What is Jeffrey Poulter's NPI number?

Jeffrey Poulter's National Provider Identifier (NPI) is 1174521074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jeffrey Poulter's specialty?

Jeffrey Poulter is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).

Where is Jeffrey Poulter located?

Jeffrey Poulter's practice location on file with NPPES is 1505 Eastland Dr, Bloomington, IL 61701-3534.

What is Jeffrey Poulter's phone number?

The practice phone number listed in the NPPES registry for Jeffrey Poulter is (309) 663-1222.

Is Jeffrey Poulter's NPI active?

Yes — Jeffrey Poulter's NPI (1174521074) is active in the NPPES registry as of the last update on 2007-12-19.

IndividualActive

Jeffrey Poulter, M.D.

NPI 1174521074 · Plastic Surgery Physician · Bloomington, IL

Jeffrey Poulter, M.D. is a Plastic Surgery Physician provider in Bloomington, IL (NPI 1174521074).

Provider details

NPI number: 1174521074
Entity type: Individual
Primary specialty: Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: MDR5N96 (MO)

Practice location

1505 Eastland Dr

Ste 350

Bloomington, IL 61701-3534

Phone: (309) 663-1222

Fax: (309) 663-0580

Street-level locationGet directions

More IL providers

Mailing address

1505 Eastland Dr

Bloomington, IL 61701-3534

Specialties & taxonomies

Plastic Surgery PhysicianPrimary208200000X
Allopathic & Osteopathic Physicians
Plastic and Reconstructive Surgery Physician2086S0122XLicense MDR5N96 (MO)
Allopathic & Osteopathic Physicians
Plastic and Reconstructive Surgery Physician2086S0122X
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(92/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure33% of score
21 yrs in NPPES registry
Profile completeness33% of score
100% of core fields populated
Practice footprint20% of score
1 documented practice location
Open Payments transparency13% of score
Has Open Payments disclosures (2024)

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$1,401 across 17 records (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Enumerated: 2005-07-13
Last updated: 2007-12-19

Frequently asked questions

What is Jeffrey Poulter's NPI number?: Jeffrey Poulter's National Provider Identifier (NPI) is 1174521074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Jeffrey Poulter's specialty?: Jeffrey Poulter is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
Where is Jeffrey Poulter located?: Jeffrey Poulter's practice location on file with NPPES is 1505 Eastland Dr, Bloomington, IL 61701-3534.
What is Jeffrey Poulter's phone number?: The practice phone number listed in the NPPES registry for Jeffrey Poulter is (309) 663-1222.
Is Jeffrey Poulter's NPI active?: Yes — Jeffrey Poulter's NPI (1174521074) is active in the NPPES registry as of the last update on 2007-12-19.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Transparency — industry payments

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Transparency — industry payments

Frequently asked questions