NPIMap

Individual provider Active NPI

Casey Brett Peavler, MD

  • Internal Medicine Physician
  • Evansville, IN
National Provider Identifier
1407276538
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01078920A Issued in IN
Practice address
3700 Washington Ave
Evansville, IN 47714-0541
Phone
(812) 485-4000
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 53258 KY
Internal Medicine Physician 207R00000X ME129299 FL
Hospitalist Physician 208M00000X 01078920A IN
Internal Medicine Physician 207R00000X 01078920A IN Primary

Addresses

Primary practice location

3700 Washington Ave
Evansville, IN 47714-0541

Mailing address

12951 NW 1St St Apt 205
Pembroke Pines, FL 33028-3205
Phone (305) 849-3806

Other practice location 1

800 Meadows Rd
Boca Raton Regional Hospital
Boca Raton, FL 33486
Phone (561) 955-5365

Other practice location 2

911 Bypass Rd Bldg A
Pikeville, KY 41501-1689
Phone (606) 218-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727002414 FL Practitioner - Internal Medicine 9133412935 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Grove Physician Services PAGroup PAC ID 8628421526, 65 clinicians
Sound Physicians of Florida VI LLCGroup PAC ID 1759802333, 141 clinicians

Practice addresses (Care Compare)

160 NW 170 St
North Miami Beach, FL 33169-5521
Phone (305) 651-1100

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 771-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.66 of 100Reported as group
Quality
21.7
Promoting interoperability
100
Improvement activities
0
Cost
74.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29768WVMDLicensed Practical Nurse
01078920AINMDInternal Medicine Physician
53258KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Wales Physician Services, LLC Hospitalist CurrentSince Nov 8, 2023 Accepting new patients
Ridgewood Physician Services, LLC Hospitalist CurrentSince May 27, 2021 Accepting new patients
Sound Physicians of Florida VI LLC Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Dec 9, 2023 Accepting new patients
Oak Grove Physician Services, P.a. Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Dec 9, 2023 Accepting new patients

Locations

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

Organizations & group practices 6

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1407276538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12951 NW 1ST ST APT 205",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283205",
            "telephone_number": "305-849-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140541",
            "telephone_number": "812-485-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Meadows Rd",
            "address_2": "Boca Raton Regional Hospital",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "33486",
            "country_code": "US",
            "telephone_number": "561-955-5365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 Bypass Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011689",
            "country_code": "US",
            "telephone_number": "606-218-3500",
            "fax_number": "606-218-4697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEAVLER",
        "first_name": "CASEY",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "53258",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME129299",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01078920A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01078920A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.