Gary L. Peck, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD25243 Issued in DC

Practice address

5454 Wisconsin Ave
Suite 1045
Chevy Chase, MD 20815-6917

Phone

(301) 652-4828

Fax

(301) 652-2070

NPI assigned

May 26, 2006

Last updated

Aug 24, 2022By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

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

Merit-based Incentive Payment System (MIPS)

Final score

79.33 of 100Reported as group

Quality

93.33

Improvement activities

40

Cost

39.99

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dermatology Associates, P.C.

  • Dermatology Physician
  • Washington, DC
  • NPI 1033390695
  NPD (past)
• Ramin Farboud MD PC

  • Gastroenterology Physician
  • Washington, DC
  • NPI 1427384619
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1710933890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE",
            "address_2": "SUITE 1045",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156917",
            "telephone_number": "301-652-4828",
            "fax_number": "301-652-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE",
            "address_2": "SUITE 1045",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156917",
            "telephone_number": "301-652-4828",
            "fax_number": "301-652-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "GARY",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": "MD25243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118281101",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025751800",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patientwell Connect
• Laurie Paul, PHD
• Ronald A. Paul, M.D.
• Maria Pearl, MD
• Khendra Iman Peay, M.D.
• Marie Fernicola Pennanen, M.D.
• Daniel J. Pereles, M.D.
• Chava Perelman, OTR, CHT
• Ricardo A Perez, DDS
• Dace B Person

• Dermatology Physician in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.