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ROBERT E PEEVY PAC
NPI 1114925245
Physician Assistant in Shawnee, OK

Active since July 12, 2005PECOS Enrolled
2029 GORDON COOPER DR, SHAWNEE, OK 74801(405) 878-5850 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2026, Jun 21, 2021, Jun 7, 2019 (3 updates tracked since 2019).

About Robert E Peevy Pac NPPES

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

ROBERT E PEEVY PAC (NPI 1114925245) is an individual physician assistant in Shawnee, Oklahoma, licensed in Oklahoma (1143) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114925245
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameROBERT E PEEVYCredential: PAC
Location Address2029 GORDON COOPER DRShawnee, OK 74801-9005
Mailing Address15951 Little Axe DrNorman, OK 73026-9088 · (405) 447-0300 · Fax (405) 701-7631
Phone(405) 878-5850
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateMarch 25, 20263 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1114925245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OK · 1143
Definition
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.
2029 GORDON COOPER DR, Shawnee, OK 74801
Open in Google Maps ↗

Secondary Practice Locations 2

Location 115951 Little Axe DrNorman, OK 73026-9088 · Phone (405) 447-0300
Location 215702 E State Highway 9Norman, OK 73026-9001 · Phone (405) 447-0477

Other Identifiers 1

OtherP00731972Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert E Peevy Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MONIKA DURSKA-KELLER MD
Family Medicine
2029 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 878-5850
RAPHAEL C FRANCISCO M.D.
Internal Medicine
2029 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 878-5850
SUSAN GEORGE APRN
Nurse Practitioner (Family)
2029 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 561-7808
ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
2029 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 878-5850
DR. CHRISTINE CHOUTEAU WALSH M.D.
Internal Medicine
2029 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 878-4702
JESSICA COLLUM PHARMD
Pharmacist
2029 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 878-5859
KRISTIN WAHPEPAH
Physical Therapist
2029 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 878-5850
MRS. JESSICA LYNN KENDALL APRN-CNP
Nurse Practitioner (Family)
2029 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 878-5850

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 Robert Peevy's NPI number?

The NPI number for Robert Peevy is 1114925245. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Robert Peevy located?

Robert Peevy practices at 2029 Gordon Cooper Dr, Shawnee, OK 74801. The listed phone number is (405) 878-5850.

What is Robert Peevy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Robert Peevy enrolled in Medicare?

Yes. Robert Peevy is registered in the Medicare PECOS enrollment system.

What insurance does Robert Peevy accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Robert Peevy 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 Robert Peevy was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.