Sunil Penesetti, MD
NPI 1255644555ActiveIndividual· Internal Medicine, Cardiovascular Disease· Monroe, WI
Internal Medicine, Cardiovascular Disease (MD) with The Monroe Clinic, Inc., practicing in Monroe, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $1,597,401 for 11,383 claims, against $169,775 paid for services in 2024. Lists Lafayette Hospital and Clinics and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1255644555 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jul 15, 2010 |
| Last updated in NPPES | Dec 23, 2020 |
| Certified by provider | Dec 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | 69193-20 | WI |
| Internal Medicine | 207R00000X | 14938 | NH |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 270212 | NY |
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 - Cardiovascular Disease (Cardiology) (IL); Practitioner - Cardiovascular Disease (Cardiology) (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,534 |
|---|---|
| Services billed | 4,132 across 38 procedure codes |
| Paid by Medicare | $169,775 |
Part D prescriptions in 2024
| Prescriptions (claims) | 11,383 · 28,420 30-day fills |
|---|---|
| Patients | 1,126 |
| Total drug cost | $1,597,401 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Cardiovascular Disease (Cardiology) |
| Telehealth | Offers telehealth |
Medical group
- The Monroe Clinic, Inc.Monroe, WI · 199 clinicians
Hospital affiliations
- Lafayette Hospital and ClinicsDarlington, WI
- Midwest Medical CenterGalena, IL
- Ssm Health St Mary's Hospital - MadisonMadison, WI
- The Monroe ClinicMonroe, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other cardiologists in Monroe
- 1881615516
- 1548234164
- 1043196025