SHANNON PECK PA-C
NPI 1346531928
Physician Assistant in American Fork, UT

Active since April 29, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1159 E 200 N, #250, AMERICAN FORK, UT 84003(801) 855-2980 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Peck Pa-c NPPES

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

SHANNON PECK PA-C (NPI 1346531928) is an individual physician assistant in American Fork, Utah, licensed in Utah (7890710-1206) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Northeastern Nevada Regional Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1346531928
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON PECKCredential: PA-C
Location Address1159 E 200 N, #250American Fork, UT 84003-2022
Mailing Address1159 E 200 N, #250American Fork, UT 84003-2022 · (801) 855-2980
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 29, 2011
NPI 1346531928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in UT · 7890710-1206
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.
1159 E 200 N, American Fork, UT 84003

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

Shannon Peck 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 ID3678751633
PECOS Enrollment IDI20141205000716
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.

Areas of Expertise CMS Part B claims 12

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,989 services349 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
762 services444 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
459 services383 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
220 services182 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
209 services169 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
199 services148 patients

Hospital Affiliations CMS Care Compare

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

Northeastern Nevada Regional Hospital

Acute Care Hospitals · Elko, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290008
Location2001 Errecart BlvdElko, NV 89801 · Elko County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84003 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Obstetrics & Gynecology
1159 E 200 N, STE. 250
AMERICAN FORK, UT 84003
Surgery
1159 E 200 N, STE. 350
AMERICAN FORK, UT 84003
Internal Medicine
1159 E 200 N, SUITE 150
AMERICAN FORK, UT 84003
Pediatrics
1159 E 200 N, SUITE 200
AMERICAN FORK, UT 84003
Hospitalist
1159 E 200 N, SUITE 150
AMERICAN FORK, UT 84003
Surgery
1159 E 200 N, STE 350
AMERICAN FORK, UT 84003
Obstetrics & Gynecology
1159 E 200 N, STE 250
AMERICAN FORK, UT 84003
Pediatrics
1159 E 200 N, SUITE 350
AMERICAN FORK, UT 84003

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 Shannon Peck's NPI number?

The NPI number for Shannon Peck is 1346531928. It was assigned to this individual provider in the NPPES registry on April 29, 2011.

Where is Shannon Peck located?

Shannon Peck practices at 1159 E 200 N #250, American Fork, UT 84003. The listed phone number is (801) 855-2980.

What is Shannon Peck's specialty?

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

Is Shannon Peck enrolled in Medicare?

Yes. Shannon 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.

Is Shannon Peck affiliated with any hospitals?

According to CMS data, Shannon Peck is affiliated with Northeastern Nevada Regional Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Peck was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.