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Thuy M Pham, MD

Internal Medicine · San Jose

NPI 1174798474

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
9
3 carriers
Office
1
Since medical school
18 years
University of California, Geffen School of Medicine, 2008

Offices

1 location · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

9 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Pham’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

9 of 9 plans

Plans whose provider directory lists this clinician
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A109821 · Current

Licensed to practise in California · since 2009 · expires 2027-07-31 · University of California, Davis School of Medicine.

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

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

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.

  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 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.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$17,795

Medicare paid this office $17,795 for 80 people.

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

Largest Original Medicare bills
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes36$5,154$117
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes39$4,339$72
Long return visit (40+ min)11$3,081$123
Initial hospital care with moderate level of medical decision making at least 75 minutes13$2,173$155
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,351$71

Who their Medicare patients are

80 Original Medicare patients in 2024. Average age 76 · 85 and older 29% · Women 48% · Also on Medicaid 69% · Health risk score 4.08. Sicker patients than 9 in 10 peers; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Diabetes 50% · Heart failure 45% · Chronic kidney disease 45% · Depression 44% · Cancer 39% · Atrial fibrillation 39% · Coronary heart disease 38% · Stroke 36% · Dementia 28% · COPD 25%.

The office billed $106,036, Medicare allowed $22,848 and paid $17,795; for 186 services of 9 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
202480186764.08$106,036$17,795
202387199743.14$105,353$19,588
202280162723.33$94,766$12,985
20213156762.40$34,106$5,571
201865177733.25$30,611$16,121
2017102202742.75$49,695$20,947
201685225733.52$73,095$17,465
201576229713.27$61,025$14,386
201478177692.77$51,271$13,543
201331105712.38$24,658$7,350

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
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes51$7,467$76
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes23$3,647$122
Initial hospital care with moderate level of medical decision making at least 75 minutes16$2,839$167
Long return visit (40+ min)15$2,660$116
Return visit (30+ min)11$1,049$81

2022: 4 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$3,519$76
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes21$2,658$111
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes19$2,078$109
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes25$1,545$41

2021: 1 service

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$1,480$106

2018: 2 services

Original Medicare services billed in 2018
Long return visit (40+ min)57$12,345$89
New patient visit (60+ min)14$1,986$142

2017: 3 services

Original Medicare services billed in 2017
Long return visit (40+ min)61$12,636$98
New patient visit (60+ min)30$4,467$149
Long return visit (40+ min)13$1,681$88

2016: 5 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes23$3,981$93
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes29$2,677$89
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes27$1,779$35
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes18$1,736$64
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,233$112

2015: 4 services

Original Medicare services billed in 2015
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes40$3,224$34
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes34$3,063$88
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes19$2,178$91
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes22$2,020$63

2014: 5 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes24$2,969$90
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes27$2,500$89
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes19$1,473$64
Extended inpatient or observation hospital service, first hour13$1,313$82
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes27$1,284$33

2013: 3 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$1,699$89
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,552$62
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes15$873$34

Medicaid work

$296 in 2024

Medicaid paid $296 for 12 billed services this clinician did in 2024, up to 12 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
IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES12$296
Medicaid work by year
202412112$296
202324116$181
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES24$181

Drugs they prescribed that Part D paid

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

Opioids were 33% of their 361 Part D prescriptions in 2018. Long-acting opioids: 47% of their opioid prescriptions.

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

Year by year

Part D prescribing by year
202158NoneNoneNone$1,865
202026939NoneNone$11,829
201925049None14%$11,318
20183616933% (119)None$26,765
20173059139% (119)None$21,065
2016702947% (33)17%$3,317
2015521158% (30)31%$4,070
201412NoneNoneNone$563
201316None0% (0)None$2,317

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

See the drugs prescribed each year

2021: 2 drugs

Part D drugs prescribed in 2021
Tamsulosin11$144$13
Omeprazole13$121$9

2020: 6 drugs

Part D drugs prescribed in 2020
Hydroxychloroquine Sulfate12$1,932$161
Levetiracetam20$1,180$59
Levothyroxine18$244$14
Ropinirole11$223$20
Omeprazole15$211$14
Sulfasalazine12$148$12

2019: 8 drugs

Part D drugs prescribed in 2019
Levetiracetam24$1,170$49
Oxcarbazepine15$640$43
Diltiazem 24hr Er12$511$43
Phenobarbital12$366$30
Fluticasone Propionate13$334$26
Simvastatin12$225$19
Benazepril12$169$14
Sertraline12$100$8

2018: 12 drugs

Part D drugs prescribed in 2018
Lyrica14$9,019$644
Oxycontin13$6,450$496
Morphine Sulfate Er17$949$56
Polyethylene Glycol 335011$775$70
Mirtazapine26$762$29
Gabapentin27$732$27
Hydrocodone-Acetaminophen24$609$25
Duloxetine19$476$25
Oxycodone16$321$20
Methadone15$312$21
Pantoprazole13$90$7
Zolpidem11$82$7

2017: 10 drugs

Part D drugs prescribed in 2017
Oxycontin17$7,928$466
Mirtazapine25$1,480$59
Fentanyl12$1,145$95
Polyethylene Glycol 335017$949$56
Morphine Sulfate Er20$806$40
Oxycodone22$638$29
Gabapentin29$486$17
Morphine Sulfate12$340$28
Hydrocodone-Acetaminophen17$281$17
Ondansetron11$170$15

Money from drug and device companies

$1,500 in 2024

Industry payments by year
202411$1,500$1,500
202212None$56

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
Neptune MedicalNone$1,500
1 payment
  • Consulting · 2024-07-12 · $1,500
See the published payment
Every published payment
Neptune MedicalConsulting · 2024-07-12None$1,500
See earlier years (2022)

2022: $56

Payments by company in 2022
Boston ScientificWatchman Access System$56
2 payments
  • Meals for Watchman Access System · 2022-07-25 · $35
  • Meals for Watchman Access System · 2022-06-22 · $21

Professional record

NPI
1174798474
Licence
CA A109821California A109821: Current · expires 2027-07-31
Trained
University of California, Geffen School of Medicine, 2008 · 18 years ago
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2008-04-28
NPI last updated
2016-08-24

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