DR. JOHNATHAN W PECK DMS, PA-C
NPI 1144934589
Physician Assistant in Coweta, OK

Active since January 10, 2023PECOS EnrolledAccepts Medicare Assignment
607 S BROADWAY, COWETA, OK 74429(918) 486-5564 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, Jul 9, 2025, Jun 3, 2025 and 3 more (6 updates tracked since 2023).

About Dr. Johnathan W Peck Dms, Pa-c NPPES

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

DR. JOHNATHAN W PECK DMS, PA-C (NPI 1144934589) is an individual physician assistant in Coweta, Oklahoma, licensed in Florida (PA9117435) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1144934589
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDR. JOHNATHAN W PECKCredential: DMS, PA-C
Location Address607 S BROADWAYCoweta, OK 74429-5000
Mailing Address607 S BroadwayCoweta, OK 74429-5000 · (918) 486-5564
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 10, 2023
Last NPPES UpdateFebruary 12, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
NPI 1144934589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in FL · PA9117435 Licensed in OK · 4971
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
607 S BROADWAY, Coweta, OK 74429

Accepted Insurance

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. Johnathan W Peck Dms, Pa-c 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 ID9234503673
PECOS Enrollment IDI20250519003072
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.

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74429 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
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 7

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

Family Medicine
607 S BROADWAY
COWETA, OK 74429
Family Medicine
607 S BROADWAY
COWETA, OK 74429
Family Medicine
607 S BROADWAY
COWETA, OK 74429
Nurse Practitioner (Family)
607 S BROADWAY
COWETA, OK 74429
Case Manager/Care Coordinator
607 S BROADWAY
COWETA, OK 74429
Physician Assistant (Medical)
607 S BROADWAY
COWETA, OK 74429
Family Medicine
607 S BROADWAY
COWETA, OK 74429

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 Johnathan Peck's NPI number?

The NPI number for Johnathan Peck is 1144934589. It was assigned to this individual provider in the NPPES registry on January 10, 2023.

Where is Johnathan Peck located?

Johnathan Peck practices at 607 S Broadway, Coweta, OK 74429. The listed phone number is (918) 486-5564.

What is Johnathan Peck's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Johnathan Peck enrolled in Medicare?

Yes. Johnathan Peck 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.

What insurance does Johnathan Peck accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Johnathan 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.

Is Johnathan Peck affiliated with any hospitals?

According to CMS data, Johnathan Peck is affiliated with Sarasota Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Johnathan Peck was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.