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Nicole Jennifer Hong, MD

Obstetrics/Gynecology · Palo Alto

NPI 1093880171

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
14
2 carriers
Office
1

Offices

1 location · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plans that list them

14 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Hong’s office at (415) 600-1020 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

14 of 14 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 Sutter Advantage +More (HMO)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 A77957 · Current

Licensed to practise in California · since 2002 · expires 2028-01-31 · Georgetown University School of Medicine.

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

Original Medicare doctor bills

$14,776

Medicare paid this office $14,776 for 92 people.

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

Largest Original Medicare bills
Short return visit (20+ min)37$4,330$82
Return visit (30+ min)16$2,111$124
New patient visit (15+ min)19$1,028$54
Cervical or vaginal cancer screening; pelvic and clinical breast examination18$867$48
Short return visit11$562$51

Who their Medicare patients are

92 Original Medicare patients in 2024. Average age 74 · Women 100% · Health risk score 0.76. At or below the middle of the specialty; the typical obstetrics & gynecology clinician is at 0.88.

Conditions among them: High blood pressure 45% · Depression 20% · Coronary heart disease 17% · Cancer 14%.

The office billed $61,093, Medicare allowed $19,865 and paid $14,776; for 169 services of 23 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
202492169740.76$61,093$14,776
20236492750.71$33,150$8,775
20224265730.69$18,440$5,197
202157100720.66$35,231$9,502
202052100720.92$26,254$6,735
201977132720.81$40,896$10,421
201869122700.91$36,046$8,186
201755102700.82$28,850$7,223
20165696720.81$32,656$7,865
201558124710.73$36,529$9,902
20144797720.77$27,423$6,859
20133443700.69$10,919$2,729

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: 4 services

Original Medicare services billed in 2023
Short return visit (20+ min)19$2,132$82
New patient visit (30+ min)11$1,204$109
New patient visit (15+ min)12$796$66
Cervical or vaginal cancer screening; pelvic and clinical breast examination12$587$49

2022: 2 services

Original Medicare services billed in 2022
Short return visit (20+ min)16$1,721$72
Cervical or vaginal cancer screening; pelvic and clinical breast examination12$581$48

2021: 2 services

Original Medicare services billed in 2021
Short return visit (20+ min)22$2,345$73
Cervical or vaginal cancer screening; pelvic and clinical breast examination14$686$49

2020: 1 service

Original Medicare services billed in 2020
Short return visit (20+ min)28$2,376$58

2019: 4 services

Original Medicare services billed in 2019
Short return visit (20+ min)26$2,632$63
Return visit (30+ min)11$1,249$104
New patient visit (15+ min)17$1,209$71
Cervical or vaginal cancer screening; pelvic and clinical breast examination17$807$47

2018: 4 services

Original Medicare services billed in 2018
Short return visit (20+ min)20$1,442$55
Short return visit15$895$39
Cervical or vaginal cancer screening; pelvic and clinical breast examination16$729$46
New patient visit (15+ min)11$645$59

2017: 2 services

Original Medicare services billed in 2017
Short return visit (20+ min)22$1,794$64
Short return visit11$379$27

2016: 2 services

Original Medicare services billed in 2016
Short return visit (20+ min)18$1,325$58
Cervical or vaginal cancer screening; pelvic and clinical breast examination13$589$45

2015: 4 services

Original Medicare services billed in 2015
Short return visit (20+ min)23$2,253$64
New patient visit (15+ min)15$917$61
Cervical or vaginal cancer screening; pelvic and clinical breast examination16$759$47
Short return visit12$662$44

2014: 2 services

Original Medicare services billed in 2014
Short return visit (20+ min)15$1,006$67
Short return visit11$772$35

2013: 1 service

Original Medicare services billed in 2013
Cervical or vaginal cancer screening; pelvic and clinical breast examination14$638$46

Drugs they prescribed that Part D paid

$17,798

Pharmacies billed $17,798 in 2024.

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

99 generic and 33 brand-name prescriptions · $17,798 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
Estradiol48$3,577$75
Misoprostol11$14$1

Year by year

Part D prescribing by year
202413261None25%$17,798
202353300% (0)None$4,621
202257190% (0)26%$7,217
202159230% (0)32%$8,418
202071280% (0)38%$12,198
201910942None37%$18,566
20188138None38%$11,604
201770310% (0)36%$12,557
20167134None38%$10,773
20157933None51%$12,124
20147629None49%$9,419
201348200% (0)58%$7,407

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
Estradiol12$1,370$114

2022: 1 drug

Part D drugs prescribed in 2022
Fyavolv11$326$30

2020: 1 drug

Part D drugs prescribed in 2020
Megestrol Acetate11$403$37

2019: 4 drugs

Part D drugs prescribed in 2019
Estring19$8,386$441
Estradiol14$1,931$138
Triamcinolone Acetonide14$73$5
Fluconazole11$38$3

2018: 1 drug

Part D drugs prescribed in 2018
Estring14$6,000$429

2017: 1 drug

Part D drugs prescribed in 2017
Estrace16$5,083$318

2016: 1 drug

Part D drugs prescribed in 2016
Estrace14$4,031$288

2015: 2 drugs

Part D drugs prescribed in 2015
Estring15$4,782$319
Premarin11$2,819$256

2014: 1 drug

Part D drugs prescribed in 2014
Estring12$3,268$272

2013: 1 drug

Part D drugs prescribed in 2013
Premarin11$2,037$185

Money from drug and device companies

$250 in 2024

Industry payments by year
202412None$250
201911None$53

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
Mayne Pharma CommercialAnnovera$250
2 payments
  • Meals for Annovera · 2024-09-18 · $125
  • Meals for Nextstellis · 2024-03-20 · $125
See all 2 published payments
Every published payment
Mayne Pharma CommercialMeals · 2024-09-18Annovera$125
Mayne Pharma CommercialMeals · 2024-03-20Nextstellis$125
See earlier years (2019)

2019: $53

Payments by company in 2019
RenoviaLeva Pelvic Floor Trainer$53
1 payment
  • Meals for Leva Pelvic Floor Trainer · 2019-10-03 · $53

Professional record

NPI
1093880171
Licence
CA A77957California A77957: Current · expires 2028-01-31
Trained
Georgetown University School of Medicine, 2000
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207V00000X (207V00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2006-11-22
NPI last updated
2020-05-14
NPI record certified
2020-05-14

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

Extra NPI addresses: 795 El Camino Real, Palo Alto, CA, 94301