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David Loc Tran, MD

Hospice/Palliative Care · Encinitas

NPI 1154740819

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

Offices

1 location · Scripps Health Inpatient Providers Medical Group Inc · 209 clinicians in this group

Looking this up.

Hospitals listed: Scripps Mercy Hospital. That is not proof they admit you there this week.

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Tran’s office at (760) 633-6501 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
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026

California Medical Board record

Licence A139964 · Current

Licensed to practise in California · since 2015 · expires 2027-12-31 · University of California, Irvine College 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.

  • Scripps Mercy HospitalSan Diego, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Scripps Health, which runs 5 hospitalsPatients rate it 3 of 5 · 69% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.428, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.167, Oct 2024 – Sep 2025
See every measure and the patient survey for Scripps Mercy Hospital

Behind the star rating — Deaths: 2 better, 5 the same, 1 worse of 8 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 1 better, 8 the same, 2 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Scripps Mercy Hospital
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.428BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.167BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.62 (0.69 to 2.56) · 1,395 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.92 (0.64 to 1.21)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths140.2 (94.53 to 185.86) · 118 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths6.9 · 115 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.1 · 100 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.5 · 400 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.5 · 388 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10 · 503 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 5,575 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.31 (0.12 to 0.5) · 8,056 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.3 (0.12 to 0.49) · 8,169 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.77 (1.85 to 5.69) · 1,962 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.26 (0 to 2.77) · 666 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths3.52 (2.12 to 4.93) · 1,824 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.77 (1.62 to 13.93) · 707 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.17 (3.71 to 10.62) · 678 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 345 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.11 (0 to 0.66) · 6,094 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.4 · 389 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.646No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.086No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.034No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.9 · 291 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.9 · 1,123 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-2.7 · 104 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits9.2 · 472 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits19.3 · 411 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.6 · 851 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits7.2 (5.1 to 10) · 229 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.6 to 16) · 229 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 392 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11 · 55 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.2 · 350 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits15 (11.3 to 19.9) · 480 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.3) · 264 casesNo differentJan 2024 – Dec 2024

What patients said (3,127 patients answered, 19% of those asked)

Patient survey stars by topic at Scripps Mercy Hospital
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital3
Share of patients giving the best answer at Scripps Mercy Hospital
Room was "always" clean70%
Nurses "always" communicated well78%
Doctors "always" communicated well79%
Staff "always" explained60%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)68%
Staff "always" explained new medications74%
Nurses "always" explained things so they could understand74%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night46%
"YES", patients would definitely recommend the hospital69%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms88%

Original Medicare doctor bills

$40,737

Medicare paid this office $40,737 for 125 people.

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

Largest Original Medicare bills
Long return visit (40+ min)46$16,973$152
New patient visit (60+ min)49$8,948$183
Return visit (30+ min)24$4,344$109
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes26$3,727$96
Initial hospital care with moderate level of medical decision making at least 75 minutes23$3,219$140
See all 7 services
Every Original Medicare service billed
Long return visit (40+ min)46$16,973$152
New patient visit (60+ min)49$8,948$183
Return visit (30+ min)24$4,344$109
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes26$3,727$96
Initial hospital care with moderate level of medical decision making at least 75 minutes23$3,219$140
Advance care planning, first 30 minutes18$1,347$61
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's14$189$14

Who their Medicare patients are

125 Original Medicare patients in 2024. Average age 76 · Women 53% · Also on Medicaid 26% · Health risk score 3.10. Above the middle of the specialty; the typical hospice and palliative care clinician is at 2.98.

Conditions among them: High blood pressure 75% · Diabetes 46% · Chronic kidney disease 43% · Coronary heart disease 42% · Depression 42% · Heart failure 38% · Cancer 38% · Atrial fibrillation 31% · Dementia 26% · COPD 25% · Stroke 18%.

The office billed $133,256, Medicare allowed $51,435 and paid $40,737; for 321 services of 12 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
2024125321763.10$133,256$40,737
202393222793.36$91,586$28,574
2022103219832.79$95,136$24,963
2021121398842.31$170,790$53,801
2020106302832.26$124,088$39,270
2019133401822.50$188,144$54,486
201858138822.06$60,546$19,466

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: 6 services

Original Medicare services billed in 2023
Long return visit (40+ min)25$9,582$152
New patient visit (60+ min)35$6,395$183
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes23$4,113$100
Initial hospital care with moderate level of medical decision making at least 75 minutes21$3,071$146
Return visit (30+ min)15$2,118$111
Advance care planning, first 30 minutes25$1,660$64

2022: 8 services

Original Medicare services billed in 2022
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes22$4,613$144
Long return visit (40+ min)23$3,879$149
Established patient custodial care facility, group care, or assisted living visit, typically 1 hour14$2,493$138
Residence visit for established patient with moderate level of medical decision making, per day at least 40 minutes22$2,234$93
Initial hospital care with moderate level of medical decision making at least 75 minutes12$1,986$166
Return visit (30+ min)11$1,779$99
Advance care planning, first 30 minutes21$1,753$76
Advance care planning, first 30 minutes17$1,070$63

2021: 8 services

Original Medicare services billed in 2021
Long return visit (40+ min)38$17,710$170
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes40$11,588$152
Established patient custodial care facility, group care, or assisted living visit, typically 1 hour18$4,519$167
Advance care planning, first 30 minutes47$3,916$82
Return visit (30+ min)15$2,803$127
Residence visit for new patient with moderate level of medical decision making, per day at least 60 minutes18$2,578$143
Residence visit for established patient with moderate level of medical decision making, per day at least 40 minutes18$2,430$110
Telephone medical discussion with physician, 21-30 minutes11$1,722$101

2020: 8 services

Original Medicare services billed in 2020
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes55$16,379$152
Established patient custodial care facility, group care, or assisted living visit, typically 1 hour20$5,471$152
Telephone medical discussion with physician, 21-30 minutes23$4,694$107
Long return visit (40+ min)19$3,202$128
Residence visit for new patient with moderate level of medical decision making, per day at least 60 minutes19$3,086$162
Extended office or other outpatient service, first hour12$1,470$123
Advance care planning, first 30 minutes15$1,217$81
Telephone medical discussion with physician, 11-20 minutes14$1,105$69

2019: 8 services

Original Medicare services billed in 2019
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes55$20,818$153
Long return visit (40+ min)25$8,196$134
Established patient custodial care facility, group care, or assisted living visit, typically 1 hour21$8,141$163
Extended office or other outpatient service, first hour36$4,243$118
Advance care planning, first 30 minutes37$3,251$77
Residence visit for new patient with moderate level of medical decision making, per day at least 60 minutes15$2,423$162
Residence visit for new patient with high level of medical decision making, per day at least 75 minutes11$2,054$187
New patient visit (60+ min)11$1,930$175

2018: 2 services

Original Medicare services billed in 2018
Residence visit for established patient with high level of medical decision making, per day at least 60 minutes24$8,264$159
Extended office or other outpatient service, first hour21$2,609$119

Drugs they prescribed that Part D paid

$23,621

Pharmacies billed $23,621 in 2024.

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

Opioids were 54% of their Part D prescriptions (188 of 350) in 2024. Above the middle of the specialty; the typical hospice and palliative care clinician is at 43%. Long-acting opioids: 40% of their opioid prescriptions.

318 generic and 32 brand-name prescriptions · $23,621 in drug cost · 15 antipsychotic prescriptions to people over 65.

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
Buprenorphine25$6,448$258
Oxycodone51$1,178$23
Hydrocodone-Acetaminophen19$716$38
Hydromorphone15$461$31
Methadone20$345$17
See all 9 drugs
Every Part D drug this clinician prescribed
Buprenorphine25$6,448$258
Oxycodone51$1,178$23
Hydrocodone-Acetaminophen19$716$38
Hydromorphone15$461$31
Methadone20$345$17
Gabapentin27$344$13
Morphine Sulfate22$268$12
Duloxetine14$188$13
Lorazepam33$152$5

Year by year

Part D prescribing by year
20243507854% (188)9%$23,621
20232366754% (127)13%$16,742
20223366518% (59)7%$14,110
20215638832% (178)8%$30,256
20204729029% (135)15%$25,397
20192686928% (76)15%$12,627
2018552524% (13)None$1,612
20174121NoneNone$632
2016302060% (18)None$650

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

See the drugs prescribed each year

2023: 8 drugs

Part D drugs prescribed in 2023
Oxycontin11$8,731$794
Oxycodone44$780$18
Mirtazapine12$565$47
Hydromorphone19$321$17
Quetiapine11$192$17
Morphine Sulfate12$151$13
Gabapentin14$147$11
Lorazepam22$101$5

2022: 9 drugs

Part D drugs prescribed in 2022
Eliquis14$7,840$560
Quetiapine72$1,334$19
Gabapentin34$383$11
Methadone20$353$18
Sertraline14$301$21
Hydrocodone-Acetaminophen16$261$16
Clonazepam13$140$11
Lorazepam11$33$3
Metoprolol13$23$2

2021: 12 drugs

Part D drugs prescribed in 2021
Eliquis14$8,275$591
Mirtazapine21$1,041$50
Hydrocodone-Acetaminophen46$935$20
Gabapentin35$869$25
Quetiapine39$728$19
Methadone50$543$11
Oxycodone22$297$14
Lorazepam48$290$6
Morphine Sulfate11$201$18
Buspirone11$201$18
Clonazepam20$126$6
Tramadol11$27$2

2020: 14 drugs

Part D drugs prescribed in 2020
Eliquis13$5,904$454
Quetiapine51$865$17
Mirtazapine19$828$44
Hydrocodone-Acetaminophen36$705$20
Sertraline21$331$16
Morphine Sulfate16$294$18
Methadone24$286$12
Oxycodone19$248$13
Gabapentin11$183$17
Trazodone16$174$11
Atenolol13$162$12
Lorazepam39$152$4
Tramadol20$77$4
Amlodipine Besylate11$40$4

2019: 7 drugs

Part D drugs prescribed in 2019
Morphine Sulfate Er13$1,117$86
Morphine Sulfate17$1,065$63
Quetiapine19$365$19
Hydrocodone-Acetaminophen19$334$18
Trazodone15$258$17
Gabapentin11$219$20
Sertraline16$197$12

2016: 1 drug

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen12$266$22

Money from drug and device companies

$267 in 2025

Industry payments by year
202544None$267
202411None$31

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
DavolPhasix Mesh$174
1 payment
  • Meals for Phasix Mesh · 2025-09-28 · $174
PharmaEssentia USABesremi$34
1 payment
  • Meals for Besremi · 2025-11-14 · $34
Novartis PharmaceuticalsKisqali$31
1 payment
  • Meals for Kisqali · 2025-11-12 · $31
IncyteJakafi$28
1 payment
  • Meals for Jakafi · 2025-11-05 · $28
See all 4 published payments
Every published payment
PharmaEssentia USAMeals · 2025-11-14Besremi$34
Novartis PharmaceuticalsMeals · 2025-11-12Kisqali$31
IncyteMeals · 2025-11-05Jakafi$28
DavolMeals · 2025-09-28Phasix Mesh$174
See earlier years (2024)

2024: $31

Payments by company in 2024
Blue Earth DiagnosticsPosluma$31
1 payment
  • Meals for Posluma · 2024-11-14 · $31

Professional record

NPI
1154740819
Licence
CA A139964California A139964: Current · expires 2027-12-31
Trained
University of California, Irvine, California College of Medicine, 2014
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207QH0002X (207QH0002X)
Mailing address
2350 W El Camino Real Fl 2, Mountain View, CA, 94040
NPI first listed
2014-04-09
NPI last updated
2018-12-10

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