David Howard Peckham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2542 Issued in MA

Practice address

104 Quarry St Ste 2
Quincy, MA 02169-4174

Phone

(617) 472-6764

Fax

(617) 770-9933

NPI assigned

Oct 7, 2008

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

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Id of Quincy LLCGroup PAC ID 3173911161, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060

Merit-based Incentive Payment System (MIPS)

Final score

64.43 of 100Reported as individual

Quality

51.15

Promoting interoperability

71

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Id of Quincy LLC

  • Dermatology Physician
  • Quincy, MA
  • NPI 1053088377
  Medicare reassignment Care Compare group
• Northeast Dermatology Associates, PC

  • Specialist
  • North Andover, MA
  • NPI 1104921162
  Medicare reassignment
• Contemporary Dermatology LLC

  • Dermatology Physician
  • Marstons Mills, MA
  • NPI 1528640786
  NPD (past)
• Integrated Dermatology of Plymouth, LLC

  • Dermatology Physician
  • Quincy, MA
  • NPI 1407445711
  NPD (past)

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

• Beth Israel Deaconess Hospital Plymouth, Inc.

  • General Acute Care Hospital
  • Plymouth, MA
  • NPI 1043299001
  Care Compare affiliation

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1548411796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MARKET XING",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607736",
            "telephone_number": "508-224-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 QUARRY ST STE 2",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694174",
            "telephone_number": "617-472-6764",
            "fax_number": "617-770-9933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Industrial Park Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023604884",
            "country_code": "US",
            "telephone_number": "617-472-6764",
            "fax_number": "617-770-9933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECKHAM",
        "first_name": "DAVID",
        "middle_name": "HOWARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "2542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Marie Peck, MS-SLP
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• Kristin G Pelfrey, M.A.
• Katerina Pellino, DMD
• Pelly Chang,DMD,PC
• Dana Pemberton, D.C

• Physician Assistant in Quincy, MA
• Providers in Quincy, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.