BLOOMINGTON NORMAL HEALTHCARE, LLC – Ambulatory Surgical Clinic/Center, NPI 1083613327
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BLOOMINGTON NORMAL HEALTHCARE, LLC
Fort Jesse Road, Normal, McLean County, Illinois, 61761, United States
NORMAL, IL 617619370
Phone: (309) 834-4000
Fax: (309) 834-4007
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)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-12-27
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 |
|---|---|---|---|---|
| O20241227001278 | O | Ambulatory Surgical Center | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 28285 | Correction of toe joint deformity | 26 | 12 | $0 |
| 52332 | Insertion of stent in ureter using an endoscope | 18 | 14 | $0 |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 16 | 16 | $0 |
| 52648 | Complete laser vaporization of prostate including control of bleeding using an endoscope | 16 | 16 | $0 |
| 74420 | Imaging of urinary tract following injection of a contrast agent | 14 | 12 | $0 |
Insurance plans in this area (ZIP 61761)
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