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DR. MICHAEL A. PECK D.D.S., M.S.
NPI 1255543146
Dentist - Periodontics in Plano, TX

Active since May 04, 2007PECOS Enrolled
5038 TENNYSON PKWY, SUITE A, PLANO, TX 75024(972) 403-8700(972) 403-8788 Get Directions Write a Review

NPPES record last updated: November 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael A. Peck D.d.s., M.s. NPPES

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

DR. MICHAEL A. PECK D.D.S., M.S. (NPI 1255543146) is an individual periodontics provider in Plano, Texas, licensed in Texas (13995) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255543146
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MICHAEL A. PECKCredential: D.D.S., M.S.
Location Address5038 TENNYSON PKWY, SUITE APlano, TX 75024-2954
Mailing Address5038 Tennyson Pkwy, Suite APlano, TX 75024-2954 · (972) 403-8700 · Fax (972) 403-8788
Phone(972) 403-8700
Fax(972) 403-8788
Sole ProprietorYes
Enumeration DateMay 4, 2007
Last NPPES UpdateNovember 19, 2009
✔ NPI 1255543146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TX · 13995
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License 13995 (TX)
5038 TENNYSON PKWY, Plano, TX 75024
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael A. Peck D.d.s., M.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75024 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 2

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

GEOFFREY G. GLIDDEN ,MD PA
Orthopaedic Surgery
5038 TENNYSON PKWY, SUITE B
PLANO, TX 75024
Collin County (972) 608-9777
OLGA KHMELININA MSN, PMHNP-C, FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
5038 TENNYSON PKWY
PLANO, TX 75024
Collin County (817) 966-0348

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 Michael Peck's NPI number?

The NPI number for Michael Peck is 1255543146. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Michael Peck located?

Michael Peck practices at 5038 Tennyson Pkwy Suite A, Plano, TX 75024. The listed phone number is (972) 403-8700.

What is Michael Peck's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Michael Peck enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Peck was last updated on November 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.