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Phalgun Nori, MD

Physical Medicine and Rehabilitation · San Jose

NPI 1043547656

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
23
4 carriers
Offices
2
Since medical school
21 years
Graduated 2005

Offices

2 locations · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center · Stanford Health Care · 05t038. That is not proof they admit you there this week.

Plans that list them

23 plans · 4 carriers

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

23 of 23 plans

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
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
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 Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
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
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

California Medical Board record

Licence C174002 · Current

Licensed to practise in California · since 2021 · expires 2027-07-31 · University of West Indies Faculty of Medicine St Agustine.

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

State licence records

2 licences

  • Texas W8064Physician License · since 2026 · expires 2028-08-31Matched by name, not licence number; check the name before relying on it.
    ActiveNo board action on this licenceCheck it with the state
  • New Jersey 25MA08726300Medical Doctor · since 2010 · expires 2023-06-30
    InactiveNo 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

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.

Specialty certification

  • American Board of Physical Medicine and Rehabilitation - Brain Injury Medicine
  • American Board of Physical Medicine and Rehabilitation - Physical Medicine and Rehabilitation

Hospitals they work in

2 hospitals

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

  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$43,711

Medicare paid this office $43,711 for 189 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 minutes56$16,479$71
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes94$11,317$43
Initial hospital care with moderate level of medical decision making at least 75 minutes34$5,440$155
Hospital discharge day management, more than 30 minutes40$4,251$104
Short return visit (20+ min)35$1,880$51
See all 6 services
Every Original Medicare service billed
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes56$16,479$71
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes94$11,317$43
Initial hospital care with moderate level of medical decision making at least 75 minutes34$5,440$155
Hospital discharge day management, more than 30 minutes40$4,251$104
Short return visit (20+ min)35$1,880$51
Return visit (30+ min)13$1,288$81

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity182231–––

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

189 Original Medicare patients in 2024. Average age 71 · Under 65 21% · 85 and older 14% · Women 49% · Also on Medicaid 39% · Health risk score 1.79. Above the middle of the specialty; the typical physical medicine and rehabilitation clinician is at 1.53.

Conditions among them: High blood pressure 75% · Stroke 64% · Diabetes 39% · Coronary heart disease 34% · Depression 31% · Atrial fibrillation 29% · Chronic kidney disease 28% · Heart failure 23% · Dementia 22% · Cancer 15% · COPD 13%.

The office billed $431,180, Medicare allowed $55,790 and paid $43,711; for 671 services of 24 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
2024189671711.79$431,180$43,711
2023149606701.67$337,537$39,031
2022142455671.51$319,338$35,454
202130513,566752.13$664,226$154,453
20203199,452762.02$600,707$140,860
20195488,520771.99$649,987$148,529
20187375,404771.83$641,815$141,554
20172971,752762.13$304,026$101,021
20167282,574781.85$410,976$138,753
20151,3095,371771.72$841,834$296,807
20141,2525,615771.61$866,926$298,514
20131,4345,910771.58$940,241$317,030

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: 5 services

Original Medicare services billed in 2023
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes85$16,789$48
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes46$8,591$77
Initial hospital care with moderate level of medical decision making at least 75 minutes32$5,522$167
Hospital discharge day management, more than 30 minutes32$3,588$112
Short return visit (20+ min)33$1,757$53

2022: 6 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes52$16,305$74
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes24$4,976$108
Initial hospital care with moderate level of medical decision making at least 75 minutes23$4,817$209
Hospital discharge day management, more than 30 minutes24$2,748$114
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes43$2,598$41
Short return visit (20+ min)29$1,700$57

2021: 9 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes122$45,122$63
Botox12$44,163None
Initial hospital care with moderate level of medical decision making at least 75 minutes80$14,522$175
Hospital discharge day management, more than 30 minutes53$5,067$94
Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity17$4,525$146
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes129$4,354$33
Muscle electrical test19$2,471$77
Short return visit (20+ min)15$1,569$75
Hospital discharge day management, 30 minutes or less15$950$63

2020: 8 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes131$55,032$62
Initial hospital care with moderate level of medical decision making at least 75 minutes85$15,840$178
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes150$7,406$34
Hospital discharge day management, more than 30 minutes52$4,941$91
Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity12$3,126$142
Muscle electrical test12$1,715$71
Return visit (30+ min)13$1,466$86
Hospital discharge day management, 30 minutes or less18$1,164$65

2019: 7 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes148$58,005$61
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes364$22,505$34
Initial hospital care with moderate level of medical decision making at least 75 minutes76$14,454$162
Hospital discharge day management, more than 30 minutes67$6,210$90
Return visit (30+ min)19$2,717$91
Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, first extremity11$2,276$126
Hospital discharge day management, 30 minutes or less32$1,984$62

2018: 5 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes197$72,678$59
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes526$31,508$32
Initial hospital care with moderate level of medical decision making at least 75 minutes77$12,816$160
Hospital discharge day management, more than 30 minutes58$5,135$89
Hospital discharge day management, 30 minutes or less40$2,371$59

2017: 6 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes179$68,643$57
Initial hospital care with moderate level of medical decision making at least 75 minutes71$13,084$164
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes157$12,332$32
Hospital discharge day management, more than 30 minutes53$4,663$85
Hospital discharge day management, 30 minutes or less19$1,121$59
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$926$84

2016: 6 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes299$79,175$59
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes505$30,926$32
Initial hospital care with moderate level of medical decision making at least 75 minutes89$15,685$165
Hospital discharge day management, more than 30 minutes89$8,007$88
Hospital discharge day management, 30 minutes or less48$2,876$60
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,350$112

2015: 6 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes621$167,918$62
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes980$69,068$33
Hospital discharge day management, more than 30 minutes260$24,587$92
Initial hospital care with moderate level of medical decision making at least 75 minutes117$20,587$170
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes63$7,320$113
Hospital discharge day management, 30 minutes or less109$6,878$63

2014: 6 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes554$157,744$60
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes980$79,102$33
Hospital discharge day management, more than 30 minutes275$25,846$91
Initial hospital care with moderate level of medical decision making at least 75 minutes105$18,680$168
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes74$8,586$116
Hospital discharge day management, 30 minutes or less104$6,397$61

2013: 7 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes700$173,204$60
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes1,045$75,474$32
Hospital discharge day management, more than 30 minutes248$23,205$90
Initial hospital care with moderate level of medical decision making at least 75 minutes103$17,987$168
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes132$15,528$114
Hospital discharge day management, 30 minutes or less124$7,548$61
Return visit (30+ min)14$1,432$84

Medicaid work

$173 in 2024

Medicaid paid $173 for 50 billed services this clinician did in 2024, up to 15 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 SF/LOW MDM 25 MINUTES22$173
Medication list documented in medical record (COA)15$0
Short return visit (20+ min)13$0
Medicaid work by year
202450315$173
2023282256$3,474
202224112$361
2021127214$4,904
2020135316$3,830
201931116$648
2018243213$6,295
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES180$3,045
Short return visit (20+ min)102$429

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES24$361

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES112$4,670
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES15$234

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES106$3,829
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications14$1
No documentation of pain assessment, reason not given15$0

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES31$648

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES144$4,429
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES99$1,866

Drugs they prescribed that Part D paid

$12,965

Pharmacies billed $12,965 in 2024.

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

166 generic and fewer than 11 brand-name prescriptions · $12,965 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
Baclofen11$157$14
Atorvastatin15$90$6

Year by year

Part D prescribing by year
202418840NoneNone$12,965
2023167430% (0)None$8,770
202295270% (0)None$8,715
202142481NoneNone$45,977
202053186NoneNone$42,420
201936777NoneNone$32,403
201847480NoneNone$38,589
201731952None14%$14,593
2016370705% (20)None$20,454
201574917214% (101)None$33,923
201478516911% (88)None$27,823
201391320313% (117)23%$43,483

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
Dantrolene12$1,911$159
Baclofen21$1,269$60
Atorvastatin12$128$11

2021: 10 drugs

Part D drugs prescribed in 2021
Baclofen15$701$47
Gabapentin18$382$21
Levetiracetam17$341$20
Atorvastatin46$298$6
Pantoprazole23$196$9
Carvedilol14$109$8
Amlodipine Besylate20$88$4
Famotidine11$84$8
Clopidogrel11$54$5
Metformin11$35$3

2020: 16 drugs

Part D drugs prescribed in 2020
Enoxaparin19$8,873$467
Eliquis12$5,670$472
Gabapentin24$451$19
Levetiracetam30$413$14
Metoprolol13$312$24
Hydralazine16$288$18
Pantoprazole28$271$10
Dexamethasone12$222$19
Atorvastatin40$217$5
Famotidine15$191$13
Tamsulosin13$170$13
Amlodipine Besylate34$152$4
Losartan12$80$7
Clopidogrel14$75$5
Metoprolol13$53$4
Metformin17$40$2

2019: 6 drugs

Part D drugs prescribed in 2019
Dantrolene13$1,054$81
Atorvastatin36$345$10
Famotidine12$114$9
Pantoprazole11$78$7
Amlodipine Besylate17$73$4
Metformin14$63$5

2018: 12 drugs

Part D drugs prescribed in 2018
Eliquis11$4,693$427
Atorvastatin54$480$9
Levetiracetam24$380$16
Dexamethasone12$199$17
Gabapentin12$186$16
Tamsulosin12$142$12
Metoprolol16$138$9
Pantoprazole19$123$6
Amlodipine Besylate33$122$4
Lisinopril18$98$5
Carvedilol15$88$6
Metformin20$70$4

2017: 7 drugs

Part D drugs prescribed in 2017
Atorvastatin30$303$10
Tamsulosin11$228$21
Levetiracetam12$176$15
Pantoprazole18$107$6
Famotidine13$74$6
Amlodipine Besylate12$59$5
Metformin11$40$4

2016: 8 drugs

Part D drugs prescribed in 2016
Enoxaparin11$3,899$354
Atorvastatin33$257$8
Levetiracetam15$157$10
Metoprolol30$123$4
Amlodipine Besylate30$108$4
Clopidogrel15$82$5
Lisinopril15$50$3
Famotidine11$45$4

2015: 22 drugs

Part D drugs prescribed in 2015
Xarelto24$4,763$198
Celecoxib12$844$70
Atorvastatin52$347$7
Oxycodone22$259$12
Pravastatin15$240$16
Oxycodone-Acetaminophen15$217$14
Metoprolol19$200$11
Pantoprazole28$164$6
Tamsulosin11$149$14
Metoprolol33$149$5
Gabapentin13$138$11
Levetiracetam11$134$12
Amlodipine Besylate29$133$5
Tramadol29$114$4
Levothyroxine15$113$8
Clopidogrel16$111$7
Furosemide23$95$4
Losartan19$87$5
Famotidine18$75$4
Lisinopril19$69$4
Hydromorphone11$66$6
Warfarin16$54$3

2014: 19 drugs

Part D drugs prescribed in 2014
Xarelto21$3,742$178
Januvia12$1,837$153
Atorvastatin41$435$11
Metoprolol21$359$17
Oxycodone-Acetaminophen20$227$11
Pravastatin14$221$16
Tamsulosin21$200$10
Metoprolol41$196$5
Amlodipine Besylate37$146$4
Oxycodone16$146$9
Tramadol28$137$5
Levothyroxine17$122$7
Pantoprazole20$120$6
Furosemide26$106$4
Losartan18$105$6
Gabapentin16$98$6
Lisinopril28$87$3
Hydromorphone14$82$6
Warfarin21$74$4

2013: 23 drugs

Part D drugs prescribed in 2013
Xarelto25$3,858$154
Celebrex17$2,214$130
Atorvastatin71$1,364$19
Fentanyl12$1,059$88
Oxycontin11$871$79
Losartan28$450$16
Hydralazine15$317$21
Amlodipine Besylate56$240$4
Oxycodone21$228$11
Carvedilol24$197$8
Lisinopril41$195$5
Tamsulosin18$180$10
Gabapentin15$167$11
Metoprolol12$165$14
Metoprolol31$157$5
Simvastatin15$143$10
Tramadol27$134$5
Oxycodone-Acetaminophen23$130$6
Hydromorphone17$121$7
Pantoprazole13$96$7
Levothyroxine16$83$5
Warfarin22$66$3
Furosemide15$38$3

Money from drug and device companies

$25 in 2025

Industry payments by year
202511None$25
202111None$17
202011None$11
20191013None$247

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
AbbvieBotox$25
1 payment
  • Meals for Botox · 2025-10-29 · $25
See the published payment
Every published payment
AbbvieMeals · 2025-10-29Botox$25
See earlier years (2021, 2020, 2019)

2021: $17

Payments by company in 2021
Merz PharmaceuticalsXeomin$17
1 payment
  • Meals for Xeomin · 2021-05-27 · $17

2020: $11

Payments by company in 2020
Vertical PharmaceuticalsNone$11
1 payment
  • Meals · 2020-01-28 · $11

2019: $247

Payments by company in 2019
AllerganBotox$108
3 payments
  • Meals for Botox · 2019-11-26 · $15
  • Meals for Botox · 2019-11-07 · $77
  • Meals for Botox · 2019-06-04 · $16
Merz North AmericaXeomin$22
2 payments
  • Meals for Xeomin · 2019-07-23 · $21
  • Meals for Xeomin · 2019-07-23 · $2
Abbott LaboratoriesProclaim Family of Scs Ipgs$20
1 payment
  • Meals for Proclaim Family of Scs Ipgs · 2019-06-21 · $20
ColoplastSpeedicath$17
1 payment
  • Meals for Speedicath · 2019-02-12 · $17
UcbBriviact$15
1 payment
  • Meals for Briviact · 2019-02-05 · $15
Ultragenyx PharmaceuticalCrysvita$14
1 payment
  • Meals for Crysvita · 2019-11-19 · $14
BiogenSpinraza$14
1 payment
  • Meals for Spinraza · 2019-03-26 · $14
Scilex PharmaceuticalsZtlido 30 Pouch in 1 Carton 1 Patch in 1 Pouch$13
1 payment
  • Meals for Ztlido 30 Pouch in 1 Carton 1 Patch in 1 Pouch · 2019-04-16 · $13
Collegium PharmaceuticalXtampza$12
1 payment
  • Meals for Xtampza · 2019-11-12 · $12
Janssen PharmaceuticalsXarelto$11
1 payment
  • Meals for Xarelto · 2019-07-16 · $11

Research money

Money a company paid to run a study. Where it went to their institution, the clinician is named as an investigator and did not receive it; the amount covers the whole study, often across many sites.

Research payments by company and study
MERZ NORTH AMERICA, INC. · Prospective, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study To Investigate the Efficacy and Safety of Nt 201 in the Treatment of Lower Limb Spasticity Caused By Stroke Or Traumatic Brain Injury in Adult Subjects, Followed By An Open Label Extension With Or Without Combined Upper Limb Treatment · 2019This clinician$1,451

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1043547656
Licence
CA C174002, NJ 25MA08726300California C174002: Current · expires 2027-07-31Texas W8064: ActiveNew Jersey 25MA08726300: Inactive
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 2081P0301X (2081P0301X); Federal specialty code 208100000X (208100000X)
Mailing address
1333 Moursund St, Houston, TX, 77030
NPI first listed
2009-11-03
NPI last updated
2026-08-19
NPI record certified
2026-08-19

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