DR. JAMES R. MONATH M.D.
NPI 1558352161
Urology in Wyomissing, PA

Q: What is James Monath's NPI number?

The NPI number for James Monath is 1558352161. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Q: What is James Monath's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for James Monath was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment

87.96/100

CMS Quality Rating

1320 BROADCASTING RD, SUITE 200, WYOMISSING, PA 19610(610) 372-8995(610) 372-7922 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2026, Aug 26, 2020, Jul 11, 2016 and 1 more (4 updates tracked since 2015).

On this page

About Dr. James R. Monath M.d. NPPES

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

DR. JAMES R. MONATH M.D. (NPI 1558352161) is an individual urology provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (MD453477) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Excela Health Westmoreland Regional Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1558352161

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. JAMES R. MONATHCredential: M.D.

Location Address1320 BROADCASTING RD, SUITE 200Wyomissing, PA 19610-3222

Mailing Address1320 Broadcasting Rd Ste 200Wyomissing, PA 19610-3222 · (610) 372-8995 · Fax (610) 372-7922

Phone(610) 372-8995

Fax(610) 372-7922

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateNovember 2, 2005

Last NPPES UpdateJune 3, 20264 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1558352161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in PA · MD453477✔ Licensed in NC · 39448✔ Licensed in OH · 35-72117

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1320 BROADCASTING RD, Wyomissing, PA 19610

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Other Identifiers 1

Other495148PA · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Dr. James R. Monath M.d. 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 ID5799733911

PECOS Enrollment IDI20160512001159

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 16

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.

Detection test by nucleic acid for organism, amplified probe technique 87798

A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.

507 services30 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

146 services102 patients

Detection test by nucleic acid for multiple organisms, amplified probe(s) technique 87801

This is a test that identifies various microorganisms in your body using a method called amplified probe technique. It targets specific genetic material (nucleic acids) of the organisms, amplifying them for easy detection. This helps in diagnosing infections accurately.

117 services30 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

63 services55 patients

Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique 87500

The detection test by nucleic acid for vancomycin-resistant strep (VRE) is a laboratory procedure. It uses an amplified probe technique to identify specific genetic material in bacteria. This helps determine if the bacteria are resistant to the antibiotic vancomycin.

39 services30 patients

Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique 87640

A detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.

39 services30 patients

Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique 87641

A detection test by nucleic acid for MRSA bacteria uses an amplified probe technique. It's a lab procedure that identifies the presence of MRSA, a type of bacteria resistant to many antibiotics. This test helps in deciding the best treatment.

39 services30 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

32 services28 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.

30 services26 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

26 services25 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

24 services23 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

23 services21 patients

Telephone medical discussion provided by nonphysician professional, 21-30 minutes 98968

This service involves a nonphysician professional, such as a nurse or medical assistant, discussing your health concerns over the phone for 21-30 minutes. It's a convenient way to address questions or concerns without needing to visit a clinic.

21 services21 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

19 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390145

Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County

Emergency services Birthing friendly

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390219

LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19610 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

88.47

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Benign Prostate Hyperplasia (BPH): Inappropriate Lab & Imaging Services for Patients with BPH

Lower rates are better for this measure.

11%150 patients1/55-star benchmark: 100%

Colorectal Cancer Screening

71%733 patients4/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

95%2,365 patients4/55-star benchmark: 100%

e-Prescribing

98%333 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

88%1,462 patients4/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 92% · 599 patients

Patients screened: 93% · 599 patients

97%67 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

42%506 patients2/55-star benchmark: 100%

Stones: Urinalysis Performed Before Surgical Stone Procedures

86%94 patients4/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

100%96 patients5/55-star benchmark: 100%

Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older

71%24 patients3/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 631 patients

Patients totalRate: 0% · 631 patients

0%631 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338

DME-Orthotic Devices · category DF000N

3 suppliers12 claims16 services$8.30 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers21 claims2,730 services$1.58 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

2 suppliers17 claims870 services$6.00 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

3 suppliers16 claims34 services$7.59 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

4 suppliers13 claims35 services$4.70 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL B ANOLIK MD

Dermatology

1320 BROADCASTING RD, SUITE 107
WYOMISSING, PA 19610

Berks County (610) 898-8570

CENTER FOR UROLOGIC CARE OF BERKS CO PC

Clinic/Center (Ambulatory Surgical)

1320 BROADCASTING RD, SUITE 210
WYOMISSING, PA 19610

Berks County (610) 685-1044

MS. ALICIA M DIETRICH PA-C

Physician Assistant

1320 BROADCASTING RD, STE 200
WYOMISSING, PA 19610

Berks County (610) 372-8995

DR. JOSEPH V LEONI M.D.

Urology

1320 BROADCASTING RD, STE 200
WYOMISSING, PA 19610

Berks County (610) 372-8995

SHAWN E WHITE MD

Urology

1320 BROADCASTING RD, STE 200
WYOMISSING, PA 19610

Berks County (610) 372-8995

CENTER FOR UROLOGIC CARE OF BERKS CO PC

Urology

1320 BROADCASTING RD, SUITE 200
WYOMISSING, PA 19610

Berks County (610) 372-8995

MRS. JAIMIE LYNN HECKMAN CRNP

Nurse Practitioner (Family)

1320 BROADCASTING RD
WYOMISSING, PA 19610

Berks County (484) 336-8477

DEBORAH T CASTELLUCCI CRNP, PHD

Nurse Practitioner

1320 BROADCASTING RD, STE 200
WYOMISSING, PA 19610

Berks County (610) 372-8995

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 James Monath's NPI number?

The NPI number for James Monath is 1558352161. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is James Monath located?

James Monath practices at 1320 Broadcasting Rd Suite 200, Wyomissing, PA 19610. The listed phone number is (610) 372-8995.

What is James Monath's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is James Monath enrolled in Medicare?

Yes. James Monath 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 James Monath accept?

Health plans from Blue Cross Blue Shield of Arizona list James Monath 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 James Monath affiliated with any hospitals?

According to CMS data, James Monath is affiliated with Excela Health Westmoreland Regional Hospital and Excela Health Latrobe Hospital.

When was this NPI record last updated?

The NPPES record for James Monath was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.