MICHAEL SCOTT PECK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1770712424

MICHAEL SCOTT PECK (DPM) is a healthcare provider. based in Colorado springs, Colorado. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. POD.0000777 (CO). The NPI Number for MICHAEL SCOTT PECK (DPM) is 1770712424

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL SCOTT PECK (DPM)
NPI
1770712424
Phone
(719) 559-3388
Address
6160 TUTT BLVD STE 250
Enumeration Date
2 July 2009
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195593388
Graduation Year
2009 (17 years ago)
PAC ID
8921254111
Professional Enrollment ID
I20160607002118
Address ID
CO809231500CO6160XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:16State licenses:2Digital endpointsOther names

257 PODIATRY in CO

Provider Addresses for MICHAEL SCOTT PECK (DPM)

  • 6160 TUTT BLVD STE 250

    COLORADO SPRINGS, CO 809231500

    Phone: (719) 559-3388

    Fax: (719) 559-3509

    Type: Location

  • 1155, Kelly Johnson Boulevard, Colorado Springs, El Paso County, Colorado, 80920, United States

    #310

    COLORADO SPRINGS, CO 809203932

    Phone: (719) 574-9800

    Type: Mailing

  • 1266 ESCALANTE DR STE 201

    DURANGO, CO 813038934

    Phone: (970) 259-5303

    Fax: (844) 855-6878

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $1,822.

Total Amount is formed as General ($1,822) + Research ($0) + Ownership ($0) = $1,822.

Last reported payment date: 2024-04-27 • Largest payer in this snapshot: Medline Industries LP ($1,730).

Total Amount

$1,822

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,822

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160607002118IPodiatryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes802239$0
11042Removal of skin and tissue, 20.0 sq cm or less11019$0
73630X-ray of foot, minimum of 3 views8457$0
99203New patient office or other outpatient visit, 30-44 minutes7676$0
J1100Injection, dexamethasone sodium phosphate, 1 mg5012$0
View full utilization report →

Insurance plans in this area (ZIP 80923)

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Provider's Procedures

MICHAEL SCOTT PECK (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYCO73630X-ray of foot, minimum of 3 views10560

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Frequently asked questions

How do I look up MICHAEL SCOTT PECK (DPM) by NPI?
Use NPI 1770712424 when you need to reference MICHAEL SCOTT PECK (DPM) in forms, claims, or directories.
Is MICHAEL SCOTT PECK (DPM)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MICHAEL SCOTT PECK (DPM) list a primary specialty?
If you are matching referrals, note Foot & Ankle Surgery Podiatrist for MICHAEL SCOTT PECK (DPM). Clinical services aligned with this taxonomy classification.
Where is MICHAEL SCOTT PECK (DPM)'s primary listing?
We display Colorado Springs, Colorado because that is what the record indicates for MICHAEL SCOTT PECK (DPM).
What if Colorado Springs, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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