ANDREW PEACOCK
NPI 1356760680
Radiology - Diagnostic Radiology in Camp Lejeune, NC
About Andrew Peacock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW PEACOCK (NPI 1356760680) is an individual diagnostic radiology provider in Camp Lejeune, North Carolina, licensed in North Carolina (2015-02193) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Mercer County Joint Township Community Hospital, and maintains a secondary practice location in Bethesda.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Andrew Peacock 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 Reassignment
Medicare enrollment records show Andrew Peacock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbus, OH 43215
- Reassigned Medicare billing, North Carolina enrollment
- 15 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercer County Joint Township Community Hospital
Acute Care Hospitals · Coldwater, OHFairfield Medical Center
Acute Care Hospitals · Lancaster, OHAdena Regional Medical Center
Acute Care Hospitals · Chillicothe, OHAdena Fayette Medical Center
Critical Access Hospitals · Washington Ch, OHAdena Pike Medical Center
Critical Access Hospitals · Waverly, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28547 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.
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
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 Andrew Peacock's NPI number?
The NPI number for Andrew Peacock is 1356760680. It was assigned to this individual provider in the NPPES registry on April 15, 2014.
Where is Andrew Peacock located?
Andrew Peacock practices at 100 Brewster Blvd, Camp Lejeune, NC 28547. The listed phone number is (910) 450-4357.
What is Andrew Peacock's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Andrew Peacock enrolled in Medicare?
Yes. Andrew 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 organization bills Medicare for Andrew Peacock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Peacock reassigns Medicare benefits to Columbus Radiology Corp (Columbus, OH). The 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 Andrew Peacock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Andrew Peacock affiliated with any hospitals?
According to CMS data, Andrew Peacock is affiliated with Mercer County Joint Township Community Hospital, Fairfield Medical Center, Adena Regional Medical Center, Adena Fayette Medical Center and Adena Pike Medical Center.
When was this NPI record last updated?
The NPPES record for Andrew Peacock was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Andrew Peacock · NPI 1356760680
Diagnostic Radiology physician in Camp Lejeune, North Carolina. Individual provider, active in the CMS NPPES registry since April 15, 2014.
## Identity
- **NPI:** 1356760680 (Entity type: Individual)
- **Enumerated:** April 15, 2014
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 2015-02193 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 BREWSTER BLVD, Camp Lejeune, NC 28547-2575
- **Phone:** (910) 450-4357
## 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:** Columbus Radiology Corp (NPI 1497287197, Columbus, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Uniformed Services Uhs Fe Hebert School Of Med, class of 2014
## Record status
- **NPPES last updated:** June 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356760680) · Data from the CMS NPPES public registry.