Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Tracy Jeanne Peck , MD

Pediatrics β€’ Clackamas, OR

Active NPI 1073748638 Individual Practitioner Female Practitioner
Practice location in NPPES

9000 Se Sunnyside Rd
Clackamas, OR 970159758

Call 5038132000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9000 Se Sunnyside Rd

Clackamas, OR 970159758

Telephone 5038132000
Fax 5035713418
Organization at the Same NPPES Address or Phone
Oregon Cvs Pharmacy Llc Facility NPI 1619125614

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Peck has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Peck as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Clackamas and Oregon

43 active clinicians are listed under Pediatrics with a practice address in Clackamas, OR (862 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clackamas

0% of these 43 clinicians have the CMS telehealth indicator.

2.3% of these 43 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-04-13
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OR MD152995

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES CA A107878

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WA 60236668

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20230403000654

Enrollment State Jurisdiction

OR

PECOS Control ID

6507018017

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
Amanda Andersen

Internal Medicine

NPI 1033504410
Dr. Shauyaun Azimi , DO

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1144755471

Doctor of Osteopathic Medicine (D.O.)

David Benjamin

Emergency Medicine

NPI 1134533839
Kyle Bowling

Nurse Anesthetist, Certified Registered

NPI 1063997898
Dr. Jennifer Brady , MD

Internal Medicine

NPI 1124288063

Doctor of Medicine (M.D.)

Ryan Cate , PA

Physician Assistant - Medical

NPI 1023211174

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 13, 2020

Registered at 9000 SE SUNNYSIDE RD, CLACKAMAS, OR 970159758 (Tel: 5038132000)

πŸ“
Updated Business Mailing Address April 13, 2020

Registered at 9000 SE SUNNYSIDE RD, CLACKAMAS, OR 970159758 (Tel: 5038132000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2020

Pediatrics (license number reported to NPPES: CA A107878)

βœ…
NPI Profile Active January 04, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 04, 2011

Registered at 24850 SE STARK ST, SUITE 150, GRESHAM, OR 970308316 (Tel: 5034910714)

πŸ“
Business Mailing Address (Initial Record) January 04, 2011

Registered at 24850 SE STARK ST, SUITE 150, GRESHAM, OR 970308316 (Tel: 5034910714)

πŸ‘€
Provider Name / Credentials (Initial Record) January 04, 2011

Recorded as TRACY PECK, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2011

Pediatrics (license number reported to NPPES: OR MD152995)

🟒
Initial NPI Registration & Enumeration May 26, 2009

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1073748638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2009
Last Update: April 13, 2020
Sole Proprietor: Yes

Mailing Address

9000 Se Sunnyside Rd

Clackamas, OR 970159758

Phone: 5038132000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.