Individual provider Active NPI

Devin Peck, M.D.

  • Interventional Pain Medicine Physician
  • Georgetown, TX
National Provider Identifier
1861625428
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
Q2046 Issued in TX
Practice address
1900 Scenic Dr Ste 1108
Georgetown, TX 78626-7724
Phone
(512) 400-4195
Fax
(512) 287-5563
NPI assigned
Aug 31, 2009
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 246511-1 NY
Interventional Pain Medicine Physician 208VP0014X Q2046 TX Primary

Addresses

Primary practice location

1900 Scenic Dr Ste 1108
Georgetown, TX 78626-7724

Mailing address

PO Box 674029
Dallas, TX 75267-4029
Phone (512) 400-4195

Other practice location 1

12309 N Mopac Expy Ste 125
Austin, TX 78758-2577
Phone (512) 400-4195

Other practice location 2

715 Discovery Blvd Ste 102
Cedar Park, TX 78613-2294
Phone (512) 400-4195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20150126000356 TX Practitioner - Pain Management 5890975882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Drexel University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12309 N Mopac Expy
Suite 125
Austin, TX 78758-2577
Phone (512) 206-8000

1900 Scenic Dr
Suite 1108
Georgetown, TX 78626-7724
Phone (512) 400-4195

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.69 of 100Reported as group
Quality
79.07
Improvement activities
40
Cost
60.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246511-1NYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U S Anesthesia Partners of Texas, PA Pain Medicine CurrentSince Jul 1, 2016 Accepting new patients
Central Texas Anesthesia Partners PLLC Pain Medicine CurrentSince Feb 1, 2021 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., CurrentSince Jul 1, 2016 Accepting new patients
Central Texas Anesthesia Partners PLLC Pain Medicine CurrentSince Jan 1, 2021 Accepting new patients

Locations

12309 N Mopac Expy
Ste 125
Austin, TX 78758
Phone (512) 206-8000

2501 W William Cannon Dr
Ste 401
Austin, TX 78745
Phone (512) 439-7287

825 4th St
Blanco, TX 78606
Phone (361) 882-7300

3201 S Austin Ave
Ste 265
Georgetown, TX 78626
Phone (512) 717-5077

2411 Fountain View Dr
Ste 200
Houston, TX 77057
Phone (713) 458-4185

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

135 Bunton Creek Rd
Ste 302
Kyle, TX 78640
Phone (512) 492-3726

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

Organizations & group practices 6

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 1

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": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1861625428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674029",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674029",
            "telephone_number": "512-400-4195",
            "fax_number": "512-287-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SCENIC DR STE 1108",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267724",
            "telephone_number": "512-400-4195",
            "fax_number": "512-287-5563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12309 N Mopac Expy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787582577",
            "country_code": "US",
            "telephone_number": "512-400-4195",
            "fax_number": "512-287-5563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Discovery Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786132294",
            "country_code": "US",
            "telephone_number": "512-400-4195",
            "fax_number": "512-287-5563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "DEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-31",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "246511-1",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "Q2046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.