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Active NPI 1114925245 Individual Practitioner Male Practitioner

Robert E Peevy , PA-C

Physician Assistant • Shawnee, OK

Professional Overview & Biography Verified Profile Summary

Robert Peevy, PA-C is a registered healthcare professional specializing in Physician Assistant in Shawnee, OK. Practice services are available at 2029 GORDON COOPER DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2029 Gordon Cooper Dr

Shawnee, OK 748019005

Telephone 4058785850
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Shawnee, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.2 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Shawnee, OK (1911 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
22 21 $207.50 $60.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 11 $289.62 $83.16

Medical Specialties & State Licenses

CMS Verified: 2026-03-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 1143

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Railroad
P00731972

Secondary Practice Locations

15951 Little Axe Dr

Norman, OK 730269088

Phone: 4054470300

15702 E State Highway 9

Norman, OK 730269001

Phone: 4054470477

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1114280807

Doctor of Medicine (M.D.)

NPI 1124063870

Doctor of Medicine (M.D.)

Kristin Wahpepah

Physical Therapist

NPI 1447683701
Jessica Kendall , APRN-CNP

Nurse Practitioner - Family

NPI 1689174989

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dustin Alexander , APRN

Nurse Practitioner - Family

NPI 1831564269

Advanced Practice Registered Nurse

Alicja Carter , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1932483278

Licensed Alcohol and Drug Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 21, 2021

Registered at 2029 GORDON COOPER DR, SHAWNEE, OK 748019005 (Tel: 4058785850)

👤
Provider Name / Credentials Updated June 21, 2021

Recorded as ROBERT PEEVY, PAC

📍
Updated Business Mailing Address June 07, 2019

Registered at 15951 LITTLE AXE DR, NORMAN, OK 730269088 (Tel: 4057017900)

NPI Profile Active January 04, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2010

Registered at 5500 SE 155TH ST, OKLAHOMA CITY, OK 731659776 (Tel: 4052290593)

📍
Updated Business Mailing Address January 04, 2010

Registered at 5500 SE 155TH ST, OKLAHOMA CITY, OK 731659776 (Tel: 4052290593)

👤
Provider Name / Credentials Updated January 04, 2010

Recorded as ROBERT PEEVY, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2010

Physician Assistant (License #1143 in OK)

🟢
Initial NPI Registration & Enumeration July 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114925245
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2005
Last Update: March 25, 2026
Sole Proprietor: No

Mailing Address

15951 Little Axe Dr

Norman, OK 730269088

Phone: 4054470300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.