Individual provider Active NPI

Lester W. Peacock, M.D.

  • Ophthalmology Physician
  • Edinburg, TX
National Provider Identifier
1386617140
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
J6026 Issued in TX
Practice address
2227 Cornerstone Blvd
Edinburg, TX 78539-8472
Phone
(956) 686-9696
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X J6026 TX Primary

Addresses

Primary practice location

2227 Cornerstone Blvd
Edinburg, TX 78539-8472

Mailing address

2227 Cornerstone Blvd.
Edinburg, TX 78539
Phone (956) 686-9696

Other identifiers 1

IdentifierTypeStateIssuer
096957802MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lpeacock@lesterwpeacockmd.direct.eyemdemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101019000598 TX Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 9830264415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
University of Texas Medical School at Houston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2227 Cornerstone Blvd
Edinburg, TX 78539-8472
Phone (956) 686-9696

Hospital & facility affiliations

  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6026TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester W Peacock MD PA Specialist CurrentSince Jul 1, 2010 Accepting new patients

Locations

2227 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 686-9696

Interoperability endpoints

  • Direct secure messaging: lpeacock@lesterwpeacockmd.direct.eyemdemr.com

Organizations & group practices 1

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1386617140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 CORNERSTONE BLVD.",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-686-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398472",
            "telephone_number": "956-686-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "LESTER",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J6026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096957802",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpeacock@lesterwpeacockmd.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "Lester W. Peacock, M.D., P.A.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "2227 Cornerstone Blvd",
            "city": "Edinburg",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785398472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.