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DR. JOHN EDWARD PEACOCK III D.O.
NPI 1881763613
Family Medicine - Geriatric Medicine in Audubon, PA

Active since November 07, 2006PECOS Enrolled
10000 SHANNONDELL DR, AUDUBON, PA 19403(610) 728-5241(610) 728-5322 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John Edward Peacock Iii D.o. NPPES

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

DR. JOHN EDWARD PEACOCK III D.O. (NPI 1881763613) is an individual geriatric medicine provider in Audubon, Pennsylvania, licensed in Pennsylvania (OS014770) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881763613
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameDR. JOHN EDWARD PEACOCK IIICredential: D.O.
Location Address10000 SHANNONDELL DRAudubon, PA 19403-5615
Mailing Address10000 Shannondell DrAudubon, PA 19403-5615 · (610) 728-5241 · Fax (610) 728-5322
Phone(610) 728-5241
Fax(610) 728-5322
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateJune 3, 2014
✔ NPI 1881763613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in PA · OS014770
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X · License OS014770 (PA)
10000 SHANNONDELL DR, Audubon, PA 19403
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Edward Peacock Iii D.o. 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 Reassignments

2

Medicare enrollment records show John Peacock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Department Of Military Affairs Commonwealth Of Pennsylvania
8.8 mi
Nursing Facility/Intermediate Care Facility
1 VETERANS DR
Spring City, PA 19475
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 25 clinicians in this Medicare group
NPI 1285726950 (610) 948-2603
Main Line Healthcare
10 mi
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
NPI 1922077643 (484) 337-1585

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 19403 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 19

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

MRS. KIMBERLY HICKMAN MS, OTR/L
Occupational Therapist
10000 SHANNONDELL DR
AUDUBON, PA 19403
Montgomery County (610) 382-8710
THE GIANT COMPANY, LLC
Pharmacy (Community/Retail Pharmacy)
10000 SHANNONDELL DR
AUDUBON, PA 19403
Montgomery County (610) 728-5600
SARAH ELISABETH GEMMELL I COTA/L
Occupational Therapy Assistant
10000 SHANNONDELL DR
AUDUBON, PA 19403
Montgomery County (610) 382-6849
DR. MANJIT SINGH M.D.
Internal Medicine (Geriatric Medicine)
10000 SHANNONDELL DR
AUDUBON, PA 19403
Montgomery County (610) 728-5241
JENNIFER TAYLOR
Physical Therapy Assistant
10000 SHANNONDELL DR
AUDUBON, PA 19403
Montgomery County (610) 382-6849
DR. LEE KRONMILLER PT, DPT
Physical Therapist
10000 SHANNONDELL DR
NORRISTOWN, PA 19403
Montgomery County (610) 382-8710
BROOKE TARMIN
Physical Therapy Assistant
10000 SHANNONDELL DR
NORRISTOWN, PA 19403
Montgomery County (610) 728-5400
VICTORIA WILLIAMSON MS, OTR/L
Occupational Therapist
10000 SHANNONDELL DR
AUDUBON, PA 19403
Montgomery County (610) 382-6849

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 John Peacock's NPI number?

The NPI number for John Peacock is 1881763613. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is John Peacock located?

John Peacock practices at 10000 Shannondell Dr, Audubon, PA 19403. The listed phone number is (610) 728-5241.

What is John Peacock's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is John Peacock enrolled in Medicare?

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

Which organizations bill Medicare for John Peacock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Peacock reassigns Medicare benefits to 2 organizations: Department Of Military Affairs Commonwealth Of Pennsylvania (Spring City, PA) and Main Line Healthcare (Newtown Square, PA). Each 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 John 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 John Peacock was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.