DR. JEFFREY SCOTT POULTER (M.D.) – Plastic Surgery Physician, NPI 1174521074

DR. JEFFREY SCOTT POULTER (M.D.) is a healthcare provider. based in Bloomington, Illinois. specializing in Plastic Surgery Physician. They hold the professional credentials M.D.. They hold a License No. MDR5N96 (MO). The NPI Number for DR. JEFFREY SCOTT POULTER (M.D.) is 1174521074

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY SCOTT POULTER (M.D.)
NPI
1174521074
Phone
(309) 663-1222
Address
1505 EASTLAND DR
Enumeration Date
13 July 2005
Last Update Date
19 December 2007

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3096631222
Graduation Year
1985 (41 years ago)
PAC ID
7517141005
Professional Enrollment ID
I20110407000269
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JEFFREY SCOTT POULTER (M.D.)

  • 1505, Eastland Drive, Bloomington, McLean County, Illinois, 61704, United States

    STE 350

    BLOOMINGTON, IL 617013534

    Phone: (309) 663-1222

    Fax: (309) 663-0580

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $2,892.

Total Amount is formed as General ($2,892) + Research ($0) + Ownership ($0) = $2,892.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($2,589).

Total Amount

$2,892

General + Research + Ownership

Payments

37

Total payment records

General Amount

$2,892

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$2,589
Allergan, Inc.$303
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61701)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. JEFFREY SCOTT POULTER (M.D.)'s NPI?
Yes. DR. JEFFREY SCOTT POULTER (M.D.) is listed with NPI 1174521074 in the public NPI dataset.
Does the file indicate DR. JEFFREY SCOTT POULTER (M.D.) is practicing under active NPI?
Directory data currently reports DR. JEFFREY SCOTT POULTER (M.D.) as active.
What taxonomy line describes DR. JEFFREY SCOTT POULTER (M.D.)?
For research purposes, treat DR. JEFFREY SCOTT POULTER (M.D.) as Plastic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JEFFREY SCOTT POULTER (M.D.) on a map?
Expect Bloomington, Illinois as a primary anchor for DR. JEFFREY SCOTT POULTER (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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