Susan D Peck, D.O.

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

OS004392L Issued in PA

Practice address

300 Frederick St
Hanover, PA 17331-3709

Phone

(717) 316-2255

NPI assigned

Jan 11, 2006

Last updated

Mar 8, 2023By the provider in NPPES

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 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Obstetrics/Gynecology

Education

Philadelphia College of Osteopathic Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.08 of 100Reported as group

Quality

76.48

Promoting interoperability

100

Improvement activities

40

Cost

77.12

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Pinnacle Health Medical Services

  dba UPMC Blue Mountain Primary Care

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1063850774
  NPD
• Pinnacle Health Medical Services

  dba UPMC Gastroenterology Associates of Central PA

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• Pinnacle Health Medical Services

  dba PinnacleHealth Endocrinology Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Mechanicsburg, PA
  • NPI 1518918523
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1588643233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FREDERICK ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313709",
            "telephone_number": "717-316-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FREDERICK ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313709",
            "telephone_number": "717-316-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "SUSAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS004392L",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "PA",
            "license": "OS004392L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC / KEYSTONE",
            "identifier": "01808201",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1519553",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "PE427802",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097088207",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "speck86398@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "20 North St",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173312275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• PB Outpatient Services Pennsylvania, LLC (Clarity Way)
• Peace of Mind Counseling Services, LLC
• Peaceful Pulse for Responders
• Pearle Vision Inc (Pearle Vision #C6275)
• Ashley Peck
• Pediatrix Medical Group of Pennsylvania, P.C.
• Leslie Pelakh
• Steven Pellas, PTA
• Penn Township Volunteer Emergency Service
• Penn Township Volunteer Emergency Services

• Addiction Medicine (Preventive Medicine) Physician in Hanover, PA
• Providers in Hanover, PA by specialty
• Addiction Medicine (Preventive Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.