CAROLEE M. CUTLER PECK M.D., M.P.H. – NPI #1588899488
Ophthalmology

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

CAROLEE CUTLER PECK is an ophthalmologist located in AMMON, ID. NPPES has assigned the NPI number 1588899488 to CAROLEE CUTLER PECK on May 20, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207WX0200X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery

The NPI profile was last updated on Oct 15, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAROLEE CUTLER PECK below.

NPI Profile for
CAROLEE M. CUTLER PECK

NPI Number
1588899488
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CAROLEE M. CUTLER PECK
Credentials
M.D., M.P.H.
Primary location
3365 CHASEWOOD DRIVE
AMMON, ID 83406
Phone: (208) 228-5555 Fax: (208) 228-0077
1 Other location(s):
7268 Jarnigan Rd
Suite 200
Chattanooga, TN 37421-3097
Phone: (423) 508-7337 Ext: 280
Fax: (423) 508-7338
Mailing address
PO BOX 50678
IDAHO FALLS, ID 83405-0678
Phone: (208) 228-5555 Fax: (208) 228-0077
Sole Proprietor
Yes
Updated
Certification Date
Oct 15, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0200X
- Ophthalmology / Ophthalmic Plastic and Reconstructive Surgery (Primary)
ID M-15305

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF UTAH SCHOOL OF MEDICINE - Graduated 2006
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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