Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACOB PEACOCK DO
NPI 1396322020
Internal Medicine in Troy, OH

Q: What is Jacob Peacock's NPI number?

The NPI number for Jacob Peacock is 1396322020. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Q: What is Jacob Peacock's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Peacock was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.

Active since March 27, 2021PECOS EnrolledAccepts Medicare Assignment

600 W MAIN ST, TROY, OH 45373(937) 980-7400(937) 980-7409 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2026, Dec 31, 2025, Mar 27, 2021 (3 updates tracked since 2021).

On this page

About Dr. Jacob Peacock Do NPPES

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

DR. JACOB PEACOCK DO (NPI 1396322020) is an individual internal medicine provider in Troy, Ohio, licensed in Ohio (34.017612) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and maintains a secondary practice location in Inverness.

NPPES Registry Identity

NPI1396322020

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JACOB PEACOCKCredential: DO

Location Address600 W MAIN STTroy, OH 45373-3384

Mailing Address502 W Highland BlvdInverness, FL 34452-4720

Phone(937) 980-7400

Fax(937) 980-7409

Sole ProprietorYes

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2021

Enumeration DateMarch 27, 2021

Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1396322020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 34.017612

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

600 W MAIN ST, Troy, OH 45373

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Secondary Practice Location 1

Location 1502 W Highland BlvdInverness, FL 34452-4720 · Phone (352) 726-1551

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

Dr. Jacob 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 ID6901263896

PECOS Enrollment IDI20260302001385

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Kettering Health Troy

Acute Care Hospitals · Troy, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360368

Location600 West Main StreetTroy, OH 45373 · Miami County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

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 14

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

AJAY PAUL SODHI MD

Hospitalist

600 W MAIN ST
TROY, OH 45373

Miami County (937) 395-6665

KETTERING MEDICAL CENTER

General Acute Care Hospital

600 W MAIN ST
TROY, OH 45373

Miami County (937) 980-7400

DR. CASEY DALE GARMAN PHARMD, RPH

Pharmacist

600 W MAIN ST
TROY, OH 45373

Miami County (937) 980-7040

GLENDA M UPDYKE MS PA-C

Physician Assistant

600 W MAIN ST
TROY, OH 45373

Miami County (937) 395-6665

DOUGLAS BIAS M.D.

Emergency Medicine

600 W MAIN ST
TROY, OH 45373

Miami County (937) 980-7010

DR. SUZETTE K MILLINGTON-BUFFONG D.O

Psychiatry & Neurology (Neurocritical Care)

600 W MAIN ST
TROY, OH 45373

Miami County (937) 980-7400

MR. STEPHEN CRANE

Pharmacist

600 W MAIN ST
TROY, OH 45373

Miami County (937) 980-7040

EMILY LAYNE

Nurse Practitioner

600 W MAIN ST
TROY, OH 45373

Miami County (937) 980-7000

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 1396322020. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Where is Jacob Peacock located?

Jacob Peacock practices at 600 W Main St, Troy, OH 45373. The listed phone number is (937) 980-7400.

What is Jacob Peacock's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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.

Is Jacob Peacock affiliated with any hospitals?

According to CMS data, Jacob Peacock is affiliated with Kettering Health Dayton and Kettering Health Troy.

When was this NPI record last updated?

The NPPES record for Jacob Peacock was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.