DR. JEREMY WALTER PECK (M.D., PH.D.) – MOHS-Micrographic Surgery Physician, NPI 1457514689
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 DERMATOLOGY in WA
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Provider Addresses for DR. JEREMY WALTER PECK (M.D., PH.D.)
105, Columbia Point Drive, Tri-Cities, Benton County, Washington, 99352, United States
RICHLAND, WA 993524390
Phone: (509) 873-7140
Fax: (509) 818-1303
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 260 Open Payments records for all available years, with a total value of $3,678.
Total Amount is formed as General ($3,678) + Research ($0) + Ownership ($0) = $3,678.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($979).
Total Amount
$3,678
General + Research + Ownership
Payments
260
Total payment records
General Amount
$3,678
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $979 |
| Janssen Biotech, Inc. | $849 |
| Organogenesis Inc. | $216 |
| Lilly USA, LLC | $208 |
| UCB, Inc. | $169 |
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: 2013-10-10
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 |
|---|---|---|---|---|
| I20131010001914 | I | Dermatology | WA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,189 | 270 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 824 | 599 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 572 | 467 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 509 | 339 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 488 | 391 | $0 |
Insurance plans in this area (ZIP 99352)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | WA | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 38 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA |
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