PEAK PLASTIC SURGERY, PLLC
NPI 1477041101
Plastic Surgery in Draper, UT

Active since April 27, 2018
11762 S STATE ST STE 320, DRAPER, UT 84020(801) 702-9191(877) 326-3388 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2025, Feb 20, 2025, Apr 16, 2021 and 3 more (6 updates tracked since 2018).

About Peak Plastic Surgery, Pllc NPPES

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

PEAK PLASTIC SURGERY, PLLC (NPI 1477041101), doing business as Peak Prosthetics, is a healthcare organization registered as a plastic surgery in Draper, Utah and active in the NPI registry since April 2018. The organization lists Denise Richards, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1477041101
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NamePEAK PLASTIC SURGERY, PLLC
Location Address11762 S STATE ST STE 320Draper, UT 84020-7166
Mailing Address11762 S State St Ste 320Draper, UT 84020-7166 · (801) 702-9191 · Fax (877) 326-3388
Fax(877) 326-3388
Organization SubpartNo
Authorized OfficialDenise RichardsBilling Manager · (801) 602-2997
Enumeration DateApril 27, 2018
Last NPPES UpdateSeptember 2, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1477041101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
11762 S STATE ST STE 320, Draper, UT 84020

Other Names 1

Doing Business AsPeak Prosthetics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peak Plastic Surgery, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Peak Plastic Surgery, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Plastic and Reconstructive Surgery
NPI 1780895755
11762 S STATE ST STE 110
Draper, UT 84020
(385) 218-0587
✔ PECOSSame address
Plastic and Reconstructive Surgery
NPI 1972769917
11762 S STATE ST STE 320
Draper, UT 84020
(801) 702-9191
✔ PECOSSame address
Qualified Speech Language Pathologist
NPI 1154976686
1055 N 300 W STE 301
Provo, UT 84604
(801) 702-9191
✔ Accepts Medicare23 mi

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

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 Peak Plastic Surgery, PLLC's NPI number?

The NPI number for Peak Plastic Surgery, PLLC is 1477041101. It was assigned to this organization in the NPPES registry on April 27, 2018. The provider is doing business as Peak Prosthetics.

Where is Peak Plastic Surgery, PLLC located?

Peak Plastic Surgery, PLLC is located at 11762 S State St Ste 320, Draper, UT 84020. The listed phone number is (801) 702-9191.

What is Peak Plastic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Peak Plastic Surgery, PLLC enrolled in Medicare?

Yes. Peak Plastic Surgery, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peak Plastic Surgery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Peak Plastic Surgery, PLLC, in Plastic and Reconstructive Surgery and Qualified Speech Language Pathologist. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Peak Plastic Surgery, PLLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Peak Plastic Surgery, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peak Plastic Surgery, PLLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.