ROGER G PECK (MD) – Internal Medicine Physician, NPI 1972570331
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,289 INTERNAL MEDICINE in KS
Provider Addresses for ROGER G PECK (MD)
1325 RESEARCH PARK DR
MANHATTAN, KS 665025000
Phone: (785) 537-2651
Fax: (785) 270-4347
Type: Mailing
Mathis Rehab Center, 1133, College Avenue, Manhattan, Riley County, Kansas, 66502, United States
SUITE E110
MANHATTAN, KS 665022770
Phone: (785) 537-2651
Fax: (785) 537-4276
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2023-11-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $25 |
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: 2005-05-23
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 |
|---|---|---|---|---|
| I20050523001129 | I | Internal Medicine | KS | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 760 | 263 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 627 | 263 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 209 | 209 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 140 | 104 | $0 |
| 85610 | Blood test, clotting time | 124 | 41 | $0 |
Insurance plans in this area (ZIP 66502)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| - | KS | |
| - | KS | |
| Physician Assistant | KS | |
| - | KS | |
| Cardiac Electrophysiology | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KS | |
| Nurse Practitioner | KS |
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