Carolee M Cutler Peck MD MPH Oprs PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

CAROLEE M CUTLER PECK MD MPH OPRS PLLC

Doing business as

Cutler Peck Oculofacial Plastic Surgery

Practice address

3363 E Chasewood Dr
Ammon, ID 83406-4007

Phone

(208) 228-5555

Fax

(208) 228-0077

NPI assigned

Feb 3, 2022

Last updated

Oct 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carolee Marie Cutler Peck, MD, MPHNPI 1588899488

Title

Owner

Phone

(208) 201-1817

Specialties & licenses 1

Addresses

Other names 1

• Cutler Peck Oculofacial Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolee Marie Cutler Peck, M.D., M.P.H.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Ammon, ID
  • NPI 1588899488

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1821741323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50678",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834050678",
            "telephone_number": "208-228-5555",
            "fax_number": "435-754-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 E CHASEWOOD DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064007",
            "telephone_number": "208-228-5555",
            "fax_number": "208-228-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLEE M CUTLER PECK MD MPH OPRS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "CUTLER PECK",
        "authorized_official_first_name": "CAROLEE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-201-1817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cutler Peck Oculofacial Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Dean Buys, PA-C
• Victoria Caldwell, BS
• John-Charles Cannon, BS
• Timothy Wade Cannon, D.C.
• Carol Klett Vance MD, Inc.
• Carriage House Obstetrics and Gyncecology, LLC
• Cassy Champion, BS
• Siu Ling CHI
• Sarah A Childers, MA, LPC, NCC
• Derik C Christensen, PHARM.D.

• Medical Specialty Clinic/Center in Ammon, ID
• Providers in Ammon, ID by specialty
• Medical Specialty Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.