WALLACE W PECK M.D.
NPI 1508810367
Radiology - Diagnostic Radiology in Newport Beach, CA

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
ONE HOAG DRIVE, NEWPORT BEACH, CA 92663(949) 764-5570(949) 263-0473 Get Directions Write a Review

NPPES record last updated: December 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wallace W Peck M.d. NPPES

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

WALLACE W PECK M.D. (NPI 1508810367) is an individual diagnostic radiology provider in Newport Beach, California, licensed in California (G52810) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1982).

NPPES Registry Identity

NPI1508810367
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameWALLACE W PECKCredential: M.D.
Location AddressONE HOAG DRIVENewport Beach, CA 92663-4162
Mailing AddressDept La 21555Pasadena, CA 91185-1555 · (949) 764-5570 · Fax (949) 263-1639
Fax(949) 263-0473
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1982
Enumeration DateMay 19, 2006
Last NPPES UpdateDecember 19, 2007
NPI 1508810367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · G52810
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License G52810 (CA)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License G52810 (CA)
ONE HOAG DRIVE, Newport Beach, CA 92663

Other Identifiers 6

Medicare PINWG52810HCA
Other00G528100CA · Blue Shield
Medicare PINWG52810JCA
Medicare UPINA52354
Medicaid00G528100CA
Medicare PINWG52810ICA

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

Wallace W 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.

PECOS PAC ID8224942735
PECOS Enrollment IDI20031118000946
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 27

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
632 services578 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
199 services193 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
176 services173 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
128 services123 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
119 services116 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
89 services87 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

Reported Quality Measures

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…
100%34 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%446 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
99%96 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Diagnostic Radiology)
ONE HOAG DRIVE
NEWPORT BEACH, CA 92663
Radiology (Diagnostic Radiology)
ONE HOAG DRIVE
NEWPORT BEACH, CA 92663
Anesthesiology
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY
NEWPORT BEACH, CA 92663
Anesthesiology
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY
NEWPORT BEACH, CA 92663
Anesthesiology
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY
NEWPORT BEACH, CA 92663
Anesthesiology
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY
NEWPORT BEACH, CA 92663
Radiology (Diagnostic Radiology)
ONE HOAG DRIVE
NEWPORT BEACH, CA 92663
Anesthesiology
ONE HOAG DRIVE, DEPARTMENT OF ANESTHESIOLOGY
NEWPORT BEACH, CA 92663

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 Wallace Peck's NPI number?

The NPI number for Wallace Peck is 1508810367. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Wallace Peck located?

Wallace Peck practices at One Hoag Drive, Newport Beach, CA 92663. The listed phone number is (949) 764-5570.

What is Wallace Peck's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Wallace Peck enrolled in Medicare?

Yes. Wallace 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.

When was this NPI record last updated?

The NPPES record for Wallace Peck was last updated on December 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.