BRYAN PECK (MD) – Diagnostic Radiology Physician, NPI 1114361953

BRYAN PECK (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 30004 (OK). The NPI Number for BRYAN PECK (MD) is 1114361953

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN PECK (MD)
NPI
1114361953
Phone
(405) 202-6844
Address
2920 SW 137TH ST
Enumeration Date
23 April 2013
Last Update Date
29 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9728995901
Graduation Year
2013 (13 years ago)
PAC ID
5193022531
Group Practice PAC ID
1153591763
Professional Enrollment ID
I20200121001711
Address ID
TX750282709FL4951XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

384 DIAGNOSTIC RADIOLOGY in OK

Provider Addresses for BRYAN PECK (MD)

  • 2920 SW 137TH ST

    OKLAHOMA CITY, OK 731705102

    Phone: (405) 202-6844

    Type: Mailing

  • 3300 NW EXPRESSWAY

    OKLAHOMA CITY, OK 731124418

    Phone: (405) 202-6844

    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: 2020-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160329002861IDiagnostic RadiologyOKTBD
I20200121001711IDiagnostic RadiologyTXTBD

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
71045X-ray of chest, 1 view957922$0
71046X-ray of chest, 2 views566559$0
70450Ct scan head or brain without contrast479472$0
72148Mri scan of lower spinal canal without contrast377377$0
77067Screening mammography272272$0
View full utilization report →

Insurance plans in this area (ZIP 73170)

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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: 1153591763View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Nuclear Medicine, Diagnostic Radiology, Diagnostic RadiologyOK
Diagnostic RadiologyTX
Diagnostic RadiologyCA
Diagnostic RadiologyTX
Diagnostic RadiologyOR
Diagnostic RadiologyHI
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyTX
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

Can I use this page to confirm BRYAN PECK (MD)'s NPI?
Yes. BRYAN PECK (MD) is listed with NPI 1114361953 in the public NPI dataset.
Does CMS list BRYAN PECK (MD) as active?
Yes — BRYAN PECK (MD) is active in the NPI listing used on this page.
What is BRYAN PECK (MD)'s specialty?
The listing groups BRYAN PECK (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What area does BRYAN PECK (MD) serve?
BRYAN PECK (MD)'s listing highlights Oklahoma City, Oklahoma; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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