Stephen Pilcher, M.D.
NPI 1265454607 · Family Medicine Physician · Bloomington, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Pilcher, M.D. is a Family Medicine Physician provider in Bloomington, IL (NPI 1265454607).
Provider details
- NPI number
- 1265454607
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036111116 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,265 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 411 | $121 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 250 | $86 |
| Administration of a Standardized, Evidence-Based Social Determinants of Health Risk Assessment Tool, 5-15 MinutesG0136 | 232 | $18 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 224 | $122 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 211 | $60 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 122 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 333 | 101 |
| Levothyroxine Sodium | 310 | 85 |
| Tramadol Hcl | 240 | 52 |
| Amlodipine Besylate | 230 | 71 |
| Losartan Potassium | 205 | 60 |
| Semaglutidebrand: Ozempic | 188 | 27 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-24
- Last updated
- 2024-05-30
- Certified
- 2024-05-30
Frequently asked questions
- What is Stephen Pilcher's NPI number?
- Stephen Pilcher's National Provider Identifier (NPI) is 1265454607, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Pilcher's specialty?
- Stephen Pilcher is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen Pilcher located?
- Stephen Pilcher's practice location on file with NPPES is 9 Heartland Dr, Bloomington, IL 61704-7732.
- What is Stephen Pilcher's phone number?
- The practice phone number listed in the NPPES registry for Stephen Pilcher is (309) 663-7642.
- Does Stephen Pilcher accept Medicare?
- Stephen Pilcher is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Pilcher's NPI active?
- Yes — Stephen Pilcher's NPI (1265454607) is active in the NPPES registry as of the last update on 2024-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.