Individual provider Active NPI

Michael Scott Peck, DPM

  • Foot & Ankle Surgery Podiatrist
  • Colorado Springs, CO
National Provider Identifier
1770712424
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD.0000777 Issued in CO
Practice address
6160 Tutt Blvd Ste 250
Colorado Springs, CO 80923-1500
Phone
(719) 559-3388
Fax
(719) 559-3509
NPI assigned
Jul 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD.0000777 CO
Foot & Ankle Surgery Podiatrist 213ES0103X POD.0000777 CO Primary
Podiatrist 213E00000X 251 AR

Addresses

Primary practice location

6160 Tutt Blvd Ste 250
Colorado Springs, CO 80923-1500

Mailing address

1266 Escalante Dr Ste 201
Durango, CO 81303-8934
Phone (970) 259-5303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160607002118 CO Practitioner - Podiatry 8921254111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6160 Tutt Blvd
Suite 250
Colorado Springs, CO 80923-1500
Phone (719) 559-3388

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue64
Removal of nail tissue90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD.0000777COMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Center of Colorado Springs Podiatrist CurrentSince Nov 10, 2024 Accepting new patients

Locations

6160 Tutt Blvd
Ste 250
Colorado Springs, CO 80923
Phone (719) 359-8652

6160 Tutt Blvd
Ste 100
Colorado Springs, CO 80923
Phone (719) 444-8484

1266 Escalante Dr
Ste 201
Durango, CO 81303
Phone (970) 253-5303

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1770712424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 ESCALANTE DR STE 201",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038934",
            "telephone_number": "970-259-5303",
            "fax_number": "844-855-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD STE 250",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809231500",
            "telephone_number": "719-559-3388",
            "fax_number": "719-559-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "POD.0000777",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000777",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.