Prairie Dermatology

  • Multi-specialty group
  • Bloomington, IL
  • Core specialty: Dermatology
NPI1881333680PAC ID5193104255Dmand IDNG-MGR-058977
Total HCPs
2
Physicians (MD/DO)
1
Nurses and PAs
1
Medicare Part B payments
$568,500
Address
1015 S Mercer Ave Ste Gf7, Bloomington, IL 61701-7107
Main phone
(309) 660-8442
Specialty areas
Dermatology
Website and social

Parent organization

Prairie Dermatology

Independent practice · Bloomington, Illinois

Find the right contacts among 2 HCPs

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Prairie Dermatology is a dermatology medical group in Bloomington, Illinois

Prairie Dermatology is part of Prairie Dermatology.

Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); Dmand AI Org Hierarchy Data; and Dmand AI Affiliation Data

Prairie Dermatology's NPI is 1881333680 and its PAC ID is 5193104255

Identifiers
Primary NPI (Type 2)
1881333680NPI Registry (opens in a new tab)
Medicare PAC ID
5193104255
Dmand ID
NG-MGR-058977
Medicare enrollment
Enrolled (PAC ID on file)
Contact
Address
1015 S Mercer Ave Ste Gf7, Bloomington, IL 61701-7107
Main phone
(309) 660-8442
Executive emails and mobiles
Get contacts
Classification
Group type
Multi-specialty
Core specialty
Dermatology
Site structure
Single-site
Ownership model
Clinician owned
Leadership
Physician-led
Medicare Part B payments
$568,500
Legal name
Prairie Dermatology PLLC

Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); Dmand AI Org Hierarchy Data; Dmand AI Organization Profile Data; and Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data

Prairie Dermatology is part of Prairie Dermatology

Dmand AI places Prairie Dermatology under Prairie Dermatology, an independent practice.

  • Prairie DermatologyIndependent practice
  • Prairie DermatologyMulti-specialty medical group · Bloomington, IL

Source: Dmand AI Org Hierarchy Data

Org hierarchy

Map Prairie Dermatology's entire network

See how Prairie Dermatology connects to Prairie Dermatology: its parent organizations, sister groups and every site of care in between, with the HCPs and leaders at each one.

Prairie Dermatology has 1 physician among 2 HCPs

Physicians (MD, DO)1
Physician assistants1

Prairie Dermatology physicians by specialty

  1. Dermatology1

Share of the group's 1 physicians.

Prairie Dermatology physicians

View all 2 HCPs

Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Affiliation Data

Prairie Dermatology practices at one location in Bloomington

Prairie Dermatology practice locations

Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data

Full footprint

See every site where Prairie Dermatology HCPs practice

Open all 1 practice location with facility phones, patient visits and the HCPs at each site.

Prairie Dermatology is a dermatology group with 2 subspecialties

Dermatology is Prairie Dermatology's core specialty, with dermatology as its main practice type.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Affiliation Data

Dmand AI tracks 2 EHR vendors at Prairie Dermatology

Vendor and product names for the practice are available with a free account.

EHR systems at Prairie Dermatology
SiteEHR vendorProduct
PracticeAvailable with a free accountAvailable with a free account

Source: Dmand AI Technology Install Data

Dermatology groups in Illinois similar in size to Prairie Dermatology

These dermatology groups have the closest number of HCPs to Prairie Dermatology.

See all 60 dermatology groups in Illinois

Sources: Dmand AI Affiliation Data; and Dmand AI Peer Benchmarks

Sources for Prairie Dermatology data

Sources for the data on this page
Data on this pageSource
NPI, PAC ID and addressNPPES NPI Registry (CMS) (opens in a new tab)Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Dmand ID, phone, website, LinkedIn and group profileDmand AI Org Hierarchy DataDmand AI Organization Profile Data
Medicare Part B paymentsMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
Parent organizations and sister groupsDmand AI Org Hierarchy Data
HCPs and physician specialtiesNPPES NPI Registry (CMS) (opens in a new tab)Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation Data
Specialty areasDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation Data
Practice locations and hospitalsDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data
EHR vendorsDmand AI Technology Install Data
Similar groupsDmand AI Affiliation DataDmand AI Peer Benchmarks

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Prairie Dermatology

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Prairie Dermatology's NPI number?

Prairie Dermatology's primary NPI (Type 2) is 1881333680.

What is Prairie Dermatology's PAC ID?

Prairie Dermatology's Medicare PAC ID is 5193104255, which means the group is enrolled in Medicare.

Where is Prairie Dermatology located?

Prairie Dermatology is at 1015 S Mercer Ave Ste Gf7, Bloomington, IL 61701-7107.

What is Prairie Dermatology's phone number?

Prairie Dermatology's main phone number is (309) 660-8442.

Who owns Prairie Dermatology?

Dmand AI places Prairie Dermatology under Prairie Dermatology, an independent practice.

How many physicians does Prairie Dermatology have?

Dmand AI links 1 physician and 2 HCPs in all to Prairie Dermatology.

What specialties does Prairie Dermatology cover?

Prairie Dermatology is a dermatology group with 2 subspecialties. The largest physician specialties are dermatology (1).

How much does Prairie Dermatology receive from Medicare?

CMS data shows $568,500 in Medicare Part B payments to Prairie Dermatology.

Selling to dermatology groups?

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