DR. JOHN L II POAG (M.D.) – Internal Medicine Physician, NPI 1770569550

DR. JOHN L II POAG (M.D.) is a healthcare provider. based in Bloomington, Illinois. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036098050 (IL). The NPI Number for DR. JOHN L II POAG (M.D.) is 1770569550

Main info

Male
Name
DR. JOHN L II POAG (M.D.)
NPI
1770569550
Phone
(309) 663-8311
Address
1401 EASTLAND DR
Enumeration Date
22 December 2005
Last Update Date
24 April 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOHN L II POAG (M.D.)

  • 1401, Eastland Drive, Bloomington, McLean County, Illinois, 61701, United States

    BLOOMINGTON, IL 617013514

    Phone: (309) 663-8311

    Fax: (309) 663-1810

    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 1 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2023-03-28 • Largest payer in this snapshot: Medtronic, Inc. ($54).

Total Amount

$54

General + Research + Ownership

Payments

1

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$54
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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050802000846IInternal MedicineILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

How do payers reference DR. JOHN L II POAG (M.D.)?
For DR. JOHN L II POAG (M.D.), use NPI 1770569550 as the unique 10-digit identifier.
Is DR. JOHN L II POAG (M.D.) shown as active in public data?
Registry records indicate DR. JOHN L II POAG (M.D.) maintains an active NPI.
What area of care is associated with DR. JOHN L II POAG (M.D.)?
DR. JOHN L II POAG (M.D.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOHN L II POAG (M.D.) associated with Bloomington?
Public fields place DR. JOHN L II POAG (M.D.) around Bloomington, Illinois. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. JOHN L II POAG (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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