DR. CONNOR PECK DDS
NPI 1821581760
Dentist - Orofacial Pain in Minneapolis, MN
About Dr. Connor Peck Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CONNOR PECK DDS (NPI 1821581760) is an individual orofacial pain provider in Minneapolis, Minnesota, licensed in Minnesota (R713) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and maintains a secondary practice location in Minneapolis.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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. Connor Peck Dds 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 Connor Peck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wauwatosa, WI 53213
- Reassigned Medicare billing, Wisconsin enrollment
- 5 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Froedtert Memorial Lutheran Hospital
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55455 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 Connor Peck's NPI number?
The NPI number for Connor Peck is 1821581760. It was assigned to this individual provider in the NPPES registry on June 13, 2018.
Where is Connor Peck located?
Connor Peck practices at 515 Delaware St SE, Minneapolis, MN 55455. The listed phone number is (612) 626-0140.
What is Connor Peck's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.
Is Connor Peck enrolled in Medicare?
Yes. Connor 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 Connor Peck's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connor Peck reassigns Medicare benefits to Lmg, Inc (Wauwatosa, WI). 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 Connor Peck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Connor Peck accept?
Health plans from CareSource (Common Ground Healthcare), Dean Health Plan and Network Health list Connor Peck 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.
Is Connor Peck affiliated with any hospitals?
According to CMS data, Connor Peck is affiliated with Froedtert Memorial Lutheran Hospital.
When was this NPI record last updated?
The NPPES record for Connor Peck was last updated on October 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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. Connor Peck, DDS · NPI 1821581760
Orofacial Pain provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 13, 2018.
## Identity
- **NPI:** 1821581760 (Entity type: Individual)
- **Enumerated:** June 13, 2018
- **Primary specialty:** Dentist - Orofacial Pain · taxonomy 1223X2210X
- **State license:** R713 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 515 DELAWARE ST SE, Minneapolis, MN 55455-0357
- **Phone:** (612) 626-0140
## 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:** Lmg, Inc (NPI 1134235427, Wauwatosa, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1821581760) · Data from the CMS NPPES public registry.