OrganizationActive
Premier Medical Group, LLC
NPI 1275825432 · Orthopaedic Surgery Physician · Normal, IL
Provider details
- NPI number
- 1275825432
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Judy Matens, Credentialling Administrator(309) 662-6200
- License
- 36-098056 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
2005 Jacobssen Dr
Suite a
Normal, IL 61761-6287
Phone: (309) 807-2233
Fax: (309) 888-3174
Street-level locationGet directions
Mailing address
2005 Jacobssen Dr
Normal, IL 61761-6287
Other names (DBA / former)
- Doing business as
- Premier Orthopedics, LLC
Registry dates
- Enumerated
- 2011-05-06
- Last updated
- 2011-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.