MRS. HANNAH MARIE PEACOCK (PA-C) – Physician Assistant, NPI 1770106619
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for MRS. HANNAH MARIE PEACOCK (PA-C)
11200 BOX RD
LEXINGTON, OK 730516721
Phone: (405) 464-2015
Type: Mailing
1111 N LEE AVE
OKLAHOMA CITY, OK 731032600
Phone: (405) 594-5848
Fax: (405) 594-5847
Type: Location
2212 N BROADWAY ST
MOORE, OK 731604303
Phone: (405) 285-7222
Fax: (405) 285-7227
Type: Mailing
4101 NW 122nd St
Oklahoma City, OK 731208800
Phone: (405) 803-8020
Fax: (405) 437-2332
Type: Location
1421 NW 122ND ST
OKLAHOMA CITY, OK 731148028
Phone: (405) 286-2888
Fax: (405) 286-1695
Type: Location
1111 N Lee Ave Ste 305
Oklahoma City, OK 731032620
Phone: (405) 272-4978
Fax: (405) 772-4435
Type: Location
13301 N Meridian Ave Ste 201
Oklahoma City, OK 731208381
Phone: (405) 803-8020
Fax: (405) 437-2332
Type: Location
2541 NW 56TH STREET
OKLAHOMA CITY, OK 73112
Phone: (405) 464-2015
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-06-15
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 |
|---|---|---|---|---|
| I20200615000088 | I | Physician Assistant | OK | 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 |
|---|---|---|---|---|
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 96 | 43 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 54 | 24 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 44 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 30 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 73051)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| Physician Assistant | KS | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| - | OK |
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