KIMBERLY PEACOCK DO
NPI 1235541665
Family Medicine in Cleveland, OH

Active since May 20, 2014PECOS EnrolledAccepts Medicare Assignment
15105 SAINT CLAIR AVE, CLEVELAND, OH 44110(216) 800-8020(216) 231-7920 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2023, May 18, 2018 (2 updates tracked since 2018).

About Kimberly Peacock Do NPPES

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

KIMBERLY PEACOCK DO (NPI 1235541665) is an individual family medicine provider in Cleveland, Ohio, licensed in Ohio (34.012512) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Ohio University, College Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1235541665
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIMBERLY PEACOCKCredential: DO
Location Address15105 SAINT CLAIR AVECleveland, OH 44110-3719
Mailing Address15105 Saint Clair AveCleveland, OH 44110-3719 · (216) 800-8020 · Fax (216) 231-7920
Fax(216) 231-7920
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2014
Enumeration DateMay 20, 2014
Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
NPI 1235541665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 34.012512
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15105 SAINT CLAIR AVE, Cleveland, OH 44110

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kimberly Peacock Do 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 ID7012206329
PECOS Enrollment IDI20180607001603
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 44110 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 8

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

Non-Pharmacy Dispensing Site
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110
Pharmacist
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110
Pharmacist
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110
Nurse Practitioner (Gerontology)
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110
Nurse Practitioner (Adult Health)
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110
Family Medicine
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110
Family Medicine
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110
Internal Medicine
15105 SAINT CLAIR AVE
CLEVELAND, OH 44110

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 Kimberly Peacock's NPI number?

The NPI number for Kimberly Peacock is 1235541665. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Where is Kimberly Peacock located?

Kimberly Peacock practices at 15105 Saint Clair Ave, Cleveland, OH 44110. The listed phone number is (216) 800-8020.

What is Kimberly Peacock's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kimberly Peacock enrolled in Medicare?

Yes. Kimberly 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.

What insurance does Kimberly Peacock accept?

Health plans from MedMutual list Kimberly 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 Kimberly Peacock was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.