DEREK J PEACOCK MD
NPI 1720085038
Internal Medicine - Rheumatology in Richland, WA

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
1305 FOWLER ST STE 1D, RICHLAND, WA 99352(509) 940-2284 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 18, 2025, Jun 23, 2021 (2 updates tracked since 2021).

About Derek J Peacock Md NPPES

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

DEREK J PEACOCK MD (NPI 1720085038) is an individual rheumatology provider in Richland, Washington, licensed in Washington (MD00036578) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Good Shepherd Medical Center, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1720085038
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDEREK J PEACOCKCredential: MD
Location Address1305 FOWLER ST STE 1DRichland, WA 99352-4719
Mailing Address1305 Fowler St Ste 1dRichland, WA 99352-4719 · (509) 940-2284
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJune 30, 2005
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
NPI 1720085038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in WA · MD00036578
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

1305 FOWLER ST STE 1D, Richland, WA 99352

Other Identifiers 3

Other0152619WA · L&i
Medicaid8477630WA
Other660003458WA · Medicare Rr

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

Derek J 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 ID7416949318
PECOS Enrollment IDI20100921000101
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 4

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

Good Shepherd Medical Center

Critical Access Hospitals · Hermiston, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381325
Location610 NW 11th StreetHermiston, OR 97838 · Umatilla County
Emergency services Birthing friendly

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Lourdes Medical Center

Critical Access Hospitals · Pasco, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number501337
Location520 N Fourth AvenuePasco, WA 99301 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99352 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 2

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

Internal Medicine (Rheumatology)
1305 FOWLER ST STE 1D
RICHLAND, WA 99352
Physician Assistant
1305 FOWLER ST STE 1D
RICHLAND, WA 99352

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 Derek Peacock's NPI number?

The NPI number for Derek Peacock is 1720085038. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Derek Peacock located?

Derek Peacock practices at 1305 Fowler St Ste 1D, Richland, WA 99352. The listed phone number is (509) 940-2284.

What is Derek Peacock's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Derek Peacock enrolled in Medicare?

Yes. Derek 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 Derek Peacock accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Derek 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.

Is Derek Peacock affiliated with any hospitals?

According to CMS data, Derek Peacock is affiliated with Good Shepherd Medical Center, Yakima Valley Memorial, Kadlec Regional Medical Center and Lourdes Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Peacock was last updated on September 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.