PENNY JEAN PEACOCK M.D.
NPI 1902864762
Internal Medicine in Park City, UT

Q: What is Penny Peacock's NPI number?

The NPI number for Penny Peacock is 1902864762. It was assigned to this individual provider in the NPPES registry on May 2, 2006. The provider is also known as Dr. Penny Jean Peacock Md,faap.

Q: What is Penny 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 Penny Peacock was last updated on May 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment

99.76/100

CMS Quality Rating

1612 UTE BLVD, 205, PARK CITY, UT 84098(435) 655-3309(435) 655-3392 Get Directions Write a Review

NPPES record last updated: May 16, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Penny Jean Peacock M.d. NPPES

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

PENNY JEAN PEACOCK M.D. (NPI 1902864762) is an individual internal medicine provider in Park City, Utah, licensed in Utah (3764531205) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Maryland School Of Medicine (1994).

NPPES Registry Identity

NPI1902864762

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NamePENNY JEAN PEACOCKCredential: M.D.

Location Address1612 UTE BLVD, 205Park City, UT 84098-7500

Mailing Address1612 Ute Blvd, 205Park City, UT 84098-7500 · (435) 655-3309 · Fax (435) 655-3392

Phone(435) 655-3309

Fax(435) 655-3392

Sole ProprietorYes

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1994

Enumeration DateMay 2, 2006

Last NPPES UpdateMay 16, 2013

✔ NPI 1902864762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in UT · 3764531205

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 ListedPediatricsTaxonomy 208000000X · License 3764531205 (UT)

Also ListedHospitalistTaxonomy 208M00000X · License 3764531205 (UT)

1612 UTE BLVD, Park City, UT 84098

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Other Names 1

Professional Name (2)Dr. Penny Jean Peacock Md,faap

Other Identifiers 2

Medicare ID-Type Unspecified005754001UT · Medicare

Medicare UPINH66409UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.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

Penny Jean Peacock M.d. 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 ID446163877

PECOS Enrollment IDI20031111000328

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 3

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Uintah Basin Medical Center

Acute Care Hospitals · Roosevelt, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number460019

Location250 West 300 NorthRoosevelt, UT 84066 · Duchesne County

Emergency services Birthing friendly

Ashley Regional Medical Center

Acute Care Hospitals · Vernal, UT

OwnershipProprietary

CMS Certification Number460030

Location150 West 100 NorthVernal, UT 84078 · Uintah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84098 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.76/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

99.21

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers11 claims11 services$101.98 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers12 claims31 services$39.61 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$21.30 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$119.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 3

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

MR. VIET NGUYEN M.D.

Specialist

1612 UTE BLVD, 112
PARK CITY, UT 84098

Summit County (435) 655-3309

IHC HEALTH SERVICES INC

Clinic/Center (Multi-Specialty)

1612 UTE BLVD, STE 112
PARK CITY, UT 84098

Summit County (801) 507-3500

PARK CITY INTERNAL MEDICINE - PEDIATRICS, LC

Clinic/Center (Health Service)

1612 UTE BLVD, STE 205
PARK CITY, UT 84098

Summit County (435) 655-3309

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 Penny Peacock's NPI number?

The NPI number for Penny Peacock is 1902864762. It was assigned to this individual provider in the NPPES registry on May 2, 2006. The provider is also known as Dr. Penny Jean Peacock Md,faap.

Where is Penny Peacock located?

Penny Peacock practices at 1612 Ute Blvd 205, Park City, UT 84098. The listed phone number is (435) 655-3309.

What is Penny Peacock's specialty?

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

Is Penny Peacock enrolled in Medicare?

Yes. Penny 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 Penny Peacock accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Penny 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 Penny Peacock affiliated with any hospitals?

According to CMS data, Penny Peacock is affiliated with University Of Utah Hospitals And Clinics, Uintah Basin Medical Center and Ashley Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Penny Peacock was last updated on May 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.