Pauline Mungai, M.D.
NPI 1407260953ActiveIndividual· Internal Medicine· Fort Madison, IA
Internal Medicine (M.D.) with Southeast Iowa Regional Medical Center Inc, practicing in Fort Madison, Iowa. Their prescriptions cost Medicare Part D more than their services did: $786,652 for 12,741 claims, against $86,025 paid for services in 2024. Dexcom, Inc. reported $15.77 in payments in 2025, mostly food and beverage. Lists Henry County Health Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1407260953 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 12, 2014 |
| Last updated in NPPES | Sep 15, 2020 |
| Certified by provider | Sep 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD44951 | IA |
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 - Internal Medicine (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 428 |
|---|---|
| Services billed | 1,473 across 11 procedure codes |
| Paid by Medicare | $86,025 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12,741 · 23,206 30-day fills |
|---|---|
| Patients | 538 |
| Total drug cost | $786,652 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Family Practice |
Medical group
- Southeast Iowa Regional Medical Center IncWest Burlignton, IA · 259 clinicians
Hospital affiliations
- Henry County Health CenterMount Pleasant, IA
- Southeast Iowa Regional Medical CenterWest Burlington, IA
- University of Iowa Hospital & ClinicsIowa City, IA
Other facilities
- Advanced Home Health Care IncHome health agency · Burlington, IA
- Lee County Health DepartmentHome health agency · Fort Madison, IA
- Southeast Iowa Regional Home HealthHome health agency · West Burlington, IA
- Lee County Health DepartmentHospice · Fort Madison, IA
- Southeast Iowa Regional HospiceHospice · West Burlington, IA
Industry payments (Open Payments)
- 2025$15.77 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Dexcom, Inc. | $15.77 | 1 |
What the 2025 payments were for
- Food and Beverage$15.77 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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