DAVID ROBERT PECK (PA-C) – Surgical Physician Assistant, NPI 1063663326
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for DAVID ROBERT PECK (PA-C)
1515 River Pl
Ste 280
Braselton, GA 305175602
Phone: (678) 207-4477
Fax: (678) 207-4478
Type: Location
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
ATLANTA, GA 303742616
Phone: (770) 219-8420
Fax: (770) 219-8440
Type: Mailing
852, Dacula Road, Dacula, Gwinnett County, Georgia, 30019, United States
DACULA, GA 30019
Phone: (770) 848-6190
Fax: (770) 848-5367
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $237.
Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($87).
Total Amount
$237
General + Research + Ownership
Payments
10
Total payment records
General Amount
$237
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ferring Pharmaceuticals Inc. | $87 |
| Heron Therapeutics, Inc. | $43 |
| Smith+Nephew, Inc. | $43 |
| Bioventus LLC | $41 |
| Boston Scientific Corporation | $22 |
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: 2009-11-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091103000610 | I | Physician Assistant | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 143 | 98 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 126 | 62 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 104 | 65 | $0 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 58 | 13 | $0 |
| 73564 | X-ray of knee, 4 or more views | 45 | 44 | $0 |
Insurance plans in this area (ZIP 30517)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | GA | |
| - | GA | |
| A N E S T H E S I O L O G Y | GA | |
| - | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Surgical Oncology, General Surgery | NJ | |
| Pulmonary Disease | NY |
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