Kathryn Mary Peck, M.D.

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

01072971 Issued in IN

Practice address

8501 Harcourt Rd
Indianapolis, IN 46260-2046

Phone

(317) 875-9105

Fax

(317) 808-8802

NPI assigned

May 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Orthopedic Surgery

Education

Indiana University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians

Hand Surgery Associates of Indiana IncGroup PAC ID 9234198003, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orthoindy Hospital Hospital, Indianapolis, IN, CCN 150160
• Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathryn.peck.1@29985.direct.athenahealth.com
• Direct secure messaging: kpeck@ihsc1742.srs-direct.com

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.

• Orthopaedics-Indianapolis, Inc

  • Orthopaedic Surgery Physician
  • Indianapolis, IN
  • NPI 1336252451
  Medicare reassignment Care Compare group NPD
• Hand Surgery Associates of Indiana Inc

  • Orthopaedic Surgery Physician
  • Indianapolis, IN
  • NPI 1245256452
  Medicare reassignment Care Compare group
• Beltway Surgery Centers LLC

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1205939345
  NPD
• Indiana University Health Ambulatory Surgery Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1841187143
  NPD
• Orthopaedics-Indianapolis, Inc

  • Orthopaedic Surgery Physician
  • Terre Haute, IN
  • NPI 1285433953
  NPD
• Orthopaedics-Indianapolis, Inc

  • Orthopaedic Surgery Physician
  • Fishers, IN
  • NPI 1821180100
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

• Indiana Orthopaedic Hospital, LLC

  • Special Hospital
  • Indianapolis, IN
  • NPI 1508979683
  Care Compare affiliation
• St. Vincent Hospital & Health Care Center, Inc.

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1306898960
  Care Compare affiliation
• St. Vincent Hospital & Health Care Center, Inc.

  • General Acute Care Hospital
  • Avon, IN
  • NPI 1851833230
  Care Compare affiliation

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

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1457519654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602046",
            "telephone_number": "317-875-9105",
            "fax_number": "317-808-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602046",
            "telephone_number": "317-875-9105",
            "fax_number": "317-808-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "KATHRYN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-26",
        "last_updated": "2024-04-01",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01072971A",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IN",
            "license": "01072971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201186240",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "062110012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis William McCain Pebror, MD
• John Michael Pecson Pecache
• Inna Pecar, LCSW
• Guillermo Ruben Pechero Jr., MD
• Elizabeth Peck, RN
• M. Elaine Peck, LCSW
• Margaret Peck, PA-C
• Matthew Thomas Peck
• Sean Peck, DC
• Kirsten A Pecoraro, NP-C

• Orthopaedic Hand Surgery Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Orthopaedic Hand Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.