Individual provider Active NPI

Matthew Sean Peach, MD

  • Radiation Oncology Physician
  • Greenville, NC
National Provider Identifier
1356769772
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2019-01563 Issued in NC
Practice address
1180 Stone Creek Dr
Greenville, NC 27858-7191
Phone
(434) 249-8001
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 2019-01563 NC Primary

Addresses

Primary practice location

1180 Stone Creek Dr
Greenville, NC 27858-7191

Mailing address

1180 Stone Creek Dr
Greenville, NC 27858-7191
Phone (434) 249-8001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190911002548 NC Practitioner - Radiation Oncology 5698004950 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Virginia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Watauga Medical Center IncGroup PAC ID 2668377474, 95 clinicians
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians
Vidant Radiation Oncology LLCGroup PAC ID 2567768021, 8 clinicians

Practice addresses (Care Compare)

338 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4133

524 Moye Blvd
Greenville, NC 27834-2848
Phone (252) 847-0868

Hospital & facility affiliations

  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040
  • Watauga Medical Center Hospital, Boone, NC, CCN 340051
  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2019-01563NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Radiation Oncology LLC Radiation Oncology CurrentSince Jul 8, 2019 Accepting new patients
Watauga Medical Center Inc Radiation Oncology CurrentSince Jun 15, 2025 Accepting new patients
Watauga Medical Center Inc CurrentSince Jun 15, 2025 Accepting new patients
Vidant Medical Group LLC CurrentSince Nov 1, 2019 Accepting new patients
Watauga Medical Center, Inc. Current Accepting new patients
Watauga Medical Center, Inc. Past Accepting new patients

Locations

301 Academy St S
Ahoskie, NC 27910
Phone (252) 209-8483

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

338 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

524 Moye Blvd
Greenville, NC 27834
Phone (252) 551-6300

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

703 Doctors Dr
Kinston, NC 28501
Phone (252) 522-7600

4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500

212 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 537-1717

1209 Brown St
Washington, NC 27889
Phone (252) 795-4308

Organizations & group practices 7

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1356769772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 STONE CREEK DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278587191",
            "telephone_number": "434-249-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 STONE CREEK DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278587191",
            "telephone_number": "434-249-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACH",
        "first_name": "MATTHEW",
        "middle_name": "SEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2024-01-29",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2019-01563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.