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DALLAS D PECK M.D.
NPI 1184665473
Radiology - Diagnostic Radiology in Boise, ID

Active since June 09, 2006PECOS Enrolled
1055 N CURTIS RD, BOISE, ID 83706(208) 367-2161 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dallas D Peck M.d. NPPES

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

DALLAS D PECK M.D. (NPI 1184665473) is an individual diagnostic radiology provider in Boise, Idaho, licensed in Idaho (M8235) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Eden Prairie.

NPPES Registry Identity

NPI1184665473
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDALLAS D PECKCredential: M.D.
Location Address1055 N CURTIS RDBoise, ID 83706-1309
Mailing AddressPo Box 9649Boise, ID 83707-4649 · (208) 472-8100 · Fax (208) 472-8172
Phone(208) 367-2161
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateFebruary 27, 2023
NPPES CertifiedDecember 5, 2022
✔ NPI 1184665473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in ID · M8235
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1055 N CURTIS RD, Boise, ID 83706
Open in Google Maps ↗

Secondary Practice Location 1

Location 111995 Singletree Ln Ste 500Eden Prairie, MN 55344-5349 · Phone (952) 595-1301 · Fax (612) 294-4903

Other Identifiers 1

Medicaid806032500ID

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dallas D Peck M.d. 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 Reassignments

3

Medicare enrollment records show Dallas Peck reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger-Hm Joint Venture, LLC
1,975 mi
Family Medicine
68 SPRING STREET
Lock Haven, PA 17445
  • Reassigned Medicare billing, Idaho enrollment
  • 3 clinicians in this Medicare group
NPI 1144876137 (800) 230-4565
Crouse Radiology Associates LLP
2,002 mi
Diagnostic Radiology
736 IRVING AVE
Syracuse, NY 13210
  • Reassigned Medicare billing, Idaho enrollment
  • 3 clinicians in this Medicare group
NPI 1447244587 (315) 470-7551
Geisinger Clinic
2,021 mi
Diagnostic Radiology
100 N ACADEMY AVE
Danville, PA 17822
  • Reassigned Medicare billing, Idaho enrollment
  • 3 clinicians in this Medicare group
NPI 1558313023 (570) 271-6211

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83706 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 20

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

DR. MAUREEN A NEWMAN M.D.
Family Medicine (Hospice and Palliative Medicine)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 302-5480
JESSICA A EVERT MD
Family Medicine
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-7350
KRISTIE KAES LCSW
Social Worker (Clinical)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-2121
DR. MICHEAL GEORGE ADONDAKIS MD
Radiology (Diagnostic Radiology)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-2121
JACQUELINE STEAN
Nurse Practitioner
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-3221
DR. JAMES ROBERT POLK MD
Internal Medicine (Rheumatology)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-3104
MATTHEW JUDD D.O.
Emergency Medicine
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 322-1730
IAN MICHAEL WOOD PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-2166

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 Dallas Peck's NPI number?

The NPI number for Dallas Peck is 1184665473. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Dallas Peck located?

Dallas Peck practices at 1055 N Curtis Rd, Boise, ID 83706. The listed phone number is (208) 367-2161.

What is Dallas Peck's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Dallas Peck enrolled in Medicare?

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

Which organizations bill Medicare for Dallas Peck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dallas Peck reassigns Medicare benefits to 3 organizations: Geisinger-Hm Joint Venture, LLC (Lock Haven, PA), Crouse Radiology Associates LLP (Syracuse, NY) and Geisinger Clinic (Danville, PA). Each 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 Dallas Peck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dallas Peck was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.