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DR. CONNOR MARK PECK DO
NPI 1285165225
Student in an Organized Health Care Education/Training Program in Moreno Valley, CA

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
26520 CACTUS AVE, MORENO VALLEY, CA 92555(955) 486-4000 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2026, Dec 30, 2024, Nov 23, 2024 and 2 more (5 updates tracked since 2017).

About Dr. Connor Mark Peck Do NPPES

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

DR. CONNOR MARK PECK DO (NPI 1285165225) is an individual student in an organized health care education/training program in Moreno Valley, California and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285165225
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CONNOR MARK PECKCredential: DO
Location Address26520 CACTUS AVEMoreno Valley, CA 92555-3927
Mailing Address26520 Cactus AveMoreno Valley, CA 92555-3927
Phone(955) 486-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 22, 2017
Last NPPES UpdateJune 7, 20215 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
✔ NPI 1285165225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
26520 CACTUS AVE, Moreno Valley, CA 92555
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Connor Mark Peck Do 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 ID5193252443
PECOS Enrollment IDI20241226002454
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 Connor Peck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scripps Health
61 mi
General Acute Care Hospital
354 SANTA FE DR
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 1,598 clinicians in this Medicare group
NPI 1700829199 (760) 457-4123

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

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.

MARINA BOYARSKY M.D.
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE, FAMILY MEDICINE RESIDENCY PROGRAM
MORENO VALLEY, CA 92555
Riverside County (951) 486-5611
DR. THU KIEU NGUYEN HUYNH PHARM.D.
Pharmacist
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4613
ASHA PATEL RAJ DO
Family Medicine
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (714) 904-8341
COUNTY OF RIVERSIDE
Clinic/Center (Primary Care)
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000
MERETT W SAAD DO
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000
GRACE SHINN
Pharmacist (Emergency Medicine)
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000
NOLAN S LANGFORD
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-5434
DR. MY NGUYEN D.O.
Pediatrics
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000

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 Connor Peck's NPI number?

The NPI number for Connor Peck is 1285165225. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Connor Peck located?

Connor Peck practices at 26520 Cactus Ave, Moreno Valley, CA 92555. The listed phone number is (955) 486-4000.

What is Connor Peck's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Connor Peck enrolled in Medicare?

Yes. Connor 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.

Which organization bills Medicare for Connor Peck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connor Peck reassigns Medicare benefits to Scripps Health (Encinitas, CA). 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 Connor 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 Connor Peck was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.