Robert Peck

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RNA163030 Issued in ME

Practice address

365 Dow Rd
Orrington, ME 04474-3540

Phone

(207) 852-5545

NPI assigned

Jan 19, 2016

Last updated

Sep 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 ME

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Sebasticook Valley HealthGroup PAC ID 3476462797, 35 clinicians

Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Maine Coast Regional Health FacilitiesGroup PAC ID 1052208113, 73 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050
• Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
• Northern Light Sebasticook Valley Hospital Hospital, Pittsfield, ME, CCN 201313

Merit-based Incentive Payment System (MIPS)

Final score

84.48 of 100Reported as group

Quality

71.71

Promoting interoperability

100

Improvement activities

40

Cost

69.07

Merit-based Incentive Payment System (MIPS)

Final score

88.7 of 100Reported as group

Quality

74.14

Promoting interoperability

95

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

84.1 of 100Reported as group

Quality

64.8

Promoting interoperability

96

Improvement activities

40

Cost

68.87

Merit-based Incentive Payment System (MIPS)

Final score

89.98 of 100Reported as group

Quality

74.88

Promoting interoperability

96

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

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.

• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  Medicare reassignment Care Compare group NPD
• Maine Coast Regional Health Facilities

  dba Northern Light Maine Coast Hospital

  • General Acute Care Hospital
  • Ellsworth, ME
  • NPI 1740249739
  Medicare reassignment Care Compare group NPD
• Sebasticook Valley Health

  • Critical Access Hospital
  • Pittsfield, ME
  • NPI 1457461477
  Medicare reassignment Care Compare group NPD
• MRH Corp.

  dba Mayo Regional Hospital

  • Critical Access Hospital
  • Dover Foxcroft, ME
  • NPI 1558319103
  Medicare reassignment NPD
• Penobscot Valley Hospital

  • Critical Access Hospital
  • Lincoln, ME
  • NPI 1093716086
  Medicare reassignment NPD
• Eastern Maine Medical Center

  • Rehabilitation Hospital Unit
  • Bangor, ME
  • NPI 1780674689
  NPD
• Maine Coast Regional Health Facilities

  • Internal Medicine Physician
  • Ellsworth, ME
  • NPI 1598152035
  NPD
• MRH Corp.

  dba Northern Light Mayo Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Dover Foxcroft, ME
  • NPI 1548463623
  NPD
• Penobscot Valley Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Lincoln, ME
  • NPI 1700805868
  NPD
• Sebasticook Valley Health

  dba Northern Light Health Center - Unity

  • Rural Health Clinic/Center
  • Unity, ME
  • NPI 1427181486
  NPD

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

• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  Care Compare affiliation
• Maine Coast Regional Health Facilities

  dba Northern Light Maine Coast Hospital

  • General Acute Care Hospital
  • Ellsworth, ME
  • NPI 1740249739
  Care Compare affiliation
• Sebasticook Valley Health

  • Critical Access Hospital
  • Pittsfield, ME
  • NPI 1457461477
  Care Compare affiliation

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1669839833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 DOW RD",
            "city": "ORRINGTON",
            "state": "ME",
            "postal_code": "044743540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 DOW RD",
            "city": "ORRINGTON",
            "state": "ME",
            "postal_code": "044743540",
            "telephone_number": "207-852-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA163030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lander
• Michelle Nicole Mettler, MS OTR/L
• Northwoods Counseling Services
• Orland Consolidated School
• Roland James Paulette
• Lateicia Theresa Pendergast, RN
• Sara P Powell, CRNA
• Jennifer Beth Galvin Salisbury, D.O.
• Arthur E Schwarcz, PT
• Marley Smith-Lees, LCPC-C

• Certified Registered Nurse Anesthetist in Orrington, ME
• Providers in Orrington, ME by specialty
• Certified Registered Nurse Anesthetist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.