Christopher L Peck, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

002559 Issued in NY

Practice address

1301 Trumansburg Rd
Ste E
Ithaca, NY 14850-1397

Phone

(607) 273-3161

Fax

(607) 273-4979

NPI assigned

Jun 1, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

94.27 of 100Reported as apm

Quality

82.87

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

94.27 of 100Reported as apm

Quality

82.87

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christopher.peck.1@18477.direct.athenahealth.com
• Direct secure messaging: cpeck27195@direct.xtensys.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cayuga Medical Center at Ithaca

  dba Cayuga Medical Center

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1164547303
  Medicare reassignment NPD
• Schuyler Hospital Inc

  • Internal Medicine Physician
  • Montour Falls, NY
  • NPI 1760582142
  Medicare reassignment NPD
• Cayuga Medical Associates, PC

  • Internal Medicine Physician
  • Ithaca, NY
  • NPI 1679525455
  Medicare reassignment
• Cayuga Medical Center at Ithaca

  dba Cayuga Employee Pharmacy

  • Specialty Pharmacy
  • Ithaca, NY
  • NPI 1730596131
  NPD
• Cayuga Pathology PLLC

  dba Excelsior Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Ithica, NY
  • NPI 1427625508
  NPD
• Schuyler Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Montour Falls, NY
  • NPI 1740364181
  NPD
• Surgical Associates of Ithaca, PC

  • Surgery Physician
  • Ithaca, NY
  • NPI 1821027129
  NPD
• DRS Ferrer and Monaghan Vein and Aesthetic Center LLP

  • Surgery Physician
  • Ithaca, NY
  • NPI 1811075377
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164424362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4364 LOWER COVERT RD",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869305",
            "telephone_number": "607-273-3161",
            "fax_number": "607-273-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 TRUMANSBURG RD",
            "address_2": "STE E",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501397",
            "telephone_number": "607-273-3161",
            "fax_number": "607-273-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "002559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2504263",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Patterson, LCSW-R
• Relford Eugene Patterson, M.D.
• Jane Marie Paul, LPN
• Caitlin Paulson, PT, DPT
• John Paz, CASAC
• Margaret Peck, LMHC
• Nancy Jamison Peckenpaugh, MSED RD CDN CDE
• Pedro J. Cruz, LLC
• Nina E Pegram, PNP
• Tracy Sullivan Pelletier, LMT

• Surgical Physician Assistant in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.