Monika Kumanova, M.D.
NPI 1568773042ActiveIndividual· Family Medicine· Philadelphia, PA
Family Medicine (M.D.) with Pentahealth, LLC, practicing in Philadelphia, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $445,648 for 5,099 claims, against $43,653 paid for services in 2024. Exact Sciences Corporation was the largest of 11 companies reporting payments in 2025, $316.86 in all, mostly food and beverage. Lists Chester County Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1568773042 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 29, 2010 |
| Last updated in NPPES | Jul 17, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD451181 | PA |
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 (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 253 |
|---|---|
| Services billed | 1,282 across 50 procedure codes |
| Paid by Medicare | $43,653 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,099 · 10,914 30-day fills |
|---|---|
| Patients | 487 |
| Total drug cost | $445,648 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Pentahealth, LLCDowningtown, PA · 67 clinicians
Hospital affiliations
- Chester County HospitalWest Chester, PA
- Hospital of Univ of PennsylvaniaPhiladelphia, PA
- Lancaster General HospitalLancaster, PA
- Paoli HospitalPaoli, PA
- Reading HospitalWest Reading, PA
Other facilities
- Bayada Home Health Care, Inc.Home health agency · Exton, PA
- Penn Medicine Home HealthHome health agency · Bala Cynwyd, PA
Industry payments (Open Payments)
- 2025$316.86 · 15 payments from 11 companies
- 2024$420.13 · 17 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $42.84 | 2 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $38.09 | 2 |
| Sage Therapeutics, LLC | $36.16 | 1 |
| Astrazeneca Pharmaceuticals LP | $34.88 | 2 |
| Astellas Pharma US Inc | $33.74 | 1 |
What the 2025 payments were for
- Food and Beverage$316.86 · 15 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 1,042 family medicine physicians in Philadelphia · All family medicine physicians in Pennsylvania