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Carlos M A San Mateo, MD

Colorectal Surgery (Proctology) · San Jose

NPI 1013159912

Medicare standing
1 flag on the record
Listed below.
Plans that list them
32
9 carriers
Offices
3

On the public record

  • Florida licence: Vol Relinquish

Offices

3 locations · Permanente Medical Group Inc · 10,928 clinicians in this group

Looking this up.

Plans that list them

32 plans · 9 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Mateo’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

32 of 32 plans

Plans whose provider directory lists this clinician
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
AARP Medicare Advantage from UHC CA-10 (HMO-POS)UnitedHealthcareListed, may be out of dateJun 10, 2026

California Medical Board record

Licence A137904 · Current

Licensed to practise in California · since 2015 · expires 2027-08-31 · Boston University School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

State licence records

1 licence

  • Florida ME125705Medical Doctor · since 2015 · expires 2020-01-31
    Vol RelinquishNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

School, training and certification

3 placements

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Education

  • Boston University School of Medicine · MD2005–2009Medical school

Residency and fellowship

  • University of South Florida, Colon and Rectal SurgeryTAMPA, FL · 2014–2015
  • University of Arizona, SurgeryTUCSON, AZ · 2011–2014
  • University of Washington, SurgerySEATTLE, WA · 2009–2011

Original Medicare doctor bills

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy12More than 42% of doctors who do this

Year by year

Original Medicare by year
20182532653.09$31,115$6,784
201785159622.44$193,702$36,865
20167399681.82$84,047$17,105

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2017: 3 services

Original Medicare services billed in 2017
New patient visit (15+ min)22$837$38
Short return visit (20+ min)14$834$44
Short return visit18$482$21

2016: 3 services

Original Medicare services billed in 2016
New patient visit (15+ min)22$959$44
New patient visit (30+ min)12$745$62
Short return visit15$370$22

Drugs they prescribed that Part D paid

$650

Pharmacies billed $650 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 41% of their Part D prescriptions (31 of 76) in 2024. A higher opioid share than 9 in 10 peers; the typical colorectal surgery (proctology) clinician is at 16%.

76 generic and 0 brand-name prescriptions · $650 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Ibuprofen25$236$9
Oxycodone16$107$7
Tramadol14$92$6

Year by year

Part D prescribing by year
2024764241% (31)0%$650
2023673928% (19)0%$722
2022844349% (41)None$858
20211065631% (33)None$1,731
20201024941% (42)None$1,686
2019745466% (49)None$1,178
2018735451% (37)None$1,593
2017653732% (21)None$3,338
2016604247% (28)None$1,740
2013201875% (15)0%$677

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Hydrocortisone14$166$12
Ibuprofen17$153$9
Oxycodone13$92$7

2022: 3 drugs

Part D drugs prescribed in 2022
Ibuprofen19$163$9
Tramadol22$148$7
Oxycodone16$102$6

2021: 3 drugs

Part D drugs prescribed in 2021
Ibuprofen29$275$9
Oxycodone27$181$7
Hydrocortisone11$121$11

2020: 3 drugs

Part D drugs prescribed in 2020
Oxycodone34$286$8
Hydrocortisone18$212$12
Ibuprofen21$212$10

2019: 1 drug

Part D drugs prescribed in 2019
Hydrocodone-Acetaminophen46$326$7

2018: 1 drug

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen30$238$8

2017: 1 drug

Part D drugs prescribed in 2017
Oxycodone-Acetaminophen13$94$7

2016: 1 drug

Part D drugs prescribed in 2016
Oxycodone-Acetaminophen21$309$15

Money from drug and device companies

$381 in 2025

Industry payments by year
202524None$381
202411None$151

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
MedtronicSignia$321
3 payments
  • Meals for Interstim · 2025-07-29 · $47
  • Meals for Eea · 2025-05-13 · $128
  • Meals for Signia · 2025-02-28 · $146
Vertex PharmaceuticalsJournavx$60
1 payment
  • Meals for Journavx · 2025-05-10 · $60
See all 4 published payments
Every published payment
MedtronicMeals · 2025-07-29Interstim$47
MedtronicMeals · 2025-05-13Eea$128
Vertex PharmaceuticalsMeals · 2025-05-10Journavx$60
MedtronicMeals · 2025-02-28Signia$146
See earlier years (2024)

2024: $151

Payments by company in 2024
MedtronicSignia$151
1 payment
  • Meals for Signia · 2024-06-02 · $151

Professional record

NPI
1013159912
Licence
CA A137904, FL ME125705California A137904: Current · expires 2027-08-31Florida ME125705: Vol Relinquish
Trained
Boston University School of Medicine, 2009
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Surgery (208600000X); Student in a training program (390200000X)
Mailing address
455 Oconnor Dr Ste 270, San Jose, CA, 95128
NPI first listed
2009-03-24
NPI last updated
2025-08-14
NPI record certified
2025-08-14

This is when the NPI record was last certified, not a medical board exam.

This office lists an electronic records connection.