David Peyok, D.O.

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

6232 Issued in OK

Practice address

1401 W Locust St
Stilwell, OK 74960-3275

Phone

(918) 696-3101

NPI assigned

Mar 17, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

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 2

Specialty

Osteopathic Manipulative MedicineAlso: Psychiatry

Education

Oklahoma State University College of Osteopathic Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wagoner Hospital AuthorityGroup PAC ID 0042217531, 20 clinicians

Adair County Health Center IncGroup PAC ID 9638065907, 8 clinicians

Echota Behavioral Health Services LLCGroup PAC ID 2264928746, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Via Life Home Health Care Home health agency, Pryor, OK, CCN 377689

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.peyok.1@14254.direct.athenahealth.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/cimarro-3728c3df

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

• Adair County Health Center, Inc.

  dba Memorial Hospital

  • Medical Specialty Clinic/Center
  • Stilwell, OK
  • NPI 1972780765
  Medicare reassignment Care Compare group NPD
• Wagoner Hospital Authority

  • General Acute Care Hospital
  • Wagoner, OK
  • NPI 1386611580
  Medicare reassignment Care Compare group NPD
• Echota Behavioral Health Services, LLC

  dba Echota Behavioral Health- Tahlequah

  • Community/Behavioral Health Agency
  • Tahlequah, OK
  • NPI 1407477920

  TX

  Medicare reassignment Care Compare group
• Adair County Health Center, Inc.

  dba Memorial Hospital

  • Rural Acute Care Hospital
  • Stilwell, OK
  • NPI 1790753358
  NPD
• Adair County Health Center,Inc.

  dba Physicians Clinic

  • Family Medicine Physician
  • Stilwell, OK
  • NPI 1326017492
  NPD
• Wagoner Hospital Authority

  • Rural Health Clinic/Center
  • Wagoner, OK
  • NPI 1366674772
  NPD
• Cimarron Memorial Hospital and Nursing Home

  dba Cimarron Memorial Hospital Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Boise City, OK
  • NPI 1396715926
  NPD (past)

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

• Vialife Corporation

  • Home Health Agency
  • Pryor, OK
  • NPI 1134116809
  Care Compare affiliation

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1639530769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603275",
            "telephone_number": "405-566-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603275",
            "telephone_number": "918-696-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYOK",
        "first_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-17",
        "last_updated": "2022-06-30",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "OK",
            "license": "6232",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "6232",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OK",
            "license": "6232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200719930B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Pelkey
• People Inc. of Sequoyah Co
• Felicia Ann Perez, PARAPROFESSIONAL
• Ruby Pettit, RN
• Jennifer Lynn Pettusj
• Phoenix Counseling Services LLC
• Phoenix Rising Counseling Services
• Alex Pinkerton, PHARMACIST
• Mike B Pinkerton, DPH
• Platte Dialysis LLC (Stilwell Dialysis Center)

• Addiction Medicine (Psychiatry & Neurology) Physician in Stilwell, OK
• Providers in Stilwell, OK by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.