NPI Lens

Shannon Peck, PA-C

NPI 1346531928ActiveIndividual· Physician Assistant· American Fork, UT

Physician Assistant (PA-C) with Keith Mark Gross MD Inc, practicing in American Fork, Utah. 676 Medicare patients in 2024, $109,101 paid; all of their 128 Part D prescriptions were generic.

Overview

NPI1346531928
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorYes
NPI issuedApr 29, 2011
Last updated in NPPESApr 29, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X7890710-1206UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NV)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients676
Services billed5,247 across 44 procedure codes
Paid by Medicare$109,101

Part D prescriptions in 2024

Prescriptions (claims)128 · 131 30-day fills
Patients78
Total drug cost$2,565
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Graduation year2010
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in American Fork

All 42 physician assistants in American Fork · All physician assistants in Utah