DR. JACK MICHAEL PEACE M.D.
NPI 1083001267
Anesthesiology in Philadelphia, PA

Active since April 25, 2015PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-3326(215) 707-8028 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack Michael Peace M.d. NPPES

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

DR. JACK MICHAEL PEACE M.D. (NPI 1083001267) is an individual anesthesiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2015).

NPPES Registry Identity

NPI1083001267
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. JACK MICHAEL PEACECredential: M.D.
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302
Fax(215) 707-8028
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2015
Enumeration DateApril 25, 2015
Last NPPES UpdateJune 2, 2020
NPPES CertifiedJune 2, 2020
NPI 1083001267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in PA · MD
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3401 N BROAD ST, Philadelphia, PA 19140

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Michael Peace M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618272337
PECOS Enrollment IDI20200601000190
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.19
Promoting Interoperability98
Improvement Activities40
Cost54.93

Other Providers at the Same Location NPPES 20

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

Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

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 Jack Peace's NPI number?

The NPI number for Jack Peace is 1083001267. It was assigned to this individual provider in the NPPES registry on April 25, 2015.

Where is Jack Peace located?

Jack Peace practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-3326.

What is Jack Peace's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jack Peace enrolled in Medicare?

Yes. Jack Peace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jack Peace affiliated with any hospitals?

According to CMS data, Jack Peace is affiliated with Temple University Hospital.

When was this NPI record last updated?

The NPPES record for Jack Peace was last updated on June 2, 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.