Steven Barry Machtinger, MD

Offices

2 locations · Regents of the University of California - UCSF · Steven Machtinger MD and Associates Inc

Looking this up.

Hospitals listed: Mills-Peninsula Medical Center. That is not proof they admit you there this week.

Plans that list them

15 plans · 4 carriers

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

15 of 15 plans

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Plans whose provider directory lists this clinician

Alignment Health BreathEasy (HMO C-SNP)	Alignment Health Plan	Listed	Oct 3, 2026
Alignment Health Clarity (HMO C-SNP)	Alignment Health Plan	Listed	Oct 3, 2026
Alignment Health Harmony (HMO)	Alignment Health Plan	Listed	Oct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)	Alignment Health Plan	Listed	Oct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)	Alignment Health Plan	Listed	Oct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)	Alignment Health Plan	Listed	Sep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)	Alignment Health Plan	Listed	Sep 28, 2026
Alignment Health Honor+ Plan (HMO)	Alignment Health Plan	Listed	Oct 3, 2026
Alignment Health My Choice CalCare (HMO)	Alignment Health Plan	Listed	Oct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)	Anthem Blue Cross	Listed	Oct 3, 2026
Anthem Medicare Advantage (HMO-POS)	Anthem Blue Cross	Listed	Oct 3, 2026
Anthem Prime (HMO-POS)	Anthem Blue Cross Partnership Plan	Listed	Oct 3, 2026
Imperial Courage Plan (HMO)	Imperial Health Plan of California, Inc.	Listed	Sep 1, 2026
Imperial Dynamic Plan (HMO)	Imperial Health Plan of California, Inc.	Listed	Sep 1, 2026
Imperial Senior Value (HMO C-SNP)	Imperial Health Plan of California, Inc.	Listed	Sep 1, 2026

California Medical Board record

Licence G42041 · Current

Licensed to practise in California · since 1980 · expires 2028-03-31 · University of Pittsburgh School of Medicine.

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

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.

Peninsula Medical CenterBurlingame, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 78% would definitely recommend it
Overall rating: 5 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.139, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.242, Oct 2024 – Sep 2025

See every measure and the patient survey for Peninsula Medical Center

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: 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.

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Every scored measure at Peninsula Medical Center

Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections	0.139	Better	Oct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections	0.242	Better	Oct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths	1.21 (0.27 to 2.15) · 1,258 cases	No different	Jul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths	0.81 (0.51 to 1.1)	No different	Jul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths	155.44 (112.67 to 198.21) · 90 cases	No different	Jul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths	2.5 · 32 cases	None	Jul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths	7.1 · 82 cases	None	Jul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths	10 · 188 cases	None	Jul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths	9 · 473 cases	None	Jul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths	14.8 · 342 cases	None	Jul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths	9.4 · 485 cases	None	Jul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths	2.9 · 3,730 cases	None	Jul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths	0.2 (0 to 0.4) · 6,904 cases	No different	Jul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths	0.21 (0.02 to 0.4) · 7,052 cases	No different	Jul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths	3.41 (1.43 to 5.39) · 1,695 cases	No different	Jul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths	1.72 (0.17 to 3.28) · 665 cases	No different	Jul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths	2.11 (0.66 to 3.56) · 1,545 cases	No different	Jul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths	7.1 (1.3 to 12.9) · 670 cases	No different	Jul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths	5.96 (2.63 to 9.29) · 653 cases	No different	Jul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths	1.61 (0.15 to 3.08) · 418 cases	No different	Jul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths	0.14 (0 to 0.78) · 5,539 cases	No different	Jul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths	3.7 · 192 cases	None	Apr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections	0.215	No different	Oct 2024 – Sep 2025
MRSA BacteremiaInfections	0.263	No different	Oct 2024 – Sep 2025
SSI - Colon SurgeryInfections	0.74	No different	Oct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits	14.3 · 300 cases	None	Jul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits	19 · 702 cases	None	Jul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits	1.2 · 207 cases	None	Jul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits	-13.6 · 531 cases	None	Jul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits	24.3 · 343 cases	None	Jul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits	18.1 · 449 cases	None	Jul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits	4.5 (2.8 to 7) · 85 cases	No different	Jan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits	9.6 (6.7 to 13.7) · 85 cases	No different	Jan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits	5.7 · 189 cases	None	Jul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits	11 · 45 cases	None	Jul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits	20.6 · 117 cases	None	Jul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits	13 (9.7 to 17.2) · 584 cases	No different	Jan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits	0.9 (0.7 to 1.2) · 764 cases	No different	Jan 2024 – Dec 2024

What patients said (523 patients answered, 27% of those asked)

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Patient survey stars by topic at Peninsula Medical Center

Cleanliness	4
Nurse communication	4
Doctor communication	4
Communication about medicines	3
Discharge information	4
Overall hospital rating	4
Quietness	3
Recommend hospital	5

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Share of patients giving the best answer at Peninsula Medical Center

Room was "always" clean	76%
Nurses "always" communicated well	81%
Doctors "always" communicated well	80%
Staff "always" explained	58%
Yes, staff "did" give patients this information	89%
Yes, staff "did" give patients information about help after discharge	87%
Doctors "always" explained things so they could understand	74%
Doctors "always" listened carefully	79%
Doctors "always" treated them with courtesy and respect	87%
Patients who gave a rating of "9" or "10" (high)	75%
Staff "always" explained new medications	72%
Nurses "always" explained things so they could understand	77%
Nurses "always" listened carefully	79%
Nurses "always" treated them with courtesy and respect	88%
"Always" quiet at night	54%
"YES", patients would definitely recommend the hospital	78%
Staff "always" explained possible side effects	44%
Yes, staff "did" give patients information about possible symptoms	90%

Original Medicare doctor bills

$168,444

Medicare paid this office $168,444 for 118 people.

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

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Largest Original Medicare bills

Professional service for preparation and provision of 1 or more antigens	28	$8,896	$15
Short return visit (20+ min)	58	$6,376	$75
Return visit (30+ min)	39	$6,225	$106
New patient visit (45+ min)	30	$4,487	$150
Test for allergy using allergenic extract	13	$2,982	$3

See all 10 services

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Every Original Medicare service billed

Professional service for preparation and provision of 1 or more antigens	28	$8,896	$15
Short return visit (20+ min)	58	$6,376	$75
Return visit (30+ min)	39	$6,225	$106
New patient visit (45+ min)	30	$4,487	$150
Test for allergy using allergenic extract	13	$2,982	$3
Professional service for multiple injections of allergen	17	$2,602	$13
Injection of drug or substance under skin or into muscle	13	$2,564	$13
Professional service for single injection of allergen	18	$2,119	$10
Test to measure expiratory airflow and volume	47	$1,642	$26
Test to measure the level of nitric oxide gas	41	$1,109	$18

Who their Medicare patients are

118 Original Medicare patients in 2024. Average age 75 · Women 63% · Health risk score 0.80. At or below the middle of the specialty; the typical allergy/ immunology clinician is at 1.

Conditions among them: High blood pressure 58% · Cancer 17% · COPD 17% · Depression 17% · Coronary heart disease 16% · Atrial fibrillation 16% · Diabetes 15% · Chronic kidney disease 11% · Heart failure 9%.

The office billed $396,303, Medicare allowed $217,188 and paid $168,444; for 6,736 services of 22 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

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Original Medicare by year

2024	118	6,736	75	0.80	$396,303	$168,444
2023	109	5,576	74	0.76	$298,395	$131,233
2022	105	4,043	73	0.70	$196,268	$84,170
2021	90	3,956	74	0.83	$176,257	$88,528
2020	91	3,663	74	0.80	$180,154	$94,567
2019	96	5,111	73	0.77	$219,043	$110,871
2018	93	4,451	73	0.84	$172,862	$89,414
2017	91	4,193	72	0.83	$170,411	$87,334
2016	95	3,236	72	0.75	$131,953	$62,801
2015	105	2,128	72	0.78	$89,783	$36,878
2014	74	1,432	74	0.85	$68,356	$27,556
2013	86	2,162	73	0.91	$72,072	$33,356

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: 10 services

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Original Medicare services billed in 2023

Professional service for preparation and provision of 1 or more antigens	25	$8,637	$14
Short return visit (20+ min)	62	$8,187	$74
New patient visit (45+ min)	35	$4,945	$141
Test for allergy using allergenic extract	16	$3,665	$4
Return visit (30+ min)	26	$3,332	$115
Professional service for multiple injections of allergen	16	$2,460	$12
Professional service for single injection of allergen	19	$2,163	$10
Injection of drug or substance under skin or into muscle	11	$1,880	$12
Test to measure expiratory airflow and volume	35	$1,313	$25
Test to measure the level of nitric oxide gas	33	$799	$16

2022: 9 services

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Original Medicare services billed in 2022

Professional service for preparation and provision of 1 or more antigens	25	$9,074	$16
Short return visit (20+ min)	55	$6,574	$76
New patient visit (45+ min)	30	$3,903	$130
Test for allergy using allergenic extract	12	$3,237	$4
Return visit (30+ min)	22	$2,761	$95
Professional service for multiple injections of allergen	17	$2,479	$10
Professional service for single injection of allergen	16	$1,698	$8
Test to measure expiratory airflow and volume	28	$975	$25
Test to measure the level of nitric oxide gas	29	$768	$19

2021: 9 services

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Original Medicare services billed in 2021

Professional service for preparation and provision of 1 or more antigens	21	$9,367	$16
Short return visit (20+ min)	42	$5,151	$77
New patient visit (45+ min)	26	$3,533	$136
Test for allergy using allergenic extract	12	$3,080	$4
Return visit (30+ min)	18	$2,624	$105
Professional service for multiple injections of allergen	17	$2,460	$11
Professional service for single injection of allergen	14	$1,066	$8
Test to measure expiratory airflow and volume	23	$846	$30
Test to measure the level of nitric oxide gas	18	$383	$21

2020: 6 services

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Original Medicare services billed in 2020

Professional service for preparation and provision of 1 or more antigens	29	$8,161	$14
Short return visit (20+ min)	40	$3,534	$54
New patient visit (45+ min)	23	$3,234	$141
Return visit (30+ min)	19	$1,788	$85
Professional service for multiple injections of allergen	18	$1,707	$10
Professional service for single injection of allergen	16	$1,247	$8

2019: 8 services

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Original Medicare services billed in 2019

Professional service for preparation and provision of 1 or more antigens	30	$10,761	$14
Short return visit (20+ min)	61	$7,449	$63
Test for allergy using allergenic extract	12	$3,268	$4
New patient visit (45+ min)	23	$3,162	$137
Professional service for multiple injections of allergen	21	$2,867	$11
Professional service for single injection of allergen	21	$2,488	$8
Test to measure expiratory airflow and volume	32	$1,679	$34
Test to measure the level of nitric oxide gas	15	$379	$20

2018: 9 services

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Original Medicare services billed in 2018

Professional service for preparation and provision of 1 or more antigens	28	$8,405	$11
Short return visit (20+ min)	60	$5,919	$54
Test for allergy using allergenic extract	13	$3,546	$5
New patient visit (45+ min)	20	$2,564	$128
Professional service for single injection of allergen	16	$1,963	$8
Test to measure expiratory airflow and volume	36	$1,743	$31
Professional service for multiple injections of allergen	16	$1,683	$9
Return visit (30+ min)	11	$1,269	$85
Test to measure the level of nitric oxide gas	15	$421	$17

2017: 8 services

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Original Medicare services billed in 2017

Professional service for preparation and provision of 1 or more antigens	28	$7,881	$12
Short return visit (20+ min)	62	$6,760	$59
New patient visit (45+ min)	22	$2,738	$124
Professional service for multiple injections of allergen	20	$2,513	$10
Return visit (30+ min)	15	$2,021	$75
Test to measure expiratory airflow and volume	34	$1,837	$31
Professional service for single injection of allergen	16	$1,719	$8
Test to measure the level of nitric oxide gas	16	$453	$19

2016: 7 services

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Original Medicare services billed in 2016

Short return visit (20+ min)	54	$7,392	$63
Professional service for preparation and provision of 1 or more antigens	28	$7,335	$12
Return visit (30+ min)	27	$4,474	$88
New patient visit (45+ min)	19	$2,404	$127
Professional service for multiple injections of allergen	16	$1,826	$10
Test to measure expiratory airflow and volume	33	$1,740	$35
Professional service for single injection of allergen	13	$1,229	$8

2015: 8 services

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Original Medicare services billed in 2015

Short return visit (20+ min)	61	$6,034	$61
Test for allergy using allergenic extract	16	$5,148	$6
New patient visit (45+ min)	36	$4,840	$134
Professional service for preparation and provision of 1 or more antigens	25	$4,605	$11
Return visit (30+ min)	27	$3,796	$93
Professional service for multiple injections of allergen	18	$2,358	$9
Professional service for single injection of allergen	11	$1,935	$9
Test to measure expiratory airflow and volume	24	$1,105	$33

2014: 7 services

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Original Medicare services billed in 2014

Return visit (30+ min)	25	$6,037	$93
Short return visit (20+ min)	40	$4,217	$64
Professional service for preparation and provision of 1 or more antigens	24	$4,178	$12
New patient visit (45+ min)	23	$3,400	$148
Professional service for multiple injections of allergen	21	$2,611	$10
Professional service for single injection of allergen	14	$1,385	$8
Test to measure expiratory airflow and volume	13	$589	$35

2013: 8 services

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Original Medicare services billed in 2013

Test for allergy using allergenic extract	16	$7,142	$7
Professional service for preparation and provision of 1 or more antigens	25	$6,489	$13
Return visit (30+ min)	25	$5,040	$99
Short return visit (20+ min)	52	$4,588	$60
New patient visit (45+ min)	26	$3,788	$146
Professional service for multiple injections of allergen	23	$2,979	$10
Professional service for single injection of allergen	15	$1,407	$9
Test to measure expiratory airflow and volume	16	$610	$36

Drugs they prescribed that Part D paid

$357,569

Pharmacies billed $357,569 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 404) in 2024. At or below the middle of the specialty; the typical allergy/ immunology clinician is at 0%.

179 generic and 225 brand-name prescriptions · $357,569 in drug cost · 29 antibiotic prescriptions to 18 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.

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Largest Part D drug costs

Nucala	17	$120,983	$7,117
Dupixent	11	$42,053	$3,823
Trelegy Ellipta	25	$21,951	$878
Breo Ellipta	20	$17,502	$875
Arnuity Ellipta	16	$12,813	$801

See all 15 drugs

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Every Part D drug this clinician prescribed

Nucala	17	$120,983	$7,117
Dupixent	11	$42,053	$3,823
Trelegy Ellipta	25	$21,951	$878
Breo Ellipta	20	$17,502	$875
Arnuity Ellipta	16	$12,813	$801
Spiriva Respimat	17	$12,799	$753
Epinephrine	30	$6,261	$209
Symbicort	18	$5,887	$327
Advair Hfa	15	$5,836	$389
Breyna	12	$1,816	$151
Ipratropium	24	$667	$28
Albuterol Sulfate Hfa	21	$554	$26
Montelukast	21	$174	$8
Prednisone	14	$78	$6
Azithromycin	13	$74	$6

Year by year

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Part D prescribing by year

2024	404	97	0% (0)	56%	$357,569
2023	463	104	0% (0)	57%	$404,219
2022	481	98	0% (0)	57%	$366,661
2021	433	78	0% (0)	55%	$221,374
2020	514	87	0% (0)	54%	$205,867
2019	417	81	0% (0)	48%	$134,337
2018	468	74	0% (0)	54%	$155,057
2017	486	74	0% (0)	53%	$159,747
2016	532	68	0% (0)	52%	$132,242
2015	353	69	0% (0)	48%	$100,926
2014	303	52	0% (0)	49%	$60,711
2013	323	54	0% (0)	58%	$52,929

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

See the drugs prescribed each year

2023: 16 drugs

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Part D drugs prescribed in 2023

Nucala	42	$143,546	$3,418
Dupixent	28	$99,772	$3,563
Trelegy Ellipta	27	$25,143	$931
Breo Ellipta	27	$17,396	$644
Spiriva Respimat	19	$14,178	$746
Symbicort	25	$13,800	$552
Advair Hfa	16	$6,883	$430
Epinephrine	20	$5,464	$273
Wixela Inhub	12	$5,040	$420
Ipratropium	21	$1,179	$56
Montelukast	33	$735	$22
Albuterol Sulfate Hfa	20	$671	$34
Flunisolide	12	$602	$50
Fluticasone Propionate	11	$390	$35
Amoxicillin-Clavulanate Potass	11	$209	$19
Azithromycin	12	$71	$6

2022: 14 drugs

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Part D drugs prescribed in 2022

Dupixent	42	$141,221	$3,362
Nucala	15	$57,485	$3,832
Trelegy Ellipta	33	$28,075	$851
Symbicort	34	$15,822	$465
Breo Ellipta	29	$12,635	$436
Spiriva Respimat	16	$11,106	$694
Wixela Inhub	24	$8,708	$363
Advair Hfa	17	$6,871	$404
Epinephrine	18	$4,680	$260
Albuterol Sulfate Hfa	22	$1,020	$46
Ipratropium	21	$839	$40
Flunisolide	13	$666	$51
Montelukast	33	$581	$18
Fluticasone Propionate	11	$325	$30

2021: 12 drugs

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Part D drugs prescribed in 2021

Dupixent	19	$61,380	$3,231
Nucala	14	$44,431	$3,174
Symbicort	26	$19,022	$732
Breo Ellipta	40	$15,493	$387
Wixela Inhub	20	$6,862	$343
Advair Hfa	16	$5,435	$340
Epinephrine	20	$4,879	$244
Azelastine	23	$1,418	$62
Ipratropium	14	$1,146	$82
Albuterol Sulfate Hfa	22	$1,038	$47
Montelukast	44	$870	$20
Flunisolide	12	$604	$50

2020: 14 drugs

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Part D drugs prescribed in 2020

Xolair	27	$54,937	$2,035
Nucala	12	$36,882	$3,074
Breo Ellipta	47	$19,276	$410
Symbicort	20	$14,884	$744
Wixela Inhub	25	$7,028	$281
Advair Diskus	15	$6,932	$462
Advair Hfa	12	$4,588	$382
Dymista	19	$3,749	$197
Ipratropium	27	$1,927	$71
Azelastine	24	$1,511	$63
Albuterol Sulfate Hfa	30	$1,243	$41
Montelukast	57	$1,146	$20
Flunisolide	12	$582	$48
Triamcinolone Acetonide	12	$308	$26

2019: 14 drugs

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Part D drugs prescribed in 2019

Xolair	14	$31,727	$2,266
Spiriva Respimat	20	$12,161	$608
Symbicort	17	$11,002	$647
Breo Ellipta	21	$7,411	$353
Advair Diskus	17	$4,577	$269
Wixela Inhub	13	$4,413	$339
Advair Hfa	12	$3,741	$312
Dymista	14	$2,552	$182
Ipratropium	33	$2,019	$61
Azelastine	31	$1,632	$53
Ventolin Hfa	13	$759	$58
Montelukast	56	$719	$13
Triamcinolone Acetonide	15	$302	$20
Valacyclovir	14	$196	$14

2018: 17 drugs

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Part D drugs prescribed in 2018

Xolair	11	$24,373	$2,216
Advair Diskus	30	$16,595	$553
Symbicort	31	$11,661	$376
Spiriva Respimat	15	$9,766	$651
Spiriva	17	$6,846	$403
Breo Ellipta	19	$6,391	$336
Advair Hfa	15	$4,957	$330
Alvesco	14	$4,842	$346
Olopatadine	11	$2,923	$266
Theo-24	11	$2,468	$224
Arnuity Ellipta	13	$2,201	$169
Azelastine	20	$1,620	$81
Ipratropium	21	$1,427	$68
Ventolin Hfa	23	$1,273	$55
Montelukast	64	$858	$13
Fluticasone Propionate	16	$336	$21
Prednisone	11	$43	$4

2017: 15 drugs

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Part D drugs prescribed in 2017

Xolair	13	$35,978	$2,768
Advair Diskus	31	$12,618	$407
Symbicort	29	$11,868	$409
Spiriva Respimat	14	$8,031	$574
Alvesco	20	$7,045	$352
Spiriva	18	$6,765	$376
Advair Hfa	15	$6,091	$406
Olopatadine	15	$3,451	$230
Theo-24	12	$2,341	$195
Qnasl	12	$2,315	$193
Azelastine	26	$1,860	$72
Arnuity Ellipta	11	$1,754	$159
Ventolin Hfa	20	$1,076	$54
Montelukast	68	$845	$12
Fluticasone Propionate	28	$357	$13

2016: 18 drugs

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Part D drugs prescribed in 2016

Xolair	11	$42,498	$3,863
Spiriva	33	$13,079	$396
Advair Diskus	22	$9,407	$428
Symbicort	25	$7,588	$304
Alvesco	21	$6,181	$294
Breo Ellipta	15	$5,572	$371
Spiriva Respimat	13	$4,786	$368
Advair Hfa	11	$4,358	$396
Olopatadine	12	$2,681	$223
Arnuity Ellipta	15	$2,278	$152
Theo-24	12	$2,147	$179
Azelastine	27	$2,049	$76
Montelukast	75	$1,135	$15
Ventolin Hfa	19	$996	$52
Fluticasone Propionate	38	$456	$12
Ipratropium	12	$347	$29
Levocetirizine Dihydrochloride	12	$49	$4
Prednisone	11	$41	$4

2015: 14 drugs

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Part D drugs prescribed in 2015

Xolair	17	$51,909	$3,053
Spiriva	14	$6,165	$440
Advair Diskus	13	$5,156	$397
Breo Ellipta	13	$3,672	$282
Symbicort	12	$2,902	$242
Olopatadine	13	$2,678	$206
Pataday	14	$2,130	$152
Azelastine	23	$1,916	$83
Proair Hfa	16	$819	$51
Triamcinolone Acetonide	15	$753	$50
Montelukast	61	$688	$11
Flunisolide	13	$337	$26
Fluticasone Propionate	24	$314	$13
Ipratropium	11	$254	$23

2014: 9 drugs

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Part D drugs prescribed in 2014

Xolair	12	$19,823	$1,652
Spiriva	18	$8,569	$476
Advair Diskus	12	$4,607	$384
Nasonex	16	$2,680	$168
Azelastine	16	$868	$54
Montelukast	55	$662	$12
Flunisolide	14	$538	$38
Fluticasone Propionate	32	$513	$16
Ipratropium	11	$231	$21

2013: 9 drugs

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Part D drugs prescribed in 2013

Spiriva	24	$8,604	$358
Advair Diskus	13	$4,487	$345
Symbicort	19	$4,356	$229
Combivent Respimat	11	$3,179	$289
Alvesco	18	$3,160	$176
Nasonex	12	$1,687	$141
Fluticasone Propionate	33	$1,234	$37
Montelukast	48	$1,011	$21
Pantoprazole	12	$146	$12

Money from drug and device companies

$535 in 2025

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Industry payments by year

2025	9	19	None	$535
2024	7	8	$175	$529
2023	6	8	None	$470
2022	6	7	None	$320
2021	7	9	None	$448
2020	4	11	$4,630	$5,012
2019	6	9	$3,795	$4,725

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

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Payments by company

GlaxoSmithKline	Nucala	$189	8 payments Meals for Nucala · 2025-08-12 · $7 Meals for Nucala · 2025-05-27 · $7 Meals for Nucala · 2025-04-16 · $100 Meals for Nucala · 2025-03-26 · $13 Meals for Nucala · 2025-03-13 · $9 Meals for Nucala · 2025-03-04 · $10 Meals for Nucala · 2025-02-18 · $13 Meals for Nucala · 2025-01-28 · $30
Genzyme	Ayvakit	$63	2 payments Meals for Ayvakit · 2025-09-17 · $41 Meals for Dupixent · 2025-03-26 · $22
ARS Pharmaceuticals Operations	Neffy	$55	2 payments Meals for Neffy · 2025-10-29 · $28 Meals for Neffy · 2025-04-18 · $28
Sanofi-Aventis U.S.	Dupixent	$55	1 payment Education for Dupixent · 2025-05-08 · $55
Novartis Pharmaceuticals	Rhapsido	$51	2 payments Meals for Rhapsido · 2025-10-14 · $24 Meals · 2025-07-10 · $27
Optinose US	Xhance	$35	1 payment Meals for Xhance · 2025-02-27 · $35

See all 19 published payments

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Every published payment

LEO Pharma	Meals · 2025-12-17	Anzupgo	$27
Insmed	Meals · 2025-11-12	Brinsupri	$30
ARS Pharmaceuticals Operations	Meals · 2025-10-29	Neffy	$28
Novartis Pharmaceuticals	Meals · 2025-10-14	Rhapsido	$24
Genzyme	Meals · 2025-09-17	Ayvakit	$41
GlaxoSmithKline	Meals · 2025-08-12	Nucala	$7
Novartis Pharmaceuticals	Meals · 2025-07-10	None	$27
GlaxoSmithKline	Meals · 2025-05-27	Nucala	$7
Sanofi-Aventis U.S.	Education · 2025-05-08	Dupixent	$55
ARS Pharmaceuticals Operations	Meals · 2025-04-18	Neffy	$28
GlaxoSmithKline	Meals · 2025-04-16	Nucala	$100
Lilly USA	Meals · 2025-04-02	Ebglyss	$31
GlaxoSmithKline	Meals · 2025-03-26	Nucala	$13
Genzyme	Meals · 2025-03-26	Dupixent	$22
GlaxoSmithKline	Meals · 2025-03-13	Nucala	$9
GlaxoSmithKline	Meals · 2025-03-04	Nucala	$10
Optinose US	Meals · 2025-02-27	Xhance	$35
GlaxoSmithKline	Meals · 2025-02-18	Nucala	$13
GlaxoSmithKline	Meals · 2025-01-28	Nucala	$30

See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $529

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Payments by company in 2024

Aimmune Therapeutics	Palforzia	$175	1 payment Honoraria for Palforzia · 2024-02-07 · $175
Regeneron Healthcare Solutions	None	$122	1 payment Meals · 2024-05-08 · $122
Genzyme	Dupixent	$117	1 payment Meals for Dupixent · 2024-07-10 · $117
AstraZeneca Pharmaceuticals LP	Fasenra	$50	2 payments Meals for Tezspire · 2024-12-05 · $20 Meals for Fasenra · 2024-07-29 · $29
Dermavant Sciences	Vtama	$26	1 payment Meals for Vtama · 2024-04-18 · $26
Greer Laboratories	Palforzia	$22	1 payment Meals for Palforzia · 2024-12-05 · $22
BioCryst US Sales Co.	Orladeyo	$18	1 payment Meals for Orladeyo · 2024-02-08 · $18

2023: $470

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Payments by company in 2023

Genzyme	Dupixent	$224	2 payments Meals for Dupixent · 2023-05-16 · $99 Meals for Dupixent · 2023-05-04 · $125
BioCryst US Sales Co.	Orladeyo	$137	1 payment Meals for Orladeyo · 2023-04-29 · $137
Pfizer	Cibinqo	$36	2 payments Meals for Cibinqo · 2023-03-30 · $21 Education for Cibinqo · 2023-03-29 · $15
LEO Pharma	Adbry	$30	1 payment Meals for Adbry · 2023-03-06 · $30
Dermavant Sciences	Vtama	$22	1 payment Meals for Vtama · 2023-06-07 · $22
AstraZeneca Pharmaceuticals LP	Tezspire	$21	1 payment Meals for Tezspire · 2023-03-02 · $21

2022: $320

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Payments by company in 2022

BioCryst US Sales Co.	Orladeyo	$140	1 payment Meals for Orladeyo · 2022-05-21 · $140
Pfizer	Cibinqo	$59	2 payments Meals for Cibinqo · 2022-11-03 · $31 Meals for Cibinqo · 2022-05-05 · $28
Regeneron Healthcare Solutions	Dupixent	$40	1 payment Meals for Dupixent · 2022-11-07 · $40
kaleo	Auvi-Q	$35	1 payment Meals for Auvi-Q · 2022-05-25 · $35
Aimmune Therapeutics	Palforzia	$30	1 payment Meals for Palforzia · 2022-04-12 · $30
Genentech USA	Xolair	$16	1 payment Meals for Xolair · 2022-08-24 · $16

2021: $448

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Payments by company in 2021

BioCryst US Sales Co.	Orladeyo	$165	2 payments Meals for Orladeyo · 2021-09-11 · $17 Meals for Orladeyo · 2021-09-11 · $148
Genentech USA	Xolair	$150	1 payment Meals for Xolair · 2021-09-11 · $150
kaleo	Auvi-Q	$46	2 payments Meals for Auvi-Q · 2021-06-22 · $16 Meals for Auvi-Q · 2021-01-13 · $30
GlaxoSmithKline	Trelegy Ellipta	$26	1 payment Meals for Trelegy Ellipta · 2021-03-03 · $26
Optinose US	Xhance	$25	1 payment Meals for Xhance · 2021-08-09 · $25
Boehringer Ingelheim Pharmaceuticals	Spiriva Respimat	$24	1 payment Meals for Spiriva Respimat · 2021-08-16 · $24
Horizon Therapeutics plc	Actimmune	$13	1 payment Education for Actimmune · 2021-03-26 · $13

2020: $5,012

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Payments by company in 2020

Boehringer Ingelheim Pharmaceuticals	None	$2,880	4 payments Paid to speak or teach · 2020-12-17 · $720 Paid to speak or teach · 2020-09-08 · $1,200 Consulting · 2020-07-10 · $240 Paid to speak or teach · 2020-06-12 · $720
OptiNose US	Xhance	$2,057	4 payments Meals for Xhance · 2020-02-28 · $126 Meals for Xhance · 2020-02-05 · $117 Consulting for Xhance · 2020-02-02 · $1,750 Meals for Xhance · 2020-02-02 · $63
Horizon Therapeutics plc	Actimmune	$48	2 payments Meals for Actimmune · 2020-12-02 · $25 Meals for Actimmune · 2020-08-17 · $23
kaleo	Auvi-Q	$27	1 payment Meals for Auvi-Q · 2020-10-08 · $27

2019: $4,725

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Payments by company in 2019

Genentech USA	Xolair	$4,012	3 payments Meals for Xolair · 2019-10-26 · $198 Travel for Xolair · 2019-10-25 · $20 Consulting for Xolair · 2019-10-25 · $3,795
ALK-Abello	Odactra	$276	2 payments Meals for Odactra · 2019-02-23 · $117 Meals for Odactra · 2019-01-22 · $159
OptiNose US	Xhance	$120	1 payment Meals for Xhance · 2019-02-28 · $120
Regeneron Healthcare Solutions	Dupixent	$114	1 payment Meals for Dupixent · 2019-11-21 · $114
Teva Pharmaceuticals USA	Cinqair	$106	1 payment Meals for Cinqair · 2019-04-20 · $106
Circassia Pharmaceuticals	Niox Vero	$97	1 payment Meals for Niox Vero · 2019-02-24 · $97

Professional record

NPI: 1093719437
Licence: CA G42041California G42041: Current · expires 2028-03-31
Trained: University of Pittsburgh School of Medicine, 1977
Group: Regents of the University of California - UCSF · Steven Machtinger MD and Associates Inc
Gender: Male

More record details

Sole proprietor: Yes
Taxonomy: Federal specialty code 2080P0201X (2080P0201X); Federal specialty code 207K00000X (207K00000X); Pediatrics (208000000X)
Mailing address: 725 Welch Rd, Palo Alto, CA, 94304
NPI first listed: 2005-06-13
NPI last updated: 2025-12-12
NPI record certified: 2025-12-12

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

Extra NPI addresses: 725 Welch Rd, Palo Alto, CA, 94304 · 100 South Ellsworth Avenue Suite 707, San Mateo, CA, 94401