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ETHAN WILLIAM PECK
NPI 1912878455
Physician Assistant in Nashville, TN

Active since September 17, 2025PECOS Enrolled
865 BELLEVUE RD APT J14, NASHVILLE, TN 37221(586) 531-0491 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan William Peck NPPES

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

ETHAN WILLIAM PECK (NPI 1912878455) is an individual physician assistant in Nashville, Tennessee and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1912878455
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameETHAN WILLIAM PECK
Location Address865 BELLEVUE RD APT J14Nashville, TN 37221-2774
Mailing Address865 Bellevue Rd Apt J14Nashville, TN 37221-2774 · (586) 531-0491
Phone(586) 531-0491
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 17, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1912878455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
865 BELLEVUE RD APT J14, Nashville, TN 37221
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan William Peck is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193294403
PECOS Enrollment IDI20260515002252
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37221 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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 Ethan Peck's NPI number?

The NPI number for Ethan Peck is 1912878455. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Where is Ethan Peck located?

Ethan Peck practices at 865 Bellevue Rd Apt J14, Nashville, TN 37221. The listed phone number is (586) 531-0491.

What is Ethan Peck's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ethan Peck enrolled in Medicare?

Yes. Ethan Peck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Peck was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.