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PEKO LLC
NPI 1871357533
Plastic Surgery in Toledo, OH

Active since February 12, 2024
7634 W CENTRAL AVE, TOLEDO, OH 43617(567) 408-7356 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peko Llc NPPES

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

PEKO LLC (NPI 1871357533) is a healthcare organization registered as a plastic surgery in Toledo, Ohio and active in the NPI registry since February 2024. The organization lists Mark Alan Stutler, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1871357533
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NamePEKO LLC
Location Address7634 W CENTRAL AVEToledo, OH 43617-1526
Mailing Address7634 W Central AveToledo, OH 43617-1526 · (567) 408-7356
Phone(567) 408-7356
Organization SubpartNo
Authorized OfficialMark Alan StutlerChief Financial Officer · (419) 290-3034
Enumeration DateFebruary 12, 2024
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1871357533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedAnesthesiologyTaxonomy 207L00000X
7634 W CENTRAL AVE, Toledo, OH 43617
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Peko Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Peko LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Peter Koltz, MD
Plastic and Reconstructive Surgery
NPI 1316260797
7634 W CENTRAL AVE
Toledo, OH 43617
(567) 408-7356
✔ PECOSSame address
Daniel Straka, M.D.
Ophthalmology
NPI 1437388139
200 W WILSON BRIDGE RD
Worthington, OH 43085
(614) 635-9699
✔ PECOS114 mi
Nickolay Markov, MD
Plastic and Reconstructive Surgery
NPI 1598927824
4881 SUGAR MAPLE DR
Wpafb, OH 45433
(937) 255-9922
✔ PECOS✔ Accepts Medicare130 mi
Fatemeh Mirzamohammadi, MD,PHD
Plastic and Reconstructive Surgery
NPI 1679079115
3700 SOUTHERN BLVD STE 201
Kettering, OH 45429
(855) 500-2873
✔ PECOS✔ Accepts Medicare139 mi
Justin Fox, MD, MHS
Plastic and Reconstructive Surgery
NPI 1194925743
4301 JONES BRIDGE RD DEPT OF
Bethesda, MD 20814
(301) 295-4664
✔ PECOS✔ Accepts Medicare396 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 Peko LLC's NPI number?

The NPI number for Peko LLC is 1871357533. It was assigned to this organization in the NPPES registry on February 12, 2024.

Where is Peko LLC located?

Peko LLC is located at 7634 W Central Ave, Toledo, OH 43617. The listed phone number is (567) 408-7356.

What is Peko LLC's specialty?

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

Is Peko LLC enrolled in Medicare?

Yes. Peko LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peko LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Peko LLC. 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. The largest specialties are Plastic and Reconstructive Surgery (4) and Ophthalmology (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Peko LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Peko LLC 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 Peko LLC was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.