DR. JOHN W II PECK (M.D.) – Urology Physician, NPI 1891895538

DR. JOHN W II PECK (M.D.) is a healthcare provider. based in Miamisburg, Ohio. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. EMC0007639 (MI). The NPI Number for DR. JOHN W II PECK (M.D.) is 1891895538

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN W II PECK (M.D.)
NPI
1891895538
Phone
(937) 560-2011
Address
4000 Miamisburg Centerville Rd Ste 550
Enumeration Date
23 September 2006
Last Update Date
13 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9374335309
Graduation Year
1997 (29 years ago)
PAC ID
4183523194
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20040108000048
Address ID
OH453427615MI4000XRDXX405
Telehealth
Yes

Contacts

Secure Messaging
johnpeck@uhps.allscriptsdirect.net
Secure Messaging
adena.urology@adena.medicity.net
Secure Messaging
direct@direct.bronsonhg.org
Secure Messaging
jpeck915825@direct.ketteringhealth.org
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness95
Years active:19State licenses:2Other names

568 UROLOGY in OH

Provider Addresses for DR. JOHN W II PECK (M.D.)

  • 4000 Miamisburg Centerville Rd Ste 550

    Miamisburg, OH 453427615

    Phone: (937) 560-2011

    Fax: (937) 560-2012

    Type: Location

  • 4441 Capital Ave SW

    Battle Creek, MI 490159359

    Phone: (269) 788-6888

    Fax: (269) 488-8305

    Type: Location

  • 4000 Miamisburg Centerville Rd Ste 207

    Miamisburg, OH 453423674

    Phone: (937) 560-2011

    Fax: (937) 560-2012

    Type: Location

  • 272 Hospital Rd Ste 260

    Chillicothe, OH 456019031

    Phone: (740) 779-4370

    Type: Location

  • Box, Cleveland County, Oklahoma, United States

    CLEVELAND, OH 441220958

    Phone: (216) 595-9600

    Fax: (216) 595-9601

    Type: Mailing

  • 2212, Mifflin Avenue, Ashland, Montgomery Township, Ashland County, Ohio, 44805, United States

    SUITE 130

    ASHLAND, OH 448058848

    Phone: (419) 289-6000

    Fax: (419) 289-6010

    Type: Location

  • 2212 MIFFLIN AVE STE 230

    ASHLAND, OH 448058846

    Phone: (419) 289-6000

    Fax: (419) 289-6010

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $1,720.

Total Amount is formed as General ($1,720) + Research ($0) + Ownership ($0) = $1,720.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($1,117).

Total Amount

$1,720

General + Research + Ownership

Payments

38

Total payment records

General Amount

$1,720

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2025-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20040108000048IUrologyOHTBD
I20250318003437IUrologyMTTBD
I20250414002090IUrologyWYTBD
I20250417001530IUrologyMNTBD
I20251022001550IUrologyMITBD

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 minutes1,425896$0
99213Established patient office or other outpatient visit, 20-29 minutes663468$0
J9217Leuprolide acetate (for depot suspension), 7.5 mg39152$0
81003Automated urinalysis test390344$0
52000Diagnostic exam of bladder and urethra using an endoscope294242$0
View full utilization report →

Insurance plans in this area (ZIP 45342)

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Provider's Procedures

DR. JOHN W II PECK (M.D.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYOH55700Biopsy of prostate gland8585
UROLOGYOH76872Ultrasound of rectum8484

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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

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Frequently asked questions

What NPI should I save for DR. JOHN W II PECK (M.D.)?
Save NPI 1891895538 if you need a stable reference for DR. JOHN W II PECK (M.D.).
Is DR. JOHN W II PECK (M.D.) active in the national directory?
DR. JOHN W II PECK (M.D.)'s public NPI profile is in an active state.
What does DR. JOHN W II PECK (M.D.) treat or focus on?
Patients typically see DR. JOHN W II PECK (M.D.) under the specialty Urology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. JOHN W II PECK (M.D.)?
We surface Miamisburg, Ohio for DR. JOHN W II PECK (M.D.) based on available NPPES addresses.
What if Miamisburg, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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