Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215947171 Individual Practitioner Male Practitioner

Dr. Lori L Pegram , MD

Internal Medicine • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Dr. Lori Pegram, MD is a registered healthcare professional specializing in Internal Medicine in Bloomington, IL. Practice services are available at 302 SAINT JOSEPH DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

302 Saint Joseph Dr

Bloomington, IL 617013506

Telephone 3096643100
Fax 3096643027
Associated Practice Facility / Clinic
🏢 St Joseph Medical Center Facility NPI 1871547414

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
39 Specialists

Practicing in Bloomington, IL (7544 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036072679

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Group Ptan
IL2613 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1144331828

Doctor of Medicine (M.D.)

NPI 1275559270

Doctor of Medicine (M.D.)

NPI 1417186420

Doctor of Medicine (M.D.)

Samina Yousuf

Pediatrics

NPI 1487012860
Tammy Murrell , LCPC

Counselor - Mental Health

NPI 1619816600

Licensed Clinical Professional Counselor

Lily Young , APN

Nurse Practitioner - Family

NPI 1700603925

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2014

Registered at 302 SAINT JOSEPH DR, BLOOMINGTON, IL 617013506 (Tel: 3096643100)

📍
Updated Business Mailing Address April 22, 2014

Registered at 302 SAINT JOSEPH DR, BLOOMINGTON, IL 617013506 (Tel: 3096643100)

👤
Provider Name / Credentials Updated April 22, 2014

Recorded as LORI PEGRAM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2014

Internal Medicine (License #036072679 in IL)

🟢
Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215947171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: April 22, 2014
Sole Proprietor: No

Mailing Address

302 Saint Joseph Dr

Bloomington, IL 617013506

Phone: 3096643100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.