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DR. KENT L. PEACOCK DDS
NPI 1942218227
Dentist - General Practice in Odessa, TX

Active since August 03, 2006PECOS Enrolled
1601 N TEXAS AVE, ODESSA, TX 79761(432) 332-5175(432) 332-2886 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kent L. Peacock Dds NPPES

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

DR. KENT L. PEACOCK DDS (NPI 1942218227) is an individual general practice provider in Odessa, Texas, licensed in Texas (13668) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942218227
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENT L. PEACOCKCredential: DDS
Location Address1601 N TEXAS AVEOdessa, TX 79761-2649
Mailing Address1601 N Texas AveOdessa, TX 79761-2649 · (432) 332-5175 · Fax (432) 332-2886
Phone(432) 332-5175
Fax(432) 332-2886
Sole ProprietorYes
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942218227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 13668
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1601 N TEXAS AVE, Odessa, TX 79761
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kent L. Peacock Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79761 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Kent Peacock's NPI number?

The NPI number for Kent Peacock is 1942218227. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Kent Peacock located?

Kent Peacock practices at 1601 N Texas Ave, Odessa, TX 79761. The listed phone number is (432) 332-5175.

What is Kent Peacock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kent Peacock enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kent Peacock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.