JOHN CHARLES JR. PEACOCK (M.D.) – Urology Physician, NPI 1700883725
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
179 UROLOGY in AL
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Provider Addresses for JOHN CHARLES JR. PEACOCK (M.D.)
1118, Ross Clark Circle, Morris Heights, Dothan, Houston County, Alabama, 36301, United States
500
DOTHAN, AL 363013001
Phone: (334) 794-4159
Fax: (334) 792-7019
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 76 Open Payments records for all available years, with a total value of $1,729.
Total Amount is formed as General ($1,729) + Research ($0) + Ownership ($0) = $1,729.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($303).
Total Amount
$1,729
General + Research + Ownership
Payments
76
Total payment records
General Amount
$1,729
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $303 |
| Astellas Pharma US Inc | $251 |
| Axonics, Inc. | $247 |
| COLOPLAST CORP | $176 |
| Endo Pharmaceuticals Inc. | $93 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-09-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080916000315 | I | Urology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1071 | Injection, testosterone cypionate, 1 mg | 63,050 | 75 | $0 |
| J9030 | Bcg live intravesical instillation, 1 mg | 950 | 11 | $0 |
| 81003 | Automated urinalysis test | 948 | 681 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 824 | 552 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 255 | 233 | $0 |
Insurance plans in this area (ZIP 36301)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | AL | |
| Emergency Medicine | MI | |
| - | AL | |
| - | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Internal Medicine | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| U R O L O G Y | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Critical Care (Intensivists) | AL |
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