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DR. TRACY JEANNE PECK MD
NPI 1073748638
Pediatrics in Clackamas, OR

Active since May 26, 2009PECOS Enrolled
9000 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 813-2000(503) 571-3418 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tracy Jeanne Peck Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRACY JEANNE PECK MD (NPI 1073748638) is an individual pediatrics provider in Clackamas, Oregon, licensed in Oregon (MD152995) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073748638
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. TRACY JEANNE PECKCredential: MD
Location Address9000 SE SUNNYSIDE RDClackamas, OR 97015-9758
Mailing Address9000 Se Sunnyside RdClackamas, OR 97015-9758 · (503) 813-2000 · Fax (503) 571-3418
Phone(503) 813-2000
Fax(503) 571-3418
Sole ProprietorYes
Enumeration DateMay 26, 2009
Last NPPES UpdateApril 13, 2020
NPPES CertifiedApril 13, 2020
✔ NPI 1073748638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in OR · MD152995✔ Licensed in WA · 60236668✔ Licensed in CA · A107878
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9000 SE SUNNYSIDE RD, Clackamas, OR 97015
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tracy Jeanne Peck Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tracy Peck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Northwest
0.3 mi
Sleep Disorder Diagnostic
9717 SE SUNNYSIDE RD, 3RD FLOOR
Clackamas, OR 97015
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1174851505 (503) 659-2454

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THAO HOANG PHARMD
Pharmacist
9000 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 974-5058
ANH THI PHAM PHARMD.
Pharmacist
9000 SE SUNNYSIDE RD, T0346
CLACKAMAS, OR 97015
Clackamas County (503) 659-1057
WEI ZHANG PHARMD
Pharmacist
9000 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 974-5058
OREGON CVS PHARMACY LLC
Pharmacy
9000 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 974-5058
PATRICK JUBA RPH
Pharmacist
9000 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 974-5058
REBECCA BERTRAM PHARMD
Pharmacist
9000 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 974-5058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Peck's NPI number?

The NPI number for Tracy Peck is 1073748638. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Tracy Peck located?

Tracy Peck practices at 9000 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 813-2000.

What is Tracy Peck's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tracy Peck enrolled in Medicare?

Yes. Tracy Peck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Peck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Peck reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracy Peck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracy Peck accept?

Health plans from Kaiser Permanente list Tracy Peck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracy Peck was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.