Monika Kusuma Pringle, MD
NPI 1114588837 · Family Medicine Physician · Johnstown, PA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monika Kusuma Pringle, MD is a Family Medicine Physician provider in Johnstown, PA (NPI 1114588837).
Provider details
- NPI number
- 1114588837
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD483669 (PA)
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
7 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
143 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 47 | $75 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 29 | $124 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 22 | $113 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 20 | $63 |
| Advance Care Planning, First 30 Minutes99497 | 14 | $72 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Pantoprazole Sodium | 16 |
| Oxycodone Hcl | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-06-24
- Last updated
- 2024-06-14
- Certified
- 2024-06-07
Frequently asked questions
- What is Monika Kusuma Pringle's NPI number?
- Monika Kusuma Pringle's National Provider Identifier (NPI) is 1114588837, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monika Kusuma Pringle's specialty?
- Monika Kusuma Pringle is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Monika Kusuma Pringle located?
- Monika Kusuma Pringle's practice location on file with NPPES is Dlp Conemaugh Memorial Medical Center, Johnstown, PA 15905.
- What is Monika Kusuma Pringle's phone number?
- The practice phone number listed in the NPPES registry for Monika Kusuma Pringle is (814) 534-1722.
- Does Monika Kusuma Pringle accept Medicare?
- Monika Kusuma Pringle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monika Kusuma Pringle's NPI active?
- Yes — Monika Kusuma Pringle's NPI (1114588837) is active in the NPPES registry as of the last update on 2024-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.