Karen A. Kovalow-St. John, M.D.
NPI 1336146281ActiveIndividual· Internal Medicine, Rheumatology· San Luis Obispo, CA
Internal Medicine, Rheumatology (M.D.) in San Luis Obispo, California, trained at Indiana University School of Medicine (class of 1983). In 2024 Medicare paid $1,893,792 for 536 patients, and Part D covered 1,406 of their prescriptions, 88% of them generic. Abbvie Inc. was the largest of 17 companies reporting payments in 2025, $3,561 in all, mostly food and beverage.
Overview
| NPI | 1336146281 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 7, 2005 |
| Last updated in NPPES | Sep 14, 2021 |
| Certified by provider | Mar 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Rheumatology Primary | 207RR0500X | 01037613A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Rheumatology (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 536 |
|---|---|
| Services billed | 140,600 across 36 procedure codes |
| Paid by Medicare | $1,893,792 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,406 · 2,415 30-day fills |
|---|---|
| Patients | 213 |
| Total drug cost | $1,070,240 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Indiana University School of Medicine |
|---|---|
| Graduation year | 1983 |
| Medicare specialty | Rheumatology |
| Telehealth | Offers telehealth |
Medical group
- Rheumatology Services Medical GroupSan Luis Obispo, CA · 8 clinicians
Hospital affiliations
- Adventist Health Sierra VistaSan Luis Obispo, CA
- Adventist Health Twin CitiesTempleton, CA
- French Hospital Medical CenterSan Luis Obispo, CA
- Marian Regional Medical CenterSanta Maria, CA
Industry payments (Open Payments)
- 2025$3,561 · 184 payments from 17 companies
- 2024$3,398 · 165 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $1,055 | 56 |
| Amgen Inc. | $561.63 | 30 |
| Novartis Pharmaceuticals Corporation | $415.96 | 28 |
| Janssen Biotech, Inc. | $349.22 | 29 |
| Ucb, Inc. | $219.35 | 7 |
What the 2025 payments were for
- Food and Beverage$3,561 · 184 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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