NPIMap

Individual provider Active NPI

Lawrence Richard Peck, D.O.

  • Family Medicine Physician
  • Yardley, PA
National Provider Identifier
1841301744
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS-007-297-E Issued in PA
Practice address
1690 Big Oak Rd
Yardley, PA 19067-6421
Phone
(215) 736-9362
NPI assigned
Aug 31, 2006
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS-007-297-E PA Primary

Addresses

Primary practice location

1690 Big Oak Rd
Yardley, PA 19067-6421

Mailing address

1690 Big Oak Rd
Yardley, PA 19067-6421
Phone (215) 736-9362

Other practice location 1

312 W Trenton Ave
Suite #4
Morrisville, PA 19067-2041
Phone (215) 736-9362

Other identifiers 1

IdentifierTypeStateIssuer
1589770MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lawrence.peck.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070713000085 PA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4789784208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1050 Stony Hill Rd
Yardley, PA 19067-5500
Phone (215) 504-1761

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS-007-297-EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morrisville Yardley Family Practice Current Accepting new patients
Capital Health Medical Group Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Crossroads Hospice of Philadelphia Family Medicine CurrentSince Feb 12, 2019 Accepting new patients
Capital Health Multispecialty Group Past Accepting new patients

Locations

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

312 W Trenton Ave
Ste 4
Morrisville, PA 19067
Phone (215) 736-9362

523 Plymouth Rd
Ste 225
Plymouth Mtng, PA 19462
Phone (215) 956-5110

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

1690 Big Oak Rd
Yardley, PA 19067
Phone (215) 493-1750

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lawrence.peck.1@12833.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1841301744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 BIG OAK RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676421",
            "telephone_number": "215-736-9362",
            "fax_number": "215-736-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 BIG OAK RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676421",
            "telephone_number": "215-736-9362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 W Trenton Ave",
            "address_2": "Suite #4",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "PA",
            "postal_code": "190672041",
            "country_code": "US",
            "telephone_number": "215-736-9362",
            "fax_number": "215-736-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "LAWRENCE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-007-297-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1589770",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lawrence.peck.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1690 Big Oak Rd",
            "city": "Yardley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190676421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.