ROGER G PECK (MD) – Internal Medicine Physician, NPI 1972570331

ROGER G PECK (MD) is a healthcare provider. based in Manhattan, Kansas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 04-20773 (KS). The NPI Number for ROGER G PECK (MD) is 1972570331

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
ROGER G PECK (MD)
NPI
1972570331
Phone
(785) 537-2651
Address
1325 RESEARCH PARK DR
Enumeration Date
3 March 2006
Last Update Date
31 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
7852708723
Graduation Year
1981 (45 years ago)
PAC ID
7810939683
Group Practice PAC ID
5496659195
Professional Enrollment ID
I20050523001129
Address ID
KS665025000MA1325XDRXX400
Telehealth
Yes

Contacts

Secure Messaging
rpeck18934@stormontvaildirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050523001129IInternal MedicineKSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes760263$0
36415Insertion of needle into vein for collection of blood sample627263$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit209209$0
99213Established patient office or other outpatient visit, 20-29 minutes140104$0
85610Blood test, clotting time12441$0
View full utilization report →

Insurance plans in this area (ZIP 66502)

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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: 5496659195View full group profile
NameSpecialtyState
-KS
-KS
-KS
Physician AssistantKS
-KS
Cardiac ElectrophysiologyKS
Nurse PractitionerKS
Nurse PractitionerKS
O B S T E T R I C S/ G Y N E C O L O G YKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

What identifier follows ROGER G PECK (MD) across health systems?
The NPI 1972570331 uniquely identifies ROGER G PECK (MD) in U.S. healthcare data.
Does the public listing show ROGER G PECK (MD) as active?
ROGER G PECK (MD)'s NPI record reflects an active status in NPPES.
What services align with ROGER G PECK (MD)'s listing?
ROGER G PECK (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to ROGER G PECK (MD)?
The directory associates ROGER G PECK (MD) with Manhattan, Kansas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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