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JON A PEACOCK M.D. NPI 1275507071


NPI Information

NPI: 1275507071
Provider Name: JON A PEACOCK, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
5885 SUNNYBROOK DR
SUITE L-200
SIOUX CITY, IA
ZIP 51106
Phone: (712) 239-4702
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Jon A Peacock, M.D. is a cardiovascular disease internal medicine in Sioux City, IA with 37 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Jon A Peacock, M.D. NPI is 1275507071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:1987

The provider's business location address is:

5885 SUNNYBROOK DR
SUITE L-200
SIOUX CITY, IA
ZIP 51106-203
Phone: (712) 239-4702
Fax: (712) 224-5898

The NPI 1275507071 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Remote evaluations of single, dual, or multiple lead pacemaker system with qualified health care professional analysis, review, and report, up to 90 days (HCPCS:93294)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report (HCPCS:93018)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Remote evaluations of defibrillator up to 90 days with analysis, review and report (HCPCS:93295)
  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)

The enumeration date for this NPI number is 2/16/2006 and was last updated on 10/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease20074NEBRASKANo
2207RC0000XInternal MedicineCardiovascular Disease4330SOUTH DAKOTANo
3207RC0000XInternal MedicineCardiovascular DiseaseMD-31117IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10135103MEDICAIDIOWA
241233MEDICARE PINIOWA
341305MEDICARE PINIOWA
441323MEDICARE PINIOWA
542844MEDICARE PINIOWA
641244MEDICARE PINIOWA
741267MEDICARE PINIOWA
841396MEDICARE PINIOWA
9269450MEDICARE PINNEBRASKA
1041294MEDICARE PINIOWA
11E36131MEDICARE UPIN
1241369MEDICARE PINIOWA
1341378MEDICARE PINIOWA
1441285MEDICARE PINIOWA
1541314MEDICARE PINIOWA
1641350MEDICARE PINIOWA
1741257MEDICARE PINIOWA
1841341MEDICARE PINIOWA
1941025MEDICARE PINIOWA
2041205MEDICARE PINIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.