MATTHEW PECKHAM (M.D.) – Diagnostic Radiology Physician, NPI 1144580127

MATTHEW PECKHAM (M.D.) is a healthcare provider. based in Worcester, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 291658 (NY). The NPI Number for MATTHEW PECKHAM (M.D.) is 1144580127

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW PECKHAM (M.D.)
NPI
1144580127
Phone
(508) 334-1000
Address
55 LAKE AVE N
Enumeration Date
23 May 2012
Last Update Date
23 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3152347600
Graduation Year
2012 (14 years ago)
PAC ID
3971801754
Group Practice PAC ID
7911991831
Professional Enrollment ID
I20180821001725
Address ID
NY130579249EA5008XPKWY301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,897 DIAGNOSTIC RADIOLOGY in MA

Provider Addresses for MATTHEW PECKHAM (M.D.)

  • 55 LAKE AVE N

    WORCESTER, MA 016550002

    Phone: (508) 334-1000

    Mailing address matches the actual address.

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 $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-09-22 • Largest payer in this snapshot: Blue Earth Diagnostics Limited ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-22

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: 2018-08-21

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
I20180821001725IDiagnostic RadiologyNYTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,60016$0
71045X-ray of chest, 1 view641519$0
77080Dxa bone density measurement of hip, pelvis, spine348348$0
71046X-ray of chest, 2 views301289$0
A9595Piflufolastat f-18, diagnostic, 1 millicurie19822$0
View full utilization report →

Insurance plans in this area (ZIP 01655)

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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: 7911991831View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
Diagnostic RadiologyFL
Diagnostic RadiologyNY
Diagnostic Radiology, Interventional RadiologyNY
Diagnostic RadiologyNC
-NY
Diagnostic RadiologyCA
Diagnostic RadiologyMD
Diagnostic RadiologyNY
Diagnostic RadiologyNY

Reviews

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Frequently asked questions

What NPI should I save for MATTHEW PECKHAM (M.D.)?
Save NPI 1144580127 if you need a stable reference for MATTHEW PECKHAM (M.D.).
Is MATTHEW PECKHAM (M.D.) currently active in the NPI registry?
CMS-published data lists MATTHEW PECKHAM (M.D.) as an active registrant.
What does MATTHEW PECKHAM (M.D.) treat or focus on?
Patients typically see MATTHEW PECKHAM (M.D.) under the specialty Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MATTHEW PECKHAM (M.D.)?
The snapshot lists Worcester, Massachusetts for MATTHEW PECKHAM (M.D.); download NPPES for the complete set.
What if Worcester, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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