Dr. Yi Kao v. Mount Nittany Physicians Group, et al.

CourtDistrict Court, M.D. Pennsylvania
DecidedDecember 5, 2025
Docket4:24-cv-00101
StatusUnknown

This text of Dr. Yi Kao v. Mount Nittany Physicians Group, et al. (Dr. Yi Kao v. Mount Nittany Physicians Group, et al.) is published on Counsel Stack Legal Research, covering District Court, M.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dr. Yi Kao v. Mount Nittany Physicians Group, et al., (M.D. Pa. 2025).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF PENNSYLVANIA DR. YI KAO,

Plaintiff, CIVIL ACTION NO. 4:24-CV-00101

v. (MEHALCHICK, J.)

MOUNT NITTANY PHYSICIANS GROUP, et al. Defendants.

MEMORANDUM Plaintiff Dr. Yi Kao (“Kao”) initiated this action on January 19, 2024, by filing a complaint against Defendants Mount Nittany Physicians Group (“MNPG”) and Mount Nittany Medical Center (“MNMC”) (together, “Defendants”). Before the Court are Kao and Defendants’ motions for summary judgment. (Doc. 43, Doc. 47). For the reasons provided herein, Kao’s motion for summary judgment (Doc. 43) is DENIED and Defendants’ motion for summary judgment (Doc. 47) is GRANTED in part and DENIED in part. I. BACKGROUND AND PROCEDURAL HISTORY The following background is taken from the parties’ statements of material facts and responses thereto.1 (Doc. 45; Doc. 48; Doc. 52; Doc. 58). MNPG is a team of healthcare providers servicing patients in central Pennsylvania. (Doc. 45, ¶ 1; Doc. 48, ¶ 1; Doc. 52, ¶ 1 Doc. 58, ¶ 1). MNMC is an acute care hospital located in State College, Pennsylvania. (Doc.

1 Pursuant to Local Rule 56.1, the Court accepts as true all undisputed material facts supported by the record. Where the record evinces a disputed fact, the Court will take notice. The facts have been taken in the light most favorable to the non-moving party with respect to each motion. 45, ¶ 2; Doc. 48, ¶ 2; Doc. 52, ¶ 2; Doc. 58, ¶ 2). MNPG and MNMC are wholly owned subsidiaries of Mount Nittany Health (“MNH”). (Doc. 45, ¶ 3; Doc. 48, ¶ 3; Doc. 52, ¶ 3; Doc. 58, ¶ 3). On October 1, 2020, MNPG hired Kao as an otolaryngology physician (also known as an ENT physician)2 and entered into a Physician Employment Agreement (“PEA”) with Kao. (Doc. 45, ¶¶ 7-8; Doc. 48, ¶ 4; Doc. 52, ¶¶ 7-8; Doc. 58, ¶ 4). The PEA outlined the

terms of Kao’s employment. (Doc. 45, ¶¶ 9-14; Doc. 48, ¶¶ 9-14). On or about December 15, 2022, the Pennsylvania Department of State Bureau of Enforcement and Investigations, the entity responsible for investigating complaints concerning practitioners on behalf of the Pennsylvania Board of Medicine, subpoenaed Defendants for Kao’s personnel and credentials files. (Doc. 48, ¶ 27, Doc. 58, ¶ 27). After receiving the subpoena, Defendants asked MNPG’s Director for Surgical Specialties Rachel McMullen (“McMullen”) to investigate complaints against Kao. (Doc. 48, ¶ 28; Doc. 58, ¶ 28). McMullen then tasked Practice Manager Bethany Mount (“Mount”) with determining whether any employee in the otolaryngology clinic where Kao worked raised any complaints

against him. (Doc. 48, ¶ 29; Doc. 58, ¶ 29). Defendants assert that on December 29, 2022, in response to Mount’s inquiry, ENT Clinical Coordinator Debra Walters (“Walters”) submitted a statement reporting that she witnessed Kao’s hands shaking numerous times during procedures and other staff also showed concern over the shaking. (Doc. 48, ¶ 30). Defendants also contend Walters heard Kao state that his “old eyes can’t see well anymore” numerous times. (Doc. 48, ¶ 31). Kao

2 Otolaryngology is “a medical specialty concerned especially with the ear, nose, and throat and related parts of the head and neck.” Otolaryngology, Merriam-Webster’s Dictionary https://www.merriam-webster.com/dictionary/otolaryngology?pronunciation&lang=en _us&dir=o&file=otolar01 (last visited Dec. 4, 2025). contends these assertions are unfounded and he voluntarily submitted to both a functional capacity examination (“FCE”) and vision tests. (Doc. 58, ¶¶ 30-31). On January 4, 2023, McMullen, Chief Medical Officer of MNMC Dr. Upendra Thaker (“Thaker”), Director of Human Resources for MNH Drew Brungard (“Brungard”), and Employee Health Services Manager for MNH Marissa Ward (“Ward”) met with Kao to

inform him that they received a complaint about his ability to practice. (Doc. 48, ¶ 32; Doc. 58, ¶ 32). Brungard, McMullen, Thaker, and Ward asked Kao to provide a note from his ophthalmologist and complete an FCE to address concerns with his vision and shaking hands. (Doc. 48, ¶ 33; Doc. 58, ¶ 33). Kao agreed to do both without objection. (Doc. 48, ¶ 34; Doc. 58, ¶ 34). On January 5, 2023, Defendants placed Kao on a paid leave of absence. (Doc. 48, ¶ 35; Doc. 58, ¶ 35). Defendants assert that Kao was placed on leave pending receipt of his ophthalmologist’s note and FCE test results, but Kao counters that Defendants used his sick leave and that there is no evidence this leave was only in effect while his note and test results were outstanding. (Doc. 48, ¶ 35; Doc. 58, ¶ 35).

On January 10, 2023, Defendants received Kao’s FCE results which indicated a sufficient functional capacity for Kao to return to work. (Doc. 48, ¶ 36; Doc. 58, ¶ 35). On January 11, 2023, Ward received a report from Kao’s ophthalmologist, Dr. Jeffrey Heimer (“Heimer”). (Doc. 48, ¶ 39; Doc. 58, ¶ 39). Defendants assert Heimer stated that Kao had “excellent central vision” but that his “peripheral vision has been poor for many years, possibly 40 years, due to a retinal degenerative condition” and this poor peripheral vision does not permit him to pass a driver’s examination. (Doc. 48, ¶¶ 39-40). Kao counters that this is an incomplete reading of Heimer’s letter and that Heimer’s letter speaks for itself. (Doc. 58, ¶¶ 39-40). As a result of Heimer’s letter, Kao had to surrender his driver’s license. (Doc. 48, ¶ 41; Doc. 58, ¶ 41). Heimer’s letter stated that Kao has retinitis pigmentosa, a retinal degenerative condition with which Kao was first diagnosed in 1980. (Doc. 48, ¶¶ 42-43; Doc. 58, ¶¶ 42-43). Defendants assert that Kao never disclosed this condition prior to Heimer’s letter despite the fact that he had to temporarily surrender his clinical privileges in 2018 due to an issue with a

lens implant that impacted his ability to see clearly. (Doc. 48, ¶¶ 44-47). According to Defendants, even though Kao had the same retinal condition in 2018, he previously submitted a letter from Heimer’s office which claimed he could safely drive when he returned to work after the lens issue. (Doc. 48, ¶¶ 42-43, 53-56). Kao responds that he previously informed various members of Defendants’ staff, including Thaker, MNMC Medical Executive Committee Chief of Staff Dr. Wayne Sebastianelli (“Sebastianelli”), and MNPG Chief Operating Officer James Prowant (“Prowant”), about his condition as early as 2020. (Doc. 58, ¶ 44). As part of their investigation into Kao’s vision, Defendants consulted with Dr. Daniel

Becker (“Becker”), an otolaryngology physician, who in turn consulted with Heimer. (Doc. 48, ¶¶ 60-62; Doc. 58, ¶¶ 60-62). Heimer informed Becker and Defendants that that Kao has likely had issues with his peripheral vision for twenty to thirty years, has not had a change in his central vision within the past five years, is considered legally blind due to his peripheral vision issues, and the angle of his visual field is about ten degrees in the right eye and twenty degrees in the left eye whereas full normal vision is 140 degrees in each eye. (Doc. 48, ¶¶ 60- 62; Doc. 58, ¶¶ 60-62). On January 23, 2023, Dr. Adam J. Marcovitch (“Marcovitch”), a board-certified ophthalmologist, evaluated Kao and reviewed Heimer’s records regarding Kao’s vision. (Doc. 48, ¶¶ 64-65). Defendants contend that Marcovitch reiterated that Kao should not be driving but also stated that while Kao should be able to perform his surgical procedures given his small operating field, Defendants should review his surgical privileges to eliminate any procedures which require a larger field of vision. (Doc. 48, ¶¶ 66-67). Kao counters that Marcovitch emphasized that peripheral vision is not necessary for the types of procedures

Kao is “currently performing” and that “it would just be a matter of updating his paperwork.” (Doc. 58, ¶ 67).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

McDonnell Douglas Corp. v. Green
411 U.S. 792 (Supreme Court, 1973)
Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
Lujan v. National Wildlife Federation
497 U.S. 871 (Supreme Court, 1990)
Hazen Paper Co. v. Biggins
507 U.S. 604 (Supreme Court, 1993)
Mary Burton v. Teleflex Inc
707 F.3d 417 (Third Circuit, 2013)
Krizovensky v. Krizovensky
624 A.2d 638 (Superior Court of Pennsylvania, 1993)
Widmer Engineering, Inc. v. Dufalla
837 A.2d 459 (Superior Court of Pennsylvania, 2003)
International Diamond Importers, Ltd. v. Singularity Clark, L.P.
40 A.3d 1261 (Superior Court of Pennsylvania, 2012)
Haas v. Wyoming Valley Health Care System
465 F. Supp. 2d 429 (M.D. Pennsylvania, 2006)
Equal Employment Opportunity Commission v. Hussey Copper Ltd.
696 F. Supp. 2d 505 (W.D. Pennsylvania, 2010)
CICCHIELLO v. Beard
726 F. Supp. 2d 522 (M.D. Pennsylvania, 2010)
Harry Miller Corp. v. Mancuso Chemicals Limited
469 F. Supp. 2d 303 (E.D. Pennsylvania, 2007)
Ankele v. Hambrick
286 F. Supp. 2d 485 (E.D. Pennsylvania, 2003)
Sandra Rumanek v. Independent School Management
619 F. App'x 71 (Third Circuit, 2015)
Michelle Thomas v. Delaware State University
626 F. App'x 384 (Third Circuit, 2015)

Cite This Page — Counsel Stack

Bluebook (online)
Dr. Yi Kao v. Mount Nittany Physicians Group, et al., Counsel Stack Legal Research, https://law.counselstack.com/opinion/dr-yi-kao-v-mount-nittany-physicians-group-et-al-pamd-2025.