KATHERINE PEACOCK MD
NPI 1013449123
Obstetrics & Gynecology in West Jordan, UT
About Katherine Peacock Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE PEACOCK MD (NPI 1013449123) is an individual obstetrics & gynecology provider in West Jordan, Utah, licensed in Utah (10957312-1205) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salt Lake City, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katherine Peacock Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Katherine Peacock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Jordan, UT 84088
- Reassigned Medicare billing, Utah enrollment
- 190 clinicians in this Medicare group
West Valley City, UT 84119
- Reassigned Medicare billing, Utah enrollment
- 188 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84088 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katherine Peacock's NPI number?
The NPI number for Katherine Peacock is 1013449123. It was assigned to this individual provider in the NPPES registry on March 28, 2017.
Where is Katherine Peacock located?
Katherine Peacock practices at 3181 W 9000 S, West Jordan, UT 84088. The listed phone number is (801) 569-5500.
What is Katherine Peacock's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Katherine Peacock enrolled in Medicare?
Yes. Katherine Peacock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Katherine Peacock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Peacock reassigns Medicare benefits to 2 organizations: Granger Medical Clinic PC (West Jordan, UT) and Granger Medical Specialists LLC (West Valley City, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Peacock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Peacock accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Katherine Peacock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Katherine Peacock was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katherine Peacock, MD · NPI 1013449123
Obstetrics & Gynecology physician in West Jordan, Utah. Individual provider, active in the CMS NPPES registry since March 28, 2017.
## Identity
- **NPI:** 1013449123 (Entity type: Individual)
- **Enumerated:** March 28, 2017
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 10957312-1205 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3181 W 9000 S, West Jordan, UT 84088-5610
- **Phone:** (801) 569-5500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Granger Medical Clinic PC (NPI 1104857549, West Jordan, UT); Granger Medical Specialists LLC (NPI 1376159368, West Valley City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1013449123) · Data from the CMS NPPES public registry.