ELIZABETH PEACOCK MD, PHD
NPI 1023468170
Emergency Medicine in Boise, ID
About Elizabeth Peacock Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH PEACOCK MD, PHD (NPI 1023468170) is an individual emergency medicine provider in Boise, Idaho, licensed in Idaho (M-16698) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Atlanta.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
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
Elizabeth Peacock Md, Phd 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
3Medicare enrollment records show Elizabeth Peacock reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boise, ID 83712
- Reassigned Medicare billing, Idaho enrollment
- 1,312 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Regional Medical Center
Acute Care Hospitals · Boise, IDSt Luke's Nampa Medical Center
Acute Care Hospitals · Nampa, IDSt Luke's Wood River Medical Center
Critical Access Hospitals · Ketchum, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BOISE, ID 83712
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 Elizabeth Peacock's NPI number?
The NPI number for Elizabeth Peacock is 1023468170. It was assigned to this individual provider in the NPPES registry on June 20, 2016.
Where is Elizabeth Peacock located?
Elizabeth Peacock practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2235.
What is Elizabeth Peacock's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Elizabeth Peacock enrolled in Medicare?
Yes. Elizabeth 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 Elizabeth Peacock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Peacock reassigns Medicare benefits to 3 organizations: St Lukes Clinic-Treasure Valley LLC (Boise, ID), Emory Medical Care Foundation Inc (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). 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 Elizabeth Peacock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Elizabeth Peacock affiliated with any hospitals?
According to CMS data, Elizabeth Peacock is affiliated with St Luke's Regional Medical Center, St Luke's Nampa Medical Center and St Luke's Wood River Medical Center.
When was this NPI record last updated?
The NPPES record for Elizabeth Peacock was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Elizabeth Peacock, MD, PHD · NPI 1023468170
Emergency Medicine physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since June 20, 2016.
## Identity
- **NPI:** 1023468170 (Entity type: Individual)
- **Enumerated:** June 20, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** M-16698 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 190 E BANNOCK ST, Boise, ID 83712-6241
- **Phone:** (208) 381-2235
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): St Lukes Clinic-Treasure Valley LLC (NPI 1326336058, Boise, ID); Emory Medical Care Foundation Inc (NPI 1063452381, Atlanta, GA); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 19, 2022
- **Other identifiers:** Other 4351043092 (MI); Other 82563 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1023468170) · Data from the CMS NPPES public registry.