SAMUEL ELI PECKHAM APRN
NPI 1447301163
Nurse Practitioner - Family in Norwich, CT

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating

NPPES record last updated: September 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Eli Peckham Aprn NPPES

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

SAMUEL ELI PECKHAM APRN (NPI 1447301163) is an individual family provider in Norwich, Connecticut, licensed in Connecticut (6659) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1447301163
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSAMUEL ELI PECKHAMCredential: APRN
Location Address47 TOWN STNorwich, CT 06360-2323
Mailing Address47 Town StNorwich, CT 06360-2323 · (860) 892-7042
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 16, 2007
Last NPPES UpdateSeptember 16, 2016
NPI 1447301163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CT · 6659
Also ListedAcupuncturistTaxonomy 171100000X · License 239 (CT)
47 TOWN ST, Norwich, CT 06360

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

Samuel Eli Peckham Aprn 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 ID3173802527
PECOS Enrollment IDI20161108001280
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 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
114 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
28 services28 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services27 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
28 services28 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services18 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06360 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims39 services$6.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
47 TOWN ST
NORWICH, CT 06360
Social Worker (Clinical)
47 TOWN ST
NORWICH, CT 06360
Nurse Practitioner (Psychiatric/Mental Health)
47 TOWN ST
NORWICH, CT 06360
Counselor (Professional)
47 TOWN ST
NORWICH, CT 06360
Counselor (Professional)
47 TOWN ST
NORWICH, CT 06360
Social Worker
47 TOWN ST
NORWICH, CT 06360
Social Worker (Clinical)
47 TOWN ST
NORWICH, CT 06360
Social Worker (Clinical)
47 TOWN ST
NORWICH, CT 06360

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 Samuel Peckham's NPI number?

The NPI number for Samuel Peckham is 1447301163. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Samuel Peckham located?

Samuel Peckham practices at 47 Town St, Norwich, CT 06360. The listed phone number is (860) 892-7042.

What is Samuel Peckham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samuel Peckham enrolled in Medicare?

Yes. Samuel Peckham 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 Samuel Peckham affiliated with any hospitals?

According to CMS data, Samuel Peckham is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Peckham was last updated on September 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.