Premier Podiatry – Foot & Ankle Surgery Podiatrist, NPI 1770027930

Premier Podiatry is a healthcare provider. based in Normal, Illinois. specializing in Foot & Ankle Surgery Podiatrist. The organization holds a License No. 016005106 (IL). The NPI Number for Premier Podiatry is 1770027930

Main info

Organization
Name
Premier Podiatry
NPI
1770027930
Phone
(309) 807-0384
Address
2005 JACOBSSEN DR STE A
Authorized Official
DR. SCOTT OCONNOR MEMBER DPM
Enumeration Date
7 December 2016
Last Update Date
1 September 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness80
Years active:9State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Premier Podiatry

  • 2005 JACOBSSEN DR STE A

    NORMAL, IL 617616288

    Phone: (309) 807-0384

    Type: Location

  • 2501 E COLLEGE AVE STE C

    BLOOMINGTON, IL 617042484

    Phone: (309) 807-0384

    Type: Location

  • West Reynolds Street, Pontiac, Livingston County, Illinois, 61764, United States

    PONTIAC, IL 617649788

    Phone:

    Type: Mailing

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.

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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 61761)

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Reviews

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Frequently asked questions

Does Premier Podiatry share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Premier Podiatry uses 1770027930.
Can I rely on Premier Podiatry being an active provider?
As of the registry snapshot, Premier Podiatry is marked active.
What is Premier Podiatry's primary classification?
Foot & Ankle Surgery Podiatrist is the headline specialty for Premier Podiatry here. Clinical services aligned with this taxonomy classification.
Does Premier Podiatry list a practice location?
Patients near Normal, Illinois may find Premier Podiatry in results; validate coverage separately.
Is the information about Premier Podiatry up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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