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Alexander D Macbriar, MD

Internal Medicine · Stanford

NPI 1073931895

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
12 years
Medical College of Wisconsin, 2014

Offices

1 location · Stanford Health Care · 3,152 clinicians in this group

Looking this up.

Hospitals listed: Stanford Health Care Tri-Valley. 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. Macbriar’s office at (650) 723-4000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A170994 · Current

Licensed to practise in California · since 2020 · expires 2026-12-31 · Medical College of Wisconsin.

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

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 Internal Medicine - Internal Medicine

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.

  • Stanford Health Care Tri-ValleyPleasanton, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Stanford Health Care, which runs 3 hospitalsPatients rate it 3 of 5 · 74% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.178, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.237, Oct 2024 – Sep 2025
See every measure and the patient survey for Stanford Health Care Tri-Valley

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 7 the same, 0 worse of 9 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 Tri-Valley
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.178BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.237BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.79 (0 to 1.73) · 1,041 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.79 (0.5 to 1.08)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths145.81 (96.5 to 195.12) · 72 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.9 · 55 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.6 · 92 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.5 · 96 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.5 · 395 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 391 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 162 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 1,736 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.37) · 4,425 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.22 (0.02 to 0.41) · 4,771 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.45 (1.46 to 5.44) · 1,403 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.5 (0.05 to 2.94) · 645 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.81 (0.38 to 3.24) · 1,279 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.53 (3.2 to 13.85) · 639 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.15 (1.89 to 8.41) · 648 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.14 to 3.07) · 370 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.16 (0 to 0.83) · 4,160 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 74 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.369No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.112No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.1 · 110 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.1 · 437 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-5.8 · 94 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-19.3 · 456 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-0.3 · 402 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.8 · 358 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.8 (4.7 to 9.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.1 (7.5 to 13.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.9 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.3 · 92 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.6 to 16.2) · 1,532 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.2) · 929 casesNo differentJan 2024 – Dec 2024

What patients said (1,268 patients answered, 26% of those asked)

Patient survey stars by topic at Stanford Health Care Tri-Valley
Cleanliness3
Nurse communication3
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Stanford Health Care Tri-Valley
Room was "always" clean65%
Nurses "always" communicated well77%
Doctors "always" communicated well79%
Staff "always" explained58%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night42%
"YES", patients would definitely recommend the hospital74%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$90,662

Medicare paid this office $90,662 for 312 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 minutes194$61,501$103
Hospital discharge day management, more than 30 minutes120$12,821$103
Initial hospital care with moderate level of medical decision making at least 75 minutes68$9,866$145
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes44$5,073$69

Who their Medicare patients are

312 Original Medicare patients in 2024. Average age 78 · Under 65 8% · 85 and older 28% · Women 49% · Also on Medicaid 34% · Health risk score 2.68. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Chronic kidney disease 67% · Coronary heart disease 58% · Heart failure 48% · Diabetes 44% · Atrial fibrillation 40% · Depression 30% · COPD 26% · Cancer 24% · Dementia 24% · Stroke 18%.

The office billed $367,562, Medicare allowed $115,886 and paid $90,662; for 876 services of 8 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
2024312876782.68$367,562$90,662
2023242596782.60$240,890$58,382
2022233596732.39$229,986$49,786
2021193512722.41$171,692$34,718
2020214516722.35$176,245$36,378
2019209535702.73$177,992$36,278
2018266786703.08$230,224$52,671
2017100238712.44$70,887$16,527

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 moderate levelof medical decision making at least 50 minutes97$21,357$104
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes69$11,226$68
Hospital discharge day management, more than 30 minutes100$10,607$101
Initial hospital care with moderate level of medical decision making at least 75 minutes66$10,149$151
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes36$4,180$113

2022: 6 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes79$19,630$84
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes75$10,451$56
Initial hospital care with moderate level of medical decision making at least 75 minutes54$9,312$166
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes30$3,363$112
Hospital discharge day management, more than 30 minutes26$2,532$94
Hospital discharge day management, 30 minutes or less26$1,435$55

2021: 6 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes101$15,241$54
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes32$5,395$78
Initial hospital care with moderate level of medical decision making at least 75 minutes31$4,716$152
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes27$2,781$103
Hospital discharge day management, 30 minutes or less44$2,415$54
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes13$985$76

2020: 6 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes99$14,917$56
Initial hospital care with moderate level of medical decision making at least 75 minutes35$5,504$157
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes37$4,977$80
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes31$3,303$107
Hospital discharge day management, 30 minutes or less45$2,528$56
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes16$1,398$78

2019: 6 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes110$17,008$55
Initial hospital care with moderate level of medical decision making at least 75 minutes31$4,774$154
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes32$4,279$79
Hospital discharge day management, 30 minutes or less56$3,175$56
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes23$2,390$104
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes12$917$76

2018: 5 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes165$26,010$55
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes63$9,155$80
Initial hospital care with moderate level of medical decision making at least 75 minutes46$7,118$155
Hospital discharge day management, 30 minutes or less78$4,474$56
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes23$2,394$104

2017: 4 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes51$6,584$55
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes16$2,795$80
Initial hospital care with moderate level of medical decision making at least 75 minutes18$2,787$155
Hospital discharge day management, 30 minutes or less35$1,946$56

Medicaid work

$1,763 in 2024

Medicaid paid $1,763 for 70 billed services this clinician did in 2024, 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 2024
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES70$1,763
Medicaid work by year
202470114$1,763
2019105115$883
2018175115$1,848
See the largest Medicaid services in earlier years

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES105$883

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES175$1,848

Drugs they prescribed that Part D paid

$21,218

Pharmacies billed $21,218 in 2024.

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

Opioids were 10% of their Part D prescriptions (25 of 253) in 2024. A higher opioid share than 9 in 10 peers; the typical internal medicine clinician is at 1%.

228 generic and 25 brand-name prescriptions · $21,218 in drug cost · 42 antibiotic prescriptions to 24 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
Eliquis11$6,833$621
Bumetanide11$275$25
Oxycodone18$106$6
Atorvastatin12$39$3

Year by year

Part D prescribing by year
20242539310% (25)10%$21,218
20231666710% (16)10%$11,030
202211044NoneNone$9,454
202111145NoneNone$6,488
202014638NoneNone$14,236
2019122469% (11)None$13,279
2018170599% (15)None$9,536
20174124NoneNone$2,228
20165719NoneNone$3,628
201561180% (0)None$3,540
201426None0% (0)None$1,541

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

See the drugs prescribed each year

2019: 1 drug

Part D drugs prescribed in 2019
Eliquis11$5,002$455

2018: 1 drug

Part D drugs prescribed in 2018
Pantoprazole12$98$8

Professional record

NPI
1073931895
Licence
CA A170994, WI 64933California A170994: Current · expires 2026-12-31
Trained
Medical College of Wisconsin, 2014 · 12 years ago
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X); Hospitalist (208M00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2014-03-29
NPI last updated
2024-04-19
NPI record certified
2024-04-19

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

Extra NPI addresses: 5555 W Las Positas Blvd, Pleasanton, CA, 94588