,851 (41.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$12,527 (37.2%)
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$5,446 (16.2%)
Scientific / Research
Research funding and grants
$1,807 (5.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$8,862
2023
$4,176
2022
$1,640
2021
$1,232
2020
$3,492
2019
$4,797
2018
$9,432

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Cochlear Ltd
$6,032
Grace Medical, Inc.
$1,890
Medtronic, Inc.
$371
MED-EL Corporation
$254
Stryker Corporation
$179
Neurent Medical Limited
$119
Oticon Medical, LLC
$17
Top 3 companies account for 93.6% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic USA, Inc.
$9,784
Cochlear Ltd
$6,032
Grace Medical, Inc.
$5,446
Stryker Corporation
$4,356
MED-EL Corporation
$2,360
Cochlear Latinoamerica Sociedad Anonima
$1,906
Cochlear Americas
$1,674
Advanced Bionics, LLC
$761
Medtronic, Inc.
$704
Inspire Medical Systems, Inc.
$154
Intersect ENT, Inc.
$150
Neurent Medical Limited
$147
AXOGEN
$65
Aerin Medical Inc.
$42
Oticon Medical, LLC
$17
Novartis Pharmaceuticals Corporation
$17
Genentech USA, Inc.
$16
Top 3 companies account for 63.2% of all-time payments
Associated products mentioned in payments ›
2 IN 1 ALTO IMPLANT · 2 IN 1ALTO IMPLANT · Avance Nerve Graft · COCHLEAR NUCLEUS CI632 COCHLEAR IMPLANT WITH SLIM MODIOLAR ELECTRODE · Cochlear · Cochlear Nucleus CI632 cochlear implant with Slim Modiolar electrode · ENTELLUS - XPRESS ENT DILATION SYSTEM · HIRES ULTRA CI HIFOCUS MS ELECTRODE · HiResolution Bionic Ear System · INDIGO · Inspire Upper Airway Stimulation System · MED-EL Maestro Cochlear Implant System · MIDAS REX · Mi1250 SYNCHRONY 2 FLEXsoft · NEUROMARK Device · NIM · NIM VITAL · NIM-RESPONSE · NSE - HIGH SPEED DRILLS · NSE - NEW PRODUCT DEVELOPMENT · Nucleus · PAZEO · PONTO BONE ANCHORED HEARING SYSTEM · PROPEL · PTEYE PARATHYROID DETECTION SYSTEM · SCOPIS ENT · STEALTHSTATION S8 PLATFORM · VivAer · XPRESS ENT DILATION SYSTEM · XPRESS LOPROFILE · Xolair
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (41%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Looking for an otology & neurotology physician in Puyallup?
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Geographic Context

Otology & neurotology physicians within 10 mi
5
Per 100K population
0.5
County median income
$96,632
Nearest hospital
MULTICARE GOOD SAMARITAN HOSPITAL
5.4 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Backous is a clinical cardiology specialist, with moderate Medicare volume, with consulting-driven industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Backous experienced with new patient office visit (45-59 min)?
Based on Medicare claims data, Dr. Backous performed 160 new patient office visit (45-59 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Backous receive payments from pharmaceutical companies?
Yes. Dr. Backous received a total of $33,631 from 17 companies across 93 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Backous's costs compare to other otology & neurotology physicians in Puyallup?
Dr. Backous's average Medicare payment per service is $149. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Backous) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →