DR. ELIZABETH ANNE PEACOCK (M.D.) – Dermatology Physician, NPI 1679968986
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for DR. ELIZABETH ANNE PEACOCK (M.D.)
725 UNIVERSITY BLVD
BEAVERCREEK, OH 453242640
Phone: (937) 245-7254
Fax: (937) 245-7927
Type: Mailing
401 W MCGALLIARD RD
MUNCIE, IN 473031828
Phone: (765) 288-6200
Fax: (652) 884-1317
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 143 Open Payments records for all available years, with a total value of $2,395.
Total Amount is formed as General ($2,395) + Research ($0) + Ownership ($0) = $2,395.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($546).
Total Amount
$2,395
General + Research + Ownership
Payments
143
Total payment records
General Amount
$2,395
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $546 |
| Incyte Corporation | $365 |
| PFIZER INC. | $158 |
| Sun Pharmaceutical Industries Inc. | $143 |
| Novartis Pharmaceuticals Corporation | $139 |
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: 2019-07-09
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 |
|---|---|---|---|---|
| I20190709001193 | I | Dermatology | IN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,807 | 479 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,040 | 836 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 767 | 637 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 732 | 582 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 441 | 269 | $0 |
Insurance plans in this area (ZIP 45324)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IN | |
| Physician Assistant | IN | |
| D E R M A T O L O G Y | IN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | OH | |
| Nurse Practitioner | IN | |
| D E R M A T O L O G Y | MI |
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