Doctor profile · Federal record
Dr. Jeffrey Poulter, M.D.
Plastic Surgery Physician · Plastic and Reconstructive Surgery Physician · Plastic and Reconstructive Surgery Physician · Bloomington, IL
- NPI 1174521074
- 21 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1505 Eastland Dr, Ste 350
Bloomington, IL 617013534
(309) 663-1222
fax (309) 663-0580
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- December 19, 2007
- Specialty taxonomy
- 208200000X — NUCC code
- State license (1)
- Missouri #MDR5N96
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174521074. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,401
Transactions
17
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 17 | $1,401.14 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
22
Patients
0
Total drug cost
$152
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cephalexin | Generic | 11 | 0 | $61 |
| Gabapentin | Generic | 11 | 0 | $92 |
Frequently asked questions
What is Dr. Jeffrey Poulter's medical specialty?
Dr. Jeffrey Poulter practices Plastic Surgery Physician in Bloomington, IL.
Where does Dr. Jeffrey Poulter practice?
Dr. Jeffrey Poulter practices at 1505 Eastland Dr, Bloomington, IL 617013534. Office phone: 3096631222.
What is Dr. Jeffrey Poulter's NPI?
Dr. Jeffrey Poulter's National Provider Identifier (NPI) is 1174521074, issued by NPPES.