Active NPI 1346531928 Individual Practitioner Female Practitioner

Shannon Peck , PA-C

Physician Assistant • American Fork, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shannon Peck, PA-C is a certified Physician Assistant practicing in American Fork, UT. With approximately 16 years of clinical experience since completing medical education in 2010, Shannon Peck delivers high-quality medical care to the local community at 1159 E 200 N.

Shannon Peck is affiliated with Keith Mark Gross Md Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1159 E 200 N
#250

American Fork, UT 840032022

Telephone 8018552980

Associated Practice Facility / Clinic

🏢 Utah Advanced Laparoscopy Inc. Facility NPI 1689684672

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in American Fork, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +6.1 yrs vs City Avg

City Avg: 9.9 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

42 Specialists

Practicing in American Fork, UT (1904 Statewide)

Telehealth Adoption Rate

19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peck (16 Years) 16 Yrs

American Fork Specialty Average (9.9 Years) 9.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,989	349	$23.00	$5.56
17000 Destruction of skin growth	762	444	$100.00	$43.06
11102 Tangential biopsy of single skin lesion	459	383	$178.25	$76.91
17110 Destruction of up to 14 skin growths	220	182	$125.00	$94.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	209	169	$85.00	$46.97
11103 Biopsy of related skin growth, each additional growth	199	148	$74.75	$41.81
99202 New patient office or other outpatient visit, typically 20 minutes	179	179	$115.00	$60.07
69100 Biopsy of ear	37	33	$135.00	$59.10
17004 Destruction of precancer skin growth, 15 or more growths	28	25	$250.00	$139.85
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	20	$275.00	$141.12
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	25	21	$224.25	$91.03
11200 Removal of skin tag, 1-15 skin tags	17	17	$95.00	$54.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,250	403	$23.00	$5.67
17000 Destruction of skin growth	848	478	$100.00	$44.42
11102 Tangential biopsy of single skin lesion	478	391	$178.25	$81.50
99202 New patient office or other outpatient visit, typically 20 minutes	213	213	$115.00	$61.21
11103 Biopsy of related skin growth, each additional growth	207	150	$74.75	$42.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	185	153	$85.00	$47.81
17110 Destruction of up to 14 skin growths	159	137	$125.00	$95.22
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	36	29	$224.25	$95.82
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	19	$275.00	$143.51
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	20	18	$160.00	$69.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,244	348	$23.00	$5.83
17000 Destruction of skin growth	746	414	$100.00	$46.33
11102 Tangential biopsy of single skin lesion	434	336	$178.25	$86.14
99202 New patient office or other outpatient visit, typically 20 minutes	228	228	$115.00	$63.33
11103 Biopsy of related skin growth, each additional growth	226	151	$74.75	$44.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	202	165	$85.00	$49.22
17110 Destruction of up to 14 skin growths	161	135	$125.00	$97.25
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	36	31	$224.25	$97.49
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	24	$275.00	$139.79
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	16	14	$160.00	$61.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,647	283	$21.64	$5.64
17000 Destruction of skin growth	597	339	$100.00	$45.69
11102 Tangential biopsy of single skin lesion	405	315	$166.19	$86.73
11103 Biopsy of related skin growth, each additional growth	234	157	$69.33	$46.44
99202 New patient office or other outpatient visit, typically 20 minutes	186	186	$103.17	$63.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	162	138	$71.11	$48.87
17110 Destruction of up to 14 skin growths	150	126	$125.00	$96.17
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	50	38	$208.46	$97.56
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	19	$275.00	$145.71
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	15	13	$160.00	$60.32
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$200.00	$82.96
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	11	11	$250.00	$233.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,941	232	$20.00	$5.20
17000 Destruction of skin growth	480	274	$100.00	$42.86
11102 Tangential biopsy of single skin lesion	337	266	$155.00	$80.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	199	143	$60.00	$39.25
11103 Biopsy of related skin growth, each additional growth	168	114	$63.07	$45.93
99202 New patient office or other outpatient visit, typically 20 minutes	137	137	$95.00	$65.93
17110 Destruction of up to 14 skin growths	127	104	$125.00	$92.93
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	50	39	$195.00	$91.49
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	23	$275.00	$115.98
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	24	22	$425.00	$328.69
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	18	16	$160.00	$51.65
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	17	16	$230.00	$119.34
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	16	$325.00	$133.59
13120 Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm	12	12	$400.00	$312.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,979	339	$20.00	$4.85
17000 Destruction of skin growth	666	394	$100.00	$44.99
11102 Tangential biopsy of single skin lesion	351	280	$155.00	$82.34
99202 New patient office or other outpatient visit, typically 20 minutes	206	206	$95.00	$64.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	203	174	$60.00	$38.52
17110 Destruction of up to 14 skin growths	192	157	$125.00	$93.59
11103 Biopsy of related skin growth, each additional growth	115	84	$40.00	$39.44
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	26	21	$195.00	$95.81
11200 Removal of skin tag, 1-15 skin tags	18	16	$95.00	$59.40
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	15	12	$160.00	$50.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,353	271	$20.00	$4.77
17000 Destruction of skin growth	523	322	$100.00	$48.68
11100 Biopsy of single growth of skin and/or tissue	277	238	$125.00	$91.51
99202 New patient office or other outpatient visit, typically 20 minutes	196	196	$95.00	$66.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	167	134	$60.00	$39.28
17110 Destruction of up to 14 skin growths	144	118	$125.00	$99.18
11101 Biopsy of each additional growth of skin and/or tissue	73	52	$70.00	$29.50
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	21	18	$195.00	$94.72
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	14	14	$185.00	$103.27

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 7890710-1206

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

Keith Mark Gross Md Inc

1900 Idaho St, Elko, NV 898012637

Phone: 7757539799

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Ryan Jones , MD

Obstetrics & Gynecology

NPI 1003872433

Doctor of Medicine (M.D.)

Dr. Andrew Thomas , MD

Obstetrics & Gynecology

NPI 1104163575

Doctor of Medicine (M.D.)

Marla Morillo

Physician Assistant

NPI 1184249385

Dr. Brent Lind , MD

Obstetrics & Gynecology

NPI 1184732018

Doctor of Medicine (M.D.)

Dr. Bryan Watabe , MD

Obstetrics & Gynecology

NPI 1245296623

Doctor of Medicine (M.D.)

Sandra Porter , PA-C

Physician Assistant

NPI 1457969834

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 29, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 29, 2011

Registered at 1159 E 200 N, #250, AMERICAN FORK, UT 840032022 (Tel: 8018552980)

📍

Updated Business Mailing Address April 29, 2011

Registered at 1159 E 200 N, #250, AMERICAN FORK, UT 840032022 (Tel: 8018552980)

👤

Provider Name / Credentials Updated April 29, 2011

Recorded as SHANNON PECK, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2011

Physician Assistant (License #7890710-1206 in UT)

🟢

Initial NPI Registration & Enumeration April 29, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1346531928

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 29, 2011

Last Update: April 29, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1159 E 200 N, #250

American Fork, UT 840032022

Phone: 8018552980

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.