Individual provider Active NPI

Travis Peck, MD

  • Ophthalmology Physician
  • Salisbury, MD
National Provider Identifier
1982132502
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D91972 Issued in MD
Practice address
6511 Deer Pointe Dr
Salisbury, MD 21804-1667
Phone
(410) 546-8037
NPI assigned
May 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D91972 MD Primary

Addresses

Primary practice location

6511 Deer Pointe Dr
Salisbury, MD 21804-1667

Mailing address

6511 Deer Pointe Dr
Salisbury, MD 21804-1667
Phone (302) 547-8926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, DE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210709001829 DC Practitioner - Ophthalmology 2062781073 Reassigns benefits to 1 organization
I20210709001956 MD Practitioner - Ophthalmology 2062781073 Reassigns benefits to 1 organization
I20230314003244 DE Practitioner - Ophthalmology 2062781073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Virginia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants of Delmarva PAGroup PAC ID 3375592132, 4 clinicians

Practice addresses (Care Compare)

200 Kona Cir
Milford, DE 19963-5396
Phone (302) 491-4497

6511 Deer Pointe Dr
Salisbury, MD 21804-1667
Phone (410) 546-8037

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D91972MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington National Eye Center Ophthalmology CurrentSince Nov 1, 2021 Accepting new patients
Retina Consultants of Delmarva PA Ophthalmology CurrentSince Mar 1, 2023 Accepting new patients
John R Stump MD PastSince Mar 1, 2023 Accepting new patients

Locations

110 Irving St NW
#1A19
Washington, DC 20010
Phone (202) 877-5329

1380 S State St
Dover, DE 19901
Phone (302) 674-8000

200 Kona Cir
Milford, DE 19963
Phone (302) 424-0523

8191 Ocean Gtwy
Easton, MD 21601
Phone (443) 849-2106

6511 Deer Pointe Dr
Salisbury, MD 21804
Phone (410) 546-8037

Interoperability endpoints

  • Direct secure messaging: tpeck1228327@direct.umm.edu
  • Direct secure messaging: tpeck@rcdelmarva.intellechartdirect.net

Organizations & group practices 3

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": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1982132502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 DEER POINTE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041667",
            "telephone_number": "302-547-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 DEER POINTE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041667",
            "telephone_number": "410-546-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "TRAVIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D91972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.