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JACOB ROBERT PEACOCK MD
NPI 1083050785
Physical Medicine & Rehabilitation - Pain Medicine in Brooklyn, NY

Active since May 21, 2013PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
102 CLIFTON PL APT 1A, BROOKLYN, NY 11238(616) 894-1615 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 19, 2022, Feb 11, 2019 (2 updates tracked since 2019).

About Jacob Robert Peacock Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB ROBERT PEACOCK MD (NPI 1083050785) is an individual pain medicine provider in Brooklyn, New York, licensed in New York (293819-1) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Michigan State University College Of Human Medicine (2013).

NPPES Registry Identity

NPI1083050785
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameJACOB ROBERT PEACOCKCredential: MD
Location Address102 CLIFTON PL APT 1ABrooklyn, NY 11238-7218
Mailing Address102 Clifton Pl Apt 1aBrooklyn, NY 11238-7218 · (616) 894-1615
Phone(616) 894-1615
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2013
Enumeration DateMay 21, 2013
Last NPPES UpdateJuly 19, 20222 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
✔ NPI 1083050785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in NY · 293819-1
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
102 CLIFTON PL APT 1A, Brooklyn, NY 11238
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Secondary Practice Locations 3

Location 11414 Newkirk AveBrooklyn, NY 11226-6599 · Phone (718) 759-6100
Location 240 Park AveNew York, NY 10016-3467 · Phone (718) 759-6100
Location 3142 Joralemon StBrooklyn, NY 11201-4747 · Phone (718) 759-6100

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

Jacob Robert 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.

PECOS PAC ID9537391420
PECOS Enrollment IDI20180731001238
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jacob Peacock reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Km Rehabilitation Physicians PLLC
16 mi
Physical Medicine & Rehabilitation
100 N VILLAGE AVE
Rockville Centre, NY 11570
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
NPI 1639032576 (718) 598-6808
Ko Medical Rehabilitation, PLLC
26 mi
Pain Medicine
888 OLD COUNTRY RD
Plainview, NY 11803
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
NPI 1679324438 (718) 598-6808
Kumar Medical Pain Management PC
26 mi
Physical Medicine & Rehabilitation
888 OLD COUNTRY RD
Plainview, NY 11803
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1417575911 (516) 823-6570

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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
163 services154 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
114 services76 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
100 services72 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
92 services82 patients

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 Jacob Peacock's NPI number?

The NPI number for Jacob Peacock is 1083050785. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Jacob Peacock located?

Jacob Peacock practices at 102 Clifton Pl Apt 1A, Brooklyn, NY 11238. The listed phone number is (616) 894-1615.

What is Jacob Peacock's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Jacob Peacock enrolled in Medicare?

Yes. Jacob 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 Jacob Peacock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Peacock reassigns Medicare benefits to 3 organizations: Km Rehabilitation Physicians PLLC (Rockville Centre, NY), Ko Medical Rehabilitation, PLLC (Plainview, NY) and Kumar Medical Pain Management PC (Plainview, NY). 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 Jacob Peacock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Peacock was last updated on July 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.