DR. PAULINE MUNGAI (M.D.) – Internal Medicine Physician, NPI 1407260953
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,656 FAMILY PRACTICE in IA
Provider Addresses for DR. PAULINE MUNGAI (M.D.)
5409 AVENUE O
FORT MADISON, IA 526279601
Phone: (319) 376-2134
Fax: (319) 376-2188
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-12-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181206000453 | I | Internal Medicine | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,174 | 441 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 127 | 100 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 112 | 86 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 95 | 95 | $0 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 26 | 26 | $0 |
Insurance plans in this area (ZIP 52627)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | IA | |
| P S Y C H I A T R Y | IA | |
| Internal Medicine, Hospitalist, Internal Medicine | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Nurse Practitioner | IA | |
| Family Practice | IA | |
| Internal Medicine, Hospitalist, Internal Medicine | TN | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Rheumatology, Internal Medicine | OH |
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