DR. JORDAN B. PEACOCK MD
NPI 1740869262
Psychiatry & Neurology - Psychiatry in Salt Lake City, UT

Q: What is Jordan Peacock's NPI number?

The NPI number for Jordan Peacock is 1740869262. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Q: What is Jordan Peacock's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Peacock was last updated on June 26, 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.

Active since April 02, 2021PECOS Enrolled

324 E 10TH AVE STE 178, SALT LAKE CITY, UT 84103(801) 408-8500 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2026, Aug 16, 2022, Apr 2, 2021 (3 updates tracked since 2021).

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About Dr. Jordan B. Peacock Md NPPES

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

DR. JORDAN B. PEACOCK MD (NPI 1740869262) is an individual psychiatry provider in Salt Lake City, Utah, licensed in Utah (7510472-1205) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1740869262

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. JORDAN B. PEACOCKCredential: MD

Location Address324 E 10TH AVE STE 178Salt Lake City, UT 84103-2885

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 408-8500

Sole ProprietorNo

Enumeration DateApril 2, 2021

Last NPPES UpdateJune 26, 20263 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1740869262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in UT · 7510472-1205

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

324 E 10TH AVE STE 178, Salt Lake City, UT 84103

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Secondary Practice Location 1

Location 1501 S Chipeta WaySalt Lake City, UT 84108-1222 · Phone (801) 585-0895

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordan B. Peacock Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Peacock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc

Same address

Urology

324 E 10TH AVE STE 100
Salt Lake City, UT 84103

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1063941250 (801) 408-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84103 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

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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 15

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

JOHN S VITKUS PHD

Psychologist

324 E 10TH AVE STE 178
SALT LAKE CITY, UT 84103

Salt Lake County (801) 408-8500

SPENCER KIMBALL HANSEN MD

Psychiatry & Neurology (Psychiatry)

324 E 10TH AVE STE 178
SLC, UT 84103

Salt Lake County (801) 408-8500

SPENCER CHRISTIAN DEBRY M.D.

Psychiatry & Neurology (Psychiatry)

324 E 10TH AVE STE 178
SALT LAKE CITY, UT 84103

Salt Lake County (801) 408-8500

KAMILE M WEISCHEDEL MD

Psychiatry & Neurology (Psychiatry)

324 E 10TH AVE STE 178
SALT LAKE CITY, UT 84103

Salt Lake County (801) 408-8502

MITHU CHAUDHURY DO

Psychiatry & Neurology (Psychiatry)

324 E 10TH AVE STE 178
SALT LAKE CITY, UT 84103

Salt Lake County (801) 408-8500

MARCIA L BAILEY MSW, LCSW

Social Worker (Clinical)

324 E 10TH AVE STE 178
SALT LAKE CITY, UT 84103

Salt Lake County (801) 408-8500

DR. JEFFREY WATABE M.D.

Psychiatry & Neurology (Psychiatry)

324 E 10TH AVE STE 178
SALT LAKE CITY, UT 84103

Salt Lake County (801) 408-8500

DR. DANIEL FRANCIS DAWIS DO

Psychiatry & Neurology (Psychiatry)

324 E 10TH AVE STE 178
SALT LAKE CITY, UT 84103

Salt Lake County (801) 408-8500

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 Jordan Peacock's NPI number?

The NPI number for Jordan Peacock is 1740869262. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Jordan Peacock located?

Jordan Peacock practices at 324 E 10th Ave Ste 178, Salt Lake City, UT 84103. The listed phone number is (801) 408-8500.

What is Jordan Peacock's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jordan Peacock enrolled in Medicare?

Yes. Jordan Peacock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Peacock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Peacock reassigns Medicare benefits to Ihc Health Services Inc (Salt Lake City, UT). 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 Jordan Peacock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Peacock was last updated on June 26, 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.