DR. TIMOTHY CHARLES PECK M.D.
NPI 1508151473
Emergency Medicine in Palo Alto, CA
About Dr. Timothy Charles Peck M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY CHARLES PECK M.D. (NPI 1508151473) is an individual emergency medicine provider in Palo Alto, California, licensed in New York (280756) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of New York University School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
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. Timothy Charles Peck M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Peck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jeffersonville, IN 47130
- Reassigned Medicare billing, Indiana enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Clark Memorial Hospital
Acute Care Hospitals · Jeffersonville, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PALO ALTO, CA 94301
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 Timothy Peck's NPI number?
The NPI number for Timothy Peck is 1508151473. It was assigned to this individual provider in the NPPES registry on June 17, 2011.
Where is Timothy Peck located?
Timothy Peck practices at 734 Webster St D, Palo Alto, CA 94301. The listed phone number is (617) 317-8913.
What is Timothy Peck's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Timothy Peck enrolled in Medicare?
Yes. Timothy 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 Timothy Peck's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Peck reassigns Medicare benefits to Emergency Medicine Physicians Associates PC (Jeffersonville, IN). 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 Timothy Peck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Timothy Peck affiliated with any hospitals?
According to CMS data, Timothy Peck is affiliated with Clark Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Timothy Peck was last updated on July 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Timothy Charles Peck, M.D. · NPI 1508151473
Emergency Medicine physician in Palo Alto, California. Individual provider, active in the CMS NPPES registry since June 17, 2011.
## Identity
- **NPI:** 1508151473 (Entity type: Individual)
- **Enumerated:** June 17, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 280756 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 734 WEBSTER ST, D, Palo Alto, CA 94301-2630
- **Phone:** (617) 317-8913
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emergency Medicine Physicians Associates PC (NPI 1942775879, Jeffersonville, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York University School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** July 25, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1508151473) · Data from the CMS NPPES public registry.