Kenneth Sibila, M.D.
NPI 1386615185ActiveIndividual· Family Medicine· Towson, MD
Opted out of Medicare from August 2025 to August 2027. Family Medicine (M.D.) in Towson, Maryland, licensed in MD, with an NPI issued in January 2006. Their prescriptions cost Medicare Part D more than their services did: $332,431 for 3,487 claims, against $96,847 paid for services in 2024.
Overview
| NPI | 1386615185 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jan 30, 2006 |
| Last updated in NPPES | Jul 17, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | D50216 | MD |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Aug 20, 2025 – Aug 20, 2027 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 282 |
|---|---|
| Services billed | 2,323 across 33 procedure codes |
| Paid by Medicare | $96,847 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,487 · 8,565 30-day fills |
|---|---|
| Patients | 323 |
| Total drug cost | $332,431 |
| Generic share | 88% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 26 family medicine physicians in Towson · All family medicine physicians in Maryland