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Guy Lubliner, MD

Internal Medicine · Palo Alto

NPI 1013935089

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
3

Offices

3 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: California Pacific Medical Center- Van Ness Campus. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Lubliner’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A75269 · Current

Licensed to practise in California · since 2001 · expires 2027-06-30 · New York Medical College.

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

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • California Pacific Medical Center- Van Ness CampusSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 78% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.224, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.325, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.373, Oct 2024 – Sep 2025
See every measure and the patient survey for California Pacific Medical Center- Van Ness Campus

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 0 better, 8 the same, 2 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at California Pacific Medical Center- Van Ness Campus
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.224BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.325BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.373BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.14 (0.3 to 1.97) · 2,271 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.05 (0.81 to 1.28)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths192.86 (151.51 to 234.22) · 140 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.6 · 55 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths10.3 · 60 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.5 · 143 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.8 · 356 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.3 · 259 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 173 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.1 · 2,316 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.31 (0.12 to 0.49) · 6,430 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.09 to 0.47) · 7,168 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.3 (1.5 to 5.09) · 2,196 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.47 (1.21 to 3.74) · 925 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.63 (1.37 to 3.88) · 1,954 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.13 (6.06 to 14.2) · 1,112 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.26 (4.67 to 9.85) · 1,084 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.67 (0.31 to 3.03) · 832 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.33 (0 to 0.85) · 5,406 casesNo differentJul 2022 – Jun 2024
MRSA BacteremiaInfections0.443No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.717No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.3 · 200 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.3 · 449 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits18.2 · 187 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits8.7 · 418 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits7.1 · 260 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19.2 · 293 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (3.6 to 7.6) · 157 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.2 (7.7 to 13.5) · 157 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits11 · 33 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.2 · 66 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.5 (9.4 to 16.7) · 551 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.3) · 219 casesNo differentJan 2024 – Dec 2024

What patients said (478 patients answered, 20% of those asked)

Patient survey stars by topic at California Pacific Medical Center- Van Ness Campus
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at California Pacific Medical Center- Van Ness Campus
Room was "always" clean75%
Nurses "always" communicated well74%
Doctors "always" communicated well77%
Staff "always" explained59%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)75%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand70%
Nurses "always" listened carefully71%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms88%

Original Medicare doctor bills

$96,163

Medicare paid this office $96,163 for 303 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes182$62,464$105
Hospital discharge day management, more than 30 minutes159$17,106$103
Initial hospital care with moderate level of medical decision making at least 75 minutes56$7,995$143
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes29$3,310$114
Hospital discharge day management, 30 minutes or less21$1,544$74

Who their Medicare patients are

303 Original Medicare patients in 2024. Average age 73 · Under 65 11% · 85 and older 10% · Women 44% · Also on Medicaid 31% · Health risk score 2.39. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Coronary heart disease 53% · Atrial fibrillation 51% · Heart failure 48% · Chronic kidney disease 46% · Diabetes 42% · Depression 35% · COPD 26% · Cancer 24% · Dementia 15% · Stroke 15%.

The office billed $353,149, Medicare allowed $121,406 and paid $96,163; for 944 services of 9 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024303944732.39$353,149$96,163
2023305916732.21$376,273$102,706
2022252821732.27$305,018$77,459
2021269853732.65$307,555$81,495
2020253807712.75$340,510$79,605
2019253837712.67$361,412$82,341
2018261945702.51$394,543$90,308
2017251882703.04$367,696$85,756
20162501,076692.76$451,027$104,461
2015246869682.73$369,161$84,868
2014210905682.70$387,065$87,926
2013179676662.88$269,406$63,354

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

2023: 6 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes188$66,970$107
Hospital discharge day management, more than 30 minutes142$15,137$105
Initial hospital care with moderate level of medical decision making at least 75 minutes53$8,524$155
Critical care, first 30-74 minutes16$6,063$189
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes37$4,119$111
Hospital discharge day management, 30 minutes or less11$821$75

2022: 7 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes157$53,103$92
Hospital discharge day management, more than 30 minutes90$8,911$95
Initial hospital care with moderate level of medical decision making at least 75 minutes22$3,823$174
Hospital observation care on day of discharge46$3,067$65
Initial hospital observation care per day, typically 50 minutes26$2,735$105
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,562$120
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,214$64

2021: 7 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes180$54,778$92
Hospital discharge day management, more than 30 minutes119$12,639$97
Initial hospital care with moderate level of medical decision making at least 75 minutes24$4,344$181
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$2,574$117
Hospital observation care on day of discharge30$1,944$65
Initial hospital observation care per day, typically 50 minutes18$1,815$101
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$1,104$65

2020: 5 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes174$54,538$95
Hospital discharge day management, more than 30 minutes116$12,298$99
Initial hospital care with moderate level of medical decision making at least 75 minutes19$3,554$187
Hospital observation care on day of discharge29$1,956$67
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$1,399$67

2019: 6 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes181$57,810$93
Hospital discharge day management, more than 30 minutes102$10,625$98
Initial hospital care with moderate level of medical decision making at least 75 minutes29$5,322$177
Critical care, first 30-74 minutes11$2,758$197
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,845$123
Hospital observation care on day of discharge18$1,206$67

2018: 4 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes212$67,151$92
Hospital discharge day management, more than 30 minutes118$12,673$97
Initial hospital care with moderate level of medical decision making at least 75 minutes30$5,128$165
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$841$56

2017: 5 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes189$61,099$93
Hospital discharge day management, more than 30 minutes104$11,141$98
Initial hospital care with moderate level of medical decision making at least 75 minutes33$5,863$172
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,486$65
Hospital observation care on day of discharge16$1,060$66

2016: 5 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes200$76,712$93
Hospital discharge day management, more than 30 minutes118$12,158$98
Initial hospital care with moderate level of medical decision making at least 75 minutes34$6,675$180
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$1,488$65
Drainage of fluid from abdominal cavity using imaging guidance11$1,309$101

2015: 6 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes185$59,927$92
Hospital discharge day management, more than 30 minutes92$9,438$96
Initial hospital care with moderate level of medical decision making at least 75 minutes41$7,433$177
Initial hospital observation care per day, typically 70 minutes11$1,842$167
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,368$65
Hospital observation care on day of discharge12$732$61

2014: 5 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes173$66,618$93
Hospital discharge day management, more than 30 minutes77$8,037$97
Critical care, first 30-74 minutes19$5,001$192
Initial hospital care with moderate level of medical decision making at least 75 minutes20$3,794$181
Hospital observation care on day of discharge15$984$66

2013: 4 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes142$43,641$89
Hospital discharge day management, more than 30 minutes85$8,300$94
Initial hospital care with moderate level of medical decision making at least 75 minutes24$4,242$177
Hospital observation care on day of discharge11$707$64

Medicaid work

$22,968 in 2024

Medicaid paid $22,968 for 430 billed services this clinician did in 2024, up to 23 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES417$22,173
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter13$795
Medicaid work by year
2024430223$22,968
2023352118$17,343
2022226120$11,193
2021135214$5,845
2020292120$13,583
2019108118$3,715
2018304222$14,283
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES352$17,343

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES226$11,193

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES122$5,206
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter13$639

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES292$13,583

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES108$3,715

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES290$13,481
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter14$802

Drugs they prescribed that Part D paid

$47,862

Pharmacies billed $47,862 in 2024.

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

Opioids were 12% of their Part D prescriptions (41 of 349) in 2024. A higher opioid share than 9 in 10 peers; the typical internal medicine clinician is at 1%.

283 generic and fewer than 11 brand-name prescriptions · $47,862 in drug cost · 36 antibiotic prescriptions to 26 people.

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
Eliquis14$9,328$666
Amiodarone12$258$22
Pantoprazole35$205$6
Oxycodone15$80$5
Spironolactone11$63$6
See all 7 drugs
Every Part D drug this clinician prescribed
Eliquis14$9,328$666
Amiodarone12$258$22
Pantoprazole35$205$6
Oxycodone15$80$5
Spironolactone11$63$6
Furosemide19$34$2
Tramadol15$23$2

Year by year

Part D prescribing by year
202434911612% (41)None$47,862
20234351299% (38)None$50,801
202231111410% (31)12%$47,192
20213851269% (34)None$35,674
202041010510% (39)None$83,665
201939210110% (39)None$43,758
20185111167% (36)None$42,276
2017414988% (34)None$49,222
2016306819% (27)None$39,907
2015222706% (14)None$40,832
20142255910% (22)None$57,703
20132487111% (28)None$23,752

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

See the drugs prescribed each year

2023: 11 drugs

Part D drugs prescribed in 2023
Eliquis14$8,735$624
Amiodarone11$400$36
Pantoprazole30$338$11
Potassium Chloride11$301$27
Clopidogrel14$219$16
Metoprolol15$151$10
Ondansetron Odt17$145$9
Furosemide23$88$4
Oxycodone16$72$5
Metoprolol12$62$5
Tramadol14$33$2

2022: 3 drugs

Part D drugs prescribed in 2022
Eliquis12$6,749$562
Pantoprazole46$560$12
Furosemide15$60$4

2021: 12 drugs

Part D drugs prescribed in 2021
Eliquis12$6,246$521
Amiodarone14$513$37
Pantoprazole39$388$10
Lactulose11$191$17
Spironolactone16$149$9
Metoprolol11$130$12
Ondansetron Odt14$92$7
Furosemide26$79$3
Hydrocodone-Acetaminophen11$73$7
Tramadol18$51$3
Famotidine12$48$4
Metoprolol13$40$3

2020: 8 drugs

Part D drugs prescribed in 2020
Xifaxan19$48,691$2,563
Lactulose13$905$70
Pantoprazole40$377$9
Sildenafil Citrate12$282$24
Hydrocodone-Acetaminophen15$113$8
Furosemide21$98$5
Ciprofloxacin12$79$7
Tramadol11$41$4

2019: 8 drugs

Part D drugs prescribed in 2019
Eliquis12$4,933$411
Pantoprazole32$447$14
Lactulose13$315$24
Ciprofloxacin18$124$7
Hydrocodone-Acetaminophen11$110$10
Furosemide27$99$4
Tramadol18$74$4
Metoprolol15$59$4

2018: 14 drugs

Part D drugs prescribed in 2018
Eliquis11$4,224$384
Nadolol14$611$44
Polyethylene Glycol 335013$492$38
Pantoprazole28$277$10
Amiodarone17$243$14
Ciprofloxacin22$229$10
Atorvastatin22$196$9
Ondansetron Odt17$160$9
Hydrocodone-Acetaminophen12$110$9
Omeprazole20$73$4
Tramadol14$52$4
Furosemide16$46$3
Lisinopril11$40$4
Metoprolol11$34$3

2017: 10 drugs

Part D drugs prescribed in 2017
Polyethylene Glycol 335011$557$51
Amiodarone16$175$11
Ciprofloxacin20$167$8
Warfarin13$162$12
Pantoprazole17$137$8
Atorvastatin15$114$8
Furosemide29$91$3
Famotidine21$82$4
Metoprolol13$38$3
Tramadol12$32$3

2016: 4 drugs

Part D drugs prescribed in 2016
Spironolactone11$136$12
Pantoprazole12$133$11
Hydrocodone-Acetaminophen11$102$9
Furosemide15$74$5

2015: 2 drugs

Part D drugs prescribed in 2015
Eliquis17$5,276$310
Furosemide12$42$3

2014: 3 drugs

Part D drugs prescribed in 2014
Xifaxan12$16,895$1,408
Pantoprazole11$167$15
Tramadol11$62$6

2013: 5 drugs

Part D drugs prescribed in 2013
Midodrine11$1,859$169
Vancomycin11$1,224$111
Hydrocodone-Acetaminophen14$179$13
Ciprofloxacin11$131$12
Furosemide11$45$4

Professional record

NPI
1013935089
Licence
CA A75269California A75269: Current · expires 2027-06-30
Trained
New York Medical College, 1998
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Hospitalist (208M00000X); Federal specialty code 204F00000X (204F00000X); Internal medicine (207R00000X)
Mailing address
2350 W El Camino Real Fl 2, Mountain View, CA, 94040
NPI first listed
2006-07-18
NPI last updated
2019-05-03

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