DALLAS D PECK (M.D.) – Diagnostic Radiology Physician, NPI 1184665473
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DALLAS D PECK (M.D.)
11995 Singletree Ln Ste 500
Eden Prairie, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Location
PO BOX 9649
BOISE, ID 837074649
Phone: (208) 472-8100
Fax: (208) 472-8172
Type: Mailing
Saint Alphonsus Regional Medical Center, 1055, North Curtis Road, Boise Junction, Boise, Ada County, Idaho, 83706, United States
BOISE, ID 837061309
Phone: (208) 367-2161
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-08-08
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 |
|---|---|---|---|---|
| I20050808001258 | I | Diagnostic Radiology | ID | 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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 6,060 | 33 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,462 | 20 | $0 |
| 70450 | Ct scan head or brain without contrast | 141 | 140 | $0 |
| 71045 | X-ray of chest, 1 view | 109 | 106 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 101 | 15 | $0 |
Insurance plans in this area (ZIP 55344)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology, Interventional Radiology | ID | |
| Diagnostic Radiology, Interventional Radiology | ID | |
| Interventional Radiology, Diagnostic Radiology | OR | |
| Diagnostic Radiology | ID |
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