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Edward Anhoa Pham, MD

Gastroenterology · Stanford

NPI 1033572565

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
9
1 carrier
Office
1

Offices

1 location

Plans that list them

9 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Pham’s office at (650) 723-4000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
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

California Medical Board record

Licence A154261 · Current

Licensed to practise in California · since 2018 · expires 2027-04-30 · Stanford University School of Medicine.

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

Original Medicare doctor bills

$3,331

Medicare paid this office $3,331 for 24 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 35 minutes13$1,569$71

Who their Medicare patients are

24 Original Medicare patients in 2024. Average age 73 · Health risk score 2.23. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Heart failure 46%.

The office billed $13,347, Medicare allowed $4,172 and paid $3,331; for 38 services of 5 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
20242438732.23$13,347$3,331
202284198762.92$81,133$16,060
2021183394762.87$167,433$32,689
2020102195762.57$82,483$16,898
20197782792.52$31,275$8,082

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

2022: 3 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes54$9,789$91
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes35$3,658$63
Hospital discharge day management, more than 30 minutes22$2,081$95

2021: 4 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes132$20,366$92
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes61$5,716$64
Hospital discharge day management, more than 30 minutes50$4,831$97
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and26$1,322$51

2020: 3 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes69$11,522$94
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes26$2,611$65
Hospital discharge day management, more than 30 minutes20$1,959$98

2019: 2 services

Original Medicare services billed in 2019
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes53$4,638$83
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more21$3,077$147

Medicaid work

$1,877 in 2021

Medicaid paid $1,877 for 29 billed services this clinician did in 2021, up to 14 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 2021
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES29$1,877
Medicaid work by year
202129114$1,877

Money from drug and device companies

$123 in 2022

A payment is not proof that care is biased.

Payments by company
AbbvieRinvoq$123
1 payment
  • Meals for Rinvoq · 2022-08-03 · $123
See the published payment
Every published payment
AbbvieMeals · 2022-08-03Rinvoq$123

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
97.2 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1033572565
Licence
CA A154261California A154261: Current · expires 2027-04-30
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RG0100X (207RG0100X); Internal medicine (207R00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2016-04-01
NPI last updated
2024-04-16
NPI record certified
2024-04-16

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

Extra NPI addresses: 11100 Euclid Ave, Cleveland, OH, 44106