DR. JACQUELINE S. TRUEBLOOD (M.D.) – Internal Medicine Physician, NPI 1356305577
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,511 INTERNAL MEDICINE in IN
Provider Addresses for DR. JACQUELINE S. TRUEBLOOD (M.D.)
645 S ROGERS ST STE A
BLOOMINGTON, IN 474032353
Phone: (812) 339-1691
Type: Mailing
Premier Healthcare Same Day Appointment / Walk In Clinic, 550, South Landmark Avenue, Bloomington, Monroe County, Indiana, 47403, United States
BLOOMINGTON, IN 474033239
Phone: (812) 355-3299
Fax: (812) 355-3290
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $1,015.
Total Amount is formed as General ($1,015) + Research ($0) + Ownership ($0) = $1,015.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($170).
Total Amount
$1,015
General + Research + Ownership
Payments
51
Total payment records
General Amount
$1,015
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $170 |
| Gilead Sciences, Inc. | $111 |
| Alkermes, Inc. | $96 |
| Janssen Pharmaceuticals, Inc | $61 |
| Neurocrine BioSciences Inc. | $61 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-04-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060424000590 | I | Internal Medicine | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 47403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | IN | 83036 | Hemoglobin A1C level | 116 | 98 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| P S Y C H I A T R Y | IN | |
| - | IN | |
| Psychiatry, Addiction Medicine | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| P S Y C H I A T R Y | IN |
Reviews
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