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MONIKA KUSUMA PRINGLE MD
NPI 1114588837
Family Medicine in Johnstown, PA

Active since June 24, 2019PECOS EnrolledAccepts Medicare Assignment
DLP CONEMAUGH MEMORIAL MEDICAL CENTER, 1020 FRANKLIN STREET SUITE 202, JOHNSTOWN, PA 15905(814) 534-1722(814) 534-1814 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 14, 2024, Jul 28, 2022 (2 updates tracked since 2022).

About Monika Kusuma Pringle Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONIKA KUSUMA PRINGLE MD (NPI 1114588837) is an individual family medicine provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MD483669) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Conemaugh Memorial Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1114588837
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMONIKA KUSUMA PRINGLECredential: MD
Location AddressDLP CONEMAUGH MEMORIAL MEDICAL CENTER, 1020 FRANKLIN STREET SUITE 202Johnstown, PA 15905
Mailing Address1086 Franklin Street, Family Medical CenterJohnstown, PA 15905 · (814) 534-9106 · Fax (814) 534-3136
Phone(814) 534-1722
Fax(814) 534-1814
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 24, 2019
Last NPPES UpdateJune 14, 20242 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1114588837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD483669
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
DLP CONEMAUGH MEMORIAL MEDICAL CENTER, Johnstown, PA 15905
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Monika Kusuma Pringle Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264768514
PECOS Enrollment IDI20240206003672
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
14 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monika Kusuma Pringle's NPI number?

The NPI number for Monika Kusuma Pringle is 1114588837. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Monika Kusuma Pringle located?

Monika Kusuma Pringle practices at Dlp Conemaugh Memorial Medical Center 1020 Franklin Street Suite 202, Johnstown, PA 15905. The listed phone number is (814) 534-1722.

What is Monika Kusuma Pringle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Monika Kusuma Pringle enrolled in Medicare?

Yes. Monika Kusuma Pringle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Monika Kusuma Pringle accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Monika Kusuma Pringle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Monika Kusuma Pringle affiliated with any hospitals?

According to CMS data, Monika Kusuma Pringle is affiliated with Conemaugh Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Monika Kusuma Pringle was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.