Myriam Jacynthe Donovitch, M.D
NPI 1093332389ActiveIndividual· Family Medicine, Sports Medicine· Kenosha, WI
Family Medicine, Sports Medicine (M.D) with Advantage Physical Therapy and Sports Rehab, LLC and 1 other group, practicing in Kenosha, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $24,505 for 263 claims, against $9,817 paid for services in 2024. Lists Froedtert South Inc. as a hospital affiliation.
Overview
| NPI | 1093332389 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | No |
| NPI issued | Jul 2, 2020 |
| Last updated in NPPES | Nov 11, 2024 |
| Certified by provider | Nov 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | 83968-20 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (IA); Practitioner - Sports Medicine (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 50 |
|---|---|
| Services billed | 304 across 27 procedure codes |
| Paid by Medicare | $9,817 |
Part D prescriptions in 2024
| Prescriptions (claims) | 263 · 273 30-day fills |
|---|---|
| Patients | 36 |
| Total drug cost | $24,505 |
| Generic share | 75% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Sports Medicine |
Medical groups
- Advantage Physical Therapy and Sports Rehab, LLCKenosha, WI · 294 clinicians
- Comprehensive Orthopaedics SCBurlington, WI · 21 clinicians
Hospital affiliation
- Froedtert South Inc.Kenosha, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine, Sports Medicine providers in Kenosha
- 1255607057
- 1821431859