COURTNEY PECK (PA) – Physician Assistant, NPI 1386688877
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
774 PHYSICIAN ASSISTANT in RI
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Provider Addresses for COURTNEY PECK (PA)
1119, Providence Road, Providence, Hampton, Baltimore County, Maryland, 21286, United States
PROVIDENCE, RI 029011119
Phone: (401) 849-6868
Fax: (401) 847-3840
Type: Mailing
19, Friendship Street, Ward 2, Newport, Newport County, Rhode Island, 02840, United States
NEWPORT, RI 028402272
Phone: (401) 849-6868
Fax: (401) 847-3840
Type: Location
20 GUEST ST STE 200
BRIGHTON, MA 021352040
Phone: (617) 475-0496
Fax: (213) 265-9954
Type: Mailing
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: 2018-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20080131000072 | I | Physician Assistant | MA | TBD |
| I20120920000353 | I | Physician Assistant | RI | TBD |
| I20180205002893 | I | Physician Assistant | CT | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 39 | 33 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 02901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | RI | 73562 | X-ray of knee, 3 views | 15 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| - | CT | |
| Internal Medicine | CT | |
| Internal Medicine | NJ | |
| - | CT | |
| - | CT | |
| Internal Medicine | CT | |
| - | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CT | |
| - | CT |
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