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Caitlin Woulfe Pacheco, MD

Otolaryngology · Santa Clara

NPI 1063917847

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
4
1 carrier
Office
1

Offices

1 location · Permanente Medical Group Inc · 10,928 clinicians in this group

Looking this up.

Plans that list them

4 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Pacheco’s office at (408) 851-1000 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
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Dual Complete North P23 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Basic Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026

Original Medicare doctor bills

$7,916

Medicare paid this office $7,916 for 46 people.

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

Largest Original Medicare bills
Exam to assess movement of vocal cord flaps using an endoscope11$1,132$94

Who their Medicare patients are

46 Original Medicare patients in 2024. Average age 71 · Women 63% · Health risk score 2.67. Sicker patients than 9 in 10 peers; the typical otolaryngology clinician is at 1.19.

Conditions among them: High blood pressure 75% · Coronary heart disease 39% · Diabetes 37% · Depression 37% · COPD 33% · Atrial fibrillation 30% · Chronic kidney disease 28% · Heart failure 24%.

The office billed $40,909, Medicare allowed $10,071 and paid $7,916; for 101 services of 20 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
202446101712.67$40,909$7,916
20232538672.34$18,800$3,824

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.

Drugs they prescribed that Part D paid

$1,742

Pharmacies billed $1,742 in 2024.

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

90 generic and fewer than 11 brand-name prescriptions · $1,742 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
Omeprazole27$163$6

Year by year

Part D prescribing by year
20249343NoneNone$1,742
20237242NoneNone$1,312
20221105917% (19)None$2,119
2021966030% (29)None$2,374
2020664317% (11)None$2,145
201955250% (0)None$1,275
201811None0% (0)0%$222

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

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Omeprazole15$122$8

2022: 2 drugs

Part D drugs prescribed in 2022
Ibuprofen20$270$14
Oxycodone14$134$10

2021: 3 drugs

Part D drugs prescribed in 2021
Ibuprofen19$256$13
Oxycodone16$107$7
Hydrocodone-Acetaminophen11$95$9

2020: 1 drug

Part D drugs prescribed in 2020
Ibuprofen12$158$13

2019: 1 drug

Part D drugs prescribed in 2019
Chlorhexidine Gluconate15$293$20

Money from drug and device companies

$22 in 2025

Industry payments by year
202511None$22
202211None$122

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
Smith+NephewTula$22
1 payment
  • Meals for Tula · 2025-03-07 · $22
See the published payment
Every published payment
Smith+NephewMeals · 2025-03-07Tula$22
See earlier years (2022)

2022: $122

Payments by company in 2022
MedtronicNone$122
1 payment
  • Meals · 2022-09-07 · $122

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
95.3 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1063917847
Licence
OH 35.147955
Trained
Icahn School of Medicine at Mount Sinai, 2018
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Otolaryngology (207Y00000X); Student in a training program (390200000X)
Mailing address
700 Ackerman Rd Ste 2120, Columbus, OH, 43202
NPI first listed
2018-03-26
NPI last updated
2023-06-12
NPI record certified
2023-06-12

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