LAURA PECK – Surgery Physician, NPI 1699159558

LAURA PECK is a healthcare provider. based in Macomb, Illinois. specializing in GENERAL SURGERY. They hold a License No. 5101025446 (MI). The NPI Number for LAURA PECK is 1699159558

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LAURA PECK
NPI
1699159558
Phone
(309) 833-3706
Address
515 E Grant St Ste 211
Enumeration Date
9 July 2015
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
9207937300
Graduation Year
2015 (11 years ago)
PAC ID
7416265269
Group Practice PAC ID
6709794258
Professional Enrollment ID
I20250310001784
Address ID
WI542413923TW5300XDRXX300

Contacts

Secure Messaging
lpeck422553@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

1,422 GENERAL SURGERY in IL

Provider Addresses for LAURA PECK

  • 515 E Grant St Ste 211

    Macomb, IL 614553378

    Phone: (309) 833-3706

    Type: Location

  • 3485 S GAYLORD CT

    APT C424

    ENGLEWOOD, CO 801133180

    Phone:

    Type: Mailing

  • 501 E HAMPDEN AVE

    ENGLEWOOD, CO 801132702

    Phone: (954) 515-6056

    Type: Location

  • 501 E Hampden Ave

    Englewood, CO 801132702

    Phone: (954) 515-6056

    Type: Location

  • 29000 Little Mack Ave Ste B

    Saint Clair Shores, MI 480813018

    Phone: (586) 774-8811

    Type: Location

  • 22508 OVERLAKE ST

    SAINT CLAIR SHORES, MI 480803852

    Phone:

    Type: Mailing

  • 29000 LITTLE MACK AVE STE B

    SAINT CLAIR SHORES, MI 480813018

    Phone: (586) 774-8811

    Type: Location

  • PO BOX 735044

    CHICAGO, IL 606735044

    Phone: (800) 326-2250

    Type: Mailing

  • 5300 MEMORIAL DR

    TWO RIVERS, WI 542413923

    Phone: (920) 793-7300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $221.

Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Organogenesis Inc. ($145).

Total Amount

$221

General + Research + Ownership

Payments

5

Total payment records

General Amount

$221

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

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: 2025-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20211203000762IGeneral SurgeryILTBD
I20250310001784IGeneral SurgeryWITBD
I20250529002396IOsteopathic Manipulative MedicineTXTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 61455)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709794258View full group profile

Reviews

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Frequently asked questions

What is the standard ID for LAURA PECK in the U.S.?
In the U.S., LAURA PECK is identified by NPI 1699159558.
Should I treat LAURA PECK as an active provider?
Patients and plans typically see LAURA PECK as active in the national extract.
What services align with LAURA PECK's listing?
LAURA PECK's public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to LAURA PECK?
The directory associates LAURA PECK with Macomb, Illinois. Check all listed addresses for suites or satellite offices.
Can I export LAURA PECK's record?
You can download the official NPPES record; we summarize key fields for readability.