DR. CONNOR PECK DDS
NPI 1821581760
Dentist - Orofacial Pain in Minneapolis, MN

Q: 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.

Q: What is Connor Peck's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Q: 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 6 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.

Active since June 13, 2018PECOS EnrolledAccepts Medicare Assignment

515 DELAWARE ST SE, MINNEAPOLIS, MN 55455(612) 626-0140 Get Directions Write a Review

NPPES record last updated: October 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2019, Jun 13, 2018 (2 updates tracked since 2018).

On this page

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

NPI1821581760

Entity TypeIndividualMale

Primary Taxonomy1223X2210X

Provider Legal NameDR. CONNOR PECKCredential: DDS

Location Address515 DELAWARE ST SEMinneapolis, MN 55455-0357

Mailing Address2410 University Ave W Ste 110Saint Paul, MN 55114-1978 · (414) 416-2110

Phone(612) 626-0140

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 13, 2018

Last NPPES UpdateOctober 6, 20192 updates tracked since enumeration

✔ NPI 1821581760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orofacial PainDental Providers

Taxonomy Code1223X2210X

License✔ Licensed in MN · R713

Definition

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.

Also ListedDentistTaxonomy 122300000X · License R713 (MN)

515 DELAWARE ST SE, Minneapolis, MN 55455

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Secondary Practice Location 1

Location 1515 Delaware St SEMinneapolis, MN 55455-0357 · Phone (612) 626-0140

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Network Health.Insurance ›

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

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.

PECOS PAC ID6406271709

PECOS Enrollment IDI20200804001292

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 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.

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.

207 services123 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

87 services87 patients

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, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520177

Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County

Emergency services Birthing friendly

Physician 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.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

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.

DR. JENNIFER LYNN BONAMICI DDS

Dentist

515 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-5000

DR. MICHAEL W. LEHNERT DDS

Dentist (Oral and Maxillofacial Surgery)

515 DELAWARE ST SE, 7TH FLOOR, MMHST
MINNEAPOLIS, MN 55455

Hennepin County (612) 624-7133

DR. BRETT ANDREW VOEGELE D.D.S.

Dentist

515 DELAWARE ST SE, 7TH FLOOR, MOOS TOWER
MINNEAPOLIS, MN 55455

Hennepin County (612) 624-8600

DR. LINDA JIN LIU DDS

Student in an Organized Health Care Education/Training Program

515 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 624-9900

RAIANA M KLINGELHUTZ

Dentist (General Practice)

515 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-2008

MARY ELIZABETH IMDIEKE

Dentist (Prosthodontics)

515 DELAWARE ST SE, CLEFT PALATE CLINIC - 6TH FLOOR MOOS TOWER
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-2495

PAIGE ELIZABETH REINERS DDS

Dentist

515 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-2495

HUI LI

Dentist (Prosthodontics)

515 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (734) 450-6874

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.

What insurance does Connor Peck accept?

Health plans from CareSource (Common Ground Healthcare) 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 6 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.