Jeremy Walter Peck, M.D., PH.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

MD60343797 Issued in WA

Practice address

112 Columbia Point Dr Ste 105
Richland, WA 99352-4390

Phone

(509) 873-7140

Fax

(509) 818-1303

NPI assigned

Jul 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Dermatology

Education

Perelman School of Med at the University of Pennsylvania, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-City Dermatology PLLCGroup PAC ID 9032529441, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

Merit-based Incentive Payment System (MIPS)

Final score

97.87 of 100Reported as individual

Quality

96.67

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpeck@tricityderm.emadirect.md

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.

• Tri-City Dermatology PLLC

  • MOHS-Micrographic Surgery Physician
  • Richland, WA
  • NPI 1669070918
  Medicare reassignment Care Compare group NPD Authorized official
• Dermahealth Dermatology, PLLC

  • Dermatology Physician
  • Richland, WA
  • NPI 1881835171
  Medicare reassignment NPD
• Center for Excellence in Dermatology, PLLC

  • Specialist
  • Kennewick, WA
  • NPI 1669512950
  Medicare reassignment
• Bryn Mawr Dermatology, P.C.

  • Dermatology Physician
  • Villanova, PA
  • NPI 1750448924
  NPD (past)

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

• Kadlec Regional Medical Center

  • General Acute Care Hospital
  • Richland, WA
  • NPI 1972507580
  Care Compare affiliation

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1457514689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 COLUMBIA POINT DR STE 105",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524390",
            "telephone_number": "509-873-7140",
            "fax_number": "509-818-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 COLUMBIA POINT DR STE 105",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524390",
            "telephone_number": "509-873-7140",
            "fax_number": "509-818-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "JEREMY",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD60343797",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD60343797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Pawlowski, B.S.
• Benjamin David Pe, M.D.
• Derek J Peacock, MD
• Peak Performance Physical Therapy, PLLC
• Anthony Pech, DO
• Julia Peck, MS, CCC/SLP, IBCLC
• Steven Henry Peck, MACP
• Andrea Joanne Peiler, RNFA
• Kara Rae Pemberton, LMP/PTA
• Sergio Pena, CDPT

• MOHS-Micrographic Surgery Physician in Richland, WA
• Providers in Richland, WA by specialty
• MOHS-Micrographic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.