Individual provider Active NPI

Jeremy L. Peacock, M.D.

  • Psychiatry Physician
  • Madison, WI
National Provider Identifier
1265481931
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
47389 Issued in WI
Practice address
780 Regent St
Madison, WI 53715-2635
Phone
(608) 282-8270
Fax
(608) 287-5992
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 47389 WI Primary

Addresses

Primary practice location

780 Regent St
Madison, WI 53715-2635

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpeacock26306@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080729000486 WI Practitioner - Psychiatry 8426122110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Saint Louis University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 N Nine Mound Rd
Verona, WI 53593-1032
Phone (608) 287-2770

1050 E Broadway
Monona, WI 53716-4023
Phone (608) 222-8779

20 S Park St
Madison, WI 53715-1348
Phone (608) 287-2076

2402 Winnebago St
Madison, WI 53704-5341
Phone (608) 287-2770

2418 Brewery Rd
Cross Plains, WI 53528-9470
Phone (608) 798-3344

2651 Windsor St
Sun Prairie, WI 53590-9825
Phone (608) 837-2206

5618 Odana Rd
Madison, WI 53719-1208
Phone (608) 274-1100

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

6001 Research Park Blvd
Madison, WI 53719-1176
Phone (608) 232-3171

7102 Mineral Point Rd
Madison, WI 53717-1706
Phone (608) 828-7603

7974 Uw Health CT
Middleton, WI 53562-5531

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 7, 2008 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 7, 2008 Accepting new patients
University of Wisconsin System Non Payroll Past Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

780 Regent St
Madison, WI 53715
Phone (608) 282-8270

1102 S Park St
Ste 200
Madison, WI 53715
Phone (608) 263-7500

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1265481931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 REGENT ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152635",
            "telephone_number": "608-282-8270",
            "fax_number": "608-287-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "JEREMY",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "47389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpeacock26306@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "1102 S Park St Ste 200",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.