BRAD LEE PECK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1730760307
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
120 PODIATRY in NV
Provider Addresses for BRAD LEE PECK (DPM)
6070 S FORT APACHE RD STE 100
LAS VEGAS, NV 891485615
Phone: (702) 803-5534
Type: Mailing
1638 OWEN DRIVE
FAYETTEVILLE, NC 283043424
Phone: (910) 484-4191
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $4,772.
Total Amount is formed as General ($4,772) + Research ($0) + Ownership ($0) = $4,772.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Orthofix Medical, Inc. ($2,486).
Total Amount
$4,772
General + Research + Ownership
Payments
49
Total payment records
General Amount
$4,772
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orthofix Medical, Inc. | $2,486 |
| MIMEDX Group, Inc. | $1,009 |
| Inari Medical, Inc. | $293 |
| DePuy Synthes Sales Inc. | $197 |
| Paragon 28, Inc. | $163 |
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: 2024-04-15
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 |
|---|---|---|---|---|
| I20240415002611 | I | Podiatry | NV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89148)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nurse Practitioner | NV | |
| Physician Assistant | NV | |
| Internal Medicine, Endocrinology | TX | |
| Family Practice | NV | |
| Vascular Surgery | PA | |
| General Practice | FL | |
| Nurse Practitioner | NV | |
| Internal Medicine, Infectious Disease | NY | |
| Nurse Practitioner | NJ |
Reviews
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