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Active NPI 1144934589 Individual Practitioner Male Practitioner

Johnathan W Peck , DMS, PA-C

Physician Assistant • Coweta, OK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Johnathan Peck, DMS, PA-C is a certified Physician Assistant practicing in Coweta, OK. With approximately 2 years of clinical experience since completing medical education in 2024, Johnathan Peck delivers high-quality medical care to the local community at 607 S BROADWAY.

Johnathan Peck maintains professional affiliations with Health First Privia Medical Group, Arkansas Verdigris Valley Health Centers, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

607 S Broadway

Coweta, OK 744295000

Telephone 9184865564
Associated Practice Facility / Clinic
🏢 Dr. Jerry A. Nelms D.o. Facility NPI 1093994352

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Coweta, OK

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -17.5 yrs vs City Avg
City Avg: 19.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Coweta, OK (1911 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
54.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peck (2 Years) 2 Yrs
Coweta Specialty Average (19.5 Years) 19.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
21 21 $191.82 $71.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
21 21 $195.37 $101.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
19 19 $192.59 $88.79

Medical Specialties & State Licenses

CMS Verified: 2026-02-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9117435

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OK 4971

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.

Hospital & Practice Group Affiliations

Health First Privia Medical Group

140 6th Ave, Indialantic, FL 329033204

Phone: 3213123501

Health First Privia Medical Group

7250 Beneva Rd, Sarasota, FL 342382806

Phone: 7703125226

Arkansas Verdigris Valley Health Centers, Inc.

505 S Main St, Porter, OK 744541015

Phone: 9184830111

Arkansas Verdigris Valley Health Centers, Inc.

607 S Broadway, Coweta, OK 744295000

Phone: 9184865564

Health First Privia Medical Group

989 Sebastian Blvd, Sebastian, FL 329584879

Phone: 7276171777

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Bret Hubbard , DO

Family Medicine

NPI 1124189469

Doctor of Osteopathic Medicine (D.O.)

Kathleen Law

Counselor - Professional

NPI 1144101072
Iaong Lor , NP

Nurse Practitioner - Family

NPI 1548097173

Nurse Practitioner

Jackie Parnell , PA

Physician Assistant - Medical

NPI 1639169337

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location February 12, 2026

Registered at 607 S BROADWAY, COWETA, OK 744295000 (Tel: 9184865564)

📍
Updated Business Mailing Address February 12, 2026

Registered at 607 S BROADWAY, COWETA, OK 744295000 (Tel: 9184865564)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2026

Physician Assistant (License #PA9117435 in FL)

📍
Updated Practice Location July 09, 2025

Registered at 7250 BENEVA RD, SARASOTA, FL 342382806 (Tel: 9419210989)

📍
Updated Business Mailing Address July 09, 2025

Registered at 7250 BENEVA RD, SARASOTA, FL 342382806 (Tel: 9419210989)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2025

Physician Assistant

👤
Provider Name / Credentials Updated May 09, 2024

Recorded as JOHNATHAN PECK, DMS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2024

Physician Assistant (License #4971 in OK)

📍
Updated Business Mailing Address May 10, 2023

Registered at 12902 E 51ST ST STE 3, TULSA, OK 741346712 (Tel: 9189943476)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2023

Physician Assistant

NPI Profile Active January 10, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2023

Registered at 12902 E 51ST ST STE 3, TULSA, OK 741346712 (Tel: 9189943476)

📍
Updated Business Mailing Address January 10, 2023

Registered at 1804 N 6TH ST, BROKEN ARROW, OK 740128119 (Tel: 9188846950)

👤
Provider Name / Credentials Updated January 10, 2023

Recorded as JOHNATHAN PECK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2023

Physician Assistant (License #4971 in OK)

🟢
Initial NPI Registration & Enumeration January 10, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144934589
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2023
Last Update: February 12, 2026
Sole Proprietor: No

Mailing Address

607 S Broadway

Coweta, OK 744295000

Phone: 9184865564

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.