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Pedro Alvarez, MD

Family Practice · Stanford

NPI 1043717218

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
13
2 carriers
Offices
7

Offices

7 locations · Stanford Health Care · Faculty Physicians and Surgeons of Llusm · Sac Health System · County of Santa Clara

Looking this up.

Hospitals listed: Loma Linda University Medical Center. That is not proof they admit you there this week.

Plans that list them

13 plans · 2 carriers

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

13 of 13 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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A163467 · Current

Licensed to practise in California · since 2019 · expires 2027-07-31 · University of California, Irvine College of Medicine.

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

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
85.2 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

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.

  • Loma Linda University Medical CenterLoma Linda, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Loma Linda University Health, which runs 4 hospitalsPatients rate it 3 of 5 · 78% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 0.71 (0.47 to 0.96), Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.146, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.468, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.383, Oct 2024 – Sep 2025
See every measure and the patient survey for Loma Linda University Medical Center

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 5 better, 2 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 Loma Linda University Medical Center
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.71 (0.47 to 0.96)BetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.146BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.468BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.383BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.66 (0 to 1.53) · 2,053 casesNo differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths173.35 (135.58 to 211.11) · 169 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.3 · 54 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 79 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.9 · 100 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.1 · 285 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.6 · 272 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11 · 421 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 3,758 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.28 (0.09 to 0.47) · 7,732 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.33 (0.15 to 0.52) · 8,479 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.88 (1.14 to 4.63) · 2,571 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.04 (0 to 2.41) · 933 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.85 (1.66 to 4.04) · 2,380 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths5.16 (0.2 to 10.13) · 908 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths3.42 (0.42 to 6.42) · 988 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.29 (0.91 to 3.67) · 677 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.37 (0 to 0.85) · 7,115 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.2 · 37 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0.685No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.751No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.702No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.4 · 380 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21 · 660 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits15.1 · 167 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits29.6 · 365 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-17.5 · 282 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.6 · 513 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.4 (4 to 7.3) · 422 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (10.2 to 15.5) · 422 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.8 · 36 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.4 · 89 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.5 · 190 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.6 (10.4 to 18.1) · 720 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 778 casesNo differentJan 2024 – Dec 2024

What patients said (3,684 patients answered, 19% of those asked)

Patient survey stars by topic at Loma Linda University Medical Center
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Loma Linda University Medical Center
Room was "always" clean73%
Nurses "always" communicated well75%
Doctors "always" communicated well77%
Staff "always" explained57%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand72%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)74%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night52%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects43%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$21,756

Medicare paid this office $21,756 for 118 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 minutes68$11,865$60
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes59$6,087$92
Hospital discharge day management, 30 minutes or less51$3,061$60
Hemoglobin a1c level14$125$7

Who their Medicare patients are

118 Original Medicare patients in 2024. Average age 70 · Under 65 20% · 85 and older 15% · Women 60% · Also on Medicaid 57% · Health risk score 2.29. Sicker patients than 9 in 10 peers; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 75% · Diabetes 58% · Chronic kidney disease 53% · Heart failure 38% · Depression 38% · Coronary heart disease 27% · COPD 26% · Stroke 25% · Atrial fibrillation 21% · Cancer 19% · Dementia 16%.

The office billed $83,396, Medicare allowed $28,715 and paid $21,756; for 343 services of 13 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
2024118343702.29$83,396$21,756
20233165721.61$13,238$3,790

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: 1 service

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,796$64

Medicaid work

$587,841 in 2024

Medicaid paid $587,841 for 13,698 billed services this clinician did in 2024, up to 234 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
Clinic visit/encounter, all-inclusive1,346$574,571
ANTEPARTUM CARE ONLY 4-6 VISITS133$7,964
Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use25$2,951
Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use95$1,742
Return visit (30+ min)1,749$425
Short return visit (20+ min)859$123
Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use15$42
Hemoglobin A1C level152$9
Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument213$6
Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use17$4
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)366$4
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)1,873$0
Medicaid work by year
202413,69823234$587,841
202320,36231318$1,034,429
20222,5055190$197,620
20211,58710176$148,951
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive2,487$1,016,792
Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use66$7,639
Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use52$5,854
Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use89$1,540
ANTEPARTUM CARE ONLY 4-6 VISITS15$898
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES27$486
Return visit (30+ min)1,947$386
Short return visit (20+ min)2,037$372
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, bivalent spike protein, preservative free, 30 mcg/0.3 mL dosage, tris-sucrose formulation, booster dose28$140
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)80$111
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use165$97
Developmental screening24$59

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive966$194,304
Short return visit (20+ min)907$1,715
Return visit (30+ min)273$878
Short return visit346$724
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit13$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive697$147,996
Short return visit (20+ min)438$509
Return visit (30+ min)124$307
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use71$50
Short return visit116$49
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years15$41
Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use14$0
Pure tone audiometry (threshold); air only53$0
Bilateral quantitative screening test of visual acuity44$0
New patient visit (30+ min)15$0

Drugs they prescribed that Part D paid

$193,111

Pharmacies billed $193,111 in 2024.

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

Opioids were 2% of their Part D prescriptions (26 of 1,457) in 2024. At or below the middle of the specialty; the typical family practice clinician is at 2%.

1,116 generic and 287 brand-name prescriptions · $193,111 in drug cost · 83 antibiotic prescriptions to 54 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
Ozempic29$31,940$1,101
Jardiance27$20,711$767
Rybelsus17$19,307$1,136
Trulicity20$18,685$934
Eliquis12$8,608$717
See all 42 drugs
Every Part D drug this clinician prescribed
Ozempic29$31,940$1,101
Jardiance27$20,711$767
Rybelsus17$19,307$1,136
Trulicity20$18,685$934
Eliquis12$8,608$717
Farxiga11$8,073$734
Basaglar Kwikpen U-10011$3,115$283
Lantus Solostar14$1,273$91
Atorvastatin126$1,163$9
Albuterol Sulfate Hfa26$934$36
Diclofenac17$504$30
Gabapentin36$383$11
Duloxetine13$265$20
Losartan44$251$6
Lisinopril52$232$4
Metformin38$216$6
Famotidine15$200$13
Pantoprazole22$191$9
Tamsulosin28$171$6
Sertraline29$163$6
Amlodipine Besylate46$160$3
Montelukast18$154$9
Spironolactone13$143$11
Benazepril15$138$9
Omeprazole21$128$6
Fluticasone Propionate18$123$7
Levothyroxine15$122$8
Amoxicillin-Clavulanate Potass15$106$7
Hydrocodone-Acetaminophen12$104$9
Metformin Hcl Er14$98$7
Naproxen14$96$7
Carvedilol22$90$4
Metoprolol11$80$7
Ibuprofen13$74$6
Furosemide14$67$5
Alcohol Pads11$66$6
Pregabalin16$63$4
Topiramate11$62$6
Baclofen13$55$4
Hydrochlorothiazide24$38$2
Paroxetine13$25$2
Prednisone16$23$1

Year by year

Part D prescribing by year
20241,4573032% (26)20%$193,111
20231,3172631% (14)22%$218,665
20222,2342052% (38)17%$241,772
2021537152NoneNone$63,585
2020346510% (0)None$18,010
201938150% (0)None$4,969

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

See the drugs prescribed each year

2023: 27 drugs

Part D drugs prescribed in 2023
Jardiance26$36,968$1,422
Trulicity32$35,138$1,098
Rybelsus18$23,083$1,282
Ozempic13$12,440$957
Symbicort32$12,132$379
Eliquis11$11,437$1,040
Basaglar Kwikpen U-10012$2,995$250
Diclofenac26$2,035$78
Atorvastatin98$1,959$20
Albuterol Sulfate Hfa21$854$41
Omeprazole32$812$25
Losartan59$531$9
Levothyroxine46$530$12
Metformin36$499$14
Amlodipine Besylate53$468$9
Lisinopril41$389$9
Metformin Hcl Er19$380$20
Gabapentin25$365$15
Tamsulosin16$315$20
Finasteride14$232$17
Pravastatin21$210$10
Fluticasone Propionate19$182$10
Hydrochlorothiazide41$141$3
Ibuprofen15$119$8
Topiramate11$75$7
Carvedilol16$60$4
Clopidogrel12$38$3

2022: 44 drugs

Part D drugs prescribed in 2022
Jardiance55$55,172$1,003
Trulicity43$47,946$1,115
Rybelsus17$20,952$1,232
Synjardy17$14,798$870
Symbicort20$7,096$355
Basaglar Kwikpen U-10016$3,551$222
Flovent Hfa11$2,855$260
Atorvastatin145$2,129$15
Pravastatin123$1,727$14
Albuterol Sulfate Hfa39$1,513$39
Levothyroxine119$1,311$11
Tamsulosin33$1,186$36
Amlodipine Besylate156$1,142$7
Metformin107$1,102$10
Omeprazole83$938$11
Metoprolol38$876$23
Losartan102$791$8
Baclofen12$612$51
Enalapril Maleate12$611$51
Lisinopril56$459$8
Clotrimazole14$456$33
Montelukast17$454$27
Diclofenac25$425$17
Gabapentin37$368$10
Fluticasone Propionate28$356$13
Metoprolol36$353$10
Hydrocodone-Acetaminophen20$348$17
Clopidogrel61$306$5
Hydrochlorothiazide66$259$4
Propranolol15$228$15
Carvedilol44$218$5
Alendronate32$190$6
Simvastatin14$178$13
Famotidine31$161$5
Benazepril12$141$12
Pregabalin14$140$10
Venlafaxine Hcl Er12$129$11
Trazodone13$123$9
Escitalopram14$113$8
Naproxen19$103$5
Hydroxyzine13$79$6
Cyclobenzaprine12$66$5
Glipizide15$65$4
Furosemide11$33$3

2021: 15 drugs

Part D drugs prescribed in 2021
Jardiance18$14,671$815
Trulicity11$9,576$871
Atorvastatin31$628$20
Duloxetine16$624$39
Tamsulosin14$367$26
Diclofenac13$348$27
Levothyroxine16$340$21
Pravastatin30$277$9
Metformin32$179$6
Amlodipine Besylate28$167$6
Fluticasone Propionate14$142$10
Gabapentin12$135$11
Lisinopril19$108$6
Losartan12$102$9
Omeprazole12$89$7

2020: 9 drugs

Part D drugs prescribed in 2020
Buprenorphine-Naloxone11$720$65
Atorvastatin24$346$14
Gabapentin15$191$13
Losartan20$183$9
Metformin19$143$8
Lisinopril23$114$5
Amlodipine Besylate20$106$5
Sertraline11$86$8
Pantoprazole12$62$5

Money from drug and device companies

$17 in 2025

Industry payments by year
202511None$17
202311None$24

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
DexcomDexcom G6 Transmitter$17
1 payment
  • Meals for Dexcom G6 Transmitter · 2025-10-01 · $17
See the published payment
Every published payment
DexcomMeals · 2025-10-01Dexcom G6 Transmitter$17
See earlier years (2023)

2023: $24

Payments by company in 2023
Abbott LaboratoriesFreestyle Libre 3$24
1 payment
  • Meals for Freestyle Libre 3 · 2023-08-23 · $24

Professional record

NPI
1043717218
Licence
CA A163467California A163467: Current · expires 2027-07-31
Trained
University of California, Irvine, California College of Medicine, 2018
Group
Stanford Health Care · Faculty Physicians and Surgeons of Llusm · Sac Health System · County of Santa Clara
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Family medicine (207Q00000X); Student in a training program (390200000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2018-04-12
NPI last updated
2026-04-17
NPI record certified
2026-04-17

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

Extra NPI addresses: 25333 Barton Rd, Loma Linda, CA, 92350 · 250 S G St, San Bernardino, CA, 92410