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Fardad Baroumand, MD

Pain Medicine · Los Gatos

NPI 1245319375

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

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. Baroumand’s office at (408) 364-6799 to ask if they take your plan before you enroll.

California Medical Board record

Licence A103643 · Current

Licensed to practise in California · since 2008 · expires 2028-05-31 · Islamic Azad University, Tehran Medical Branch.

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

Original Medicare doctor bills

$26,613

Medicare paid this office $26,613 for 51 people.

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

Largest Original Medicare bills
Long return visit (40+ min)37$11,611$166
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or44$7,103$29
New patient visit (60+ min)34$6,750$199
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's32$777$15

Who their Medicare patients are

51 Original Medicare patients in 2024. Average age 77 · Women 55% · Health risk score 1.83. Above the middle of the specialty; the typical physical medicine and rehabilitation clinician is at 1.53.

Conditions among them: High blood pressure 61% · Depression 41% · Diabetes 31% · Coronary heart disease 25% · Chronic kidney disease 22% · Atrial fibrillation 22%.

The office billed $98,176, Medicare allowed $34,320 and paid $26,613; for 401 services of 5 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.

Drugs they prescribed that Part D paid

$10,973

Pharmacies billed $10,973 in 2024.

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

Opioids were 68% of their Part D prescriptions (104 of 152) in 2024. A higher opioid share than 9 in 10 peers; the typical physical medicine and rehabilitation clinician is at 12%. Long-acting opioids: 21% of their opioid prescriptions.

144 generic and fewer than 11 brand-name prescriptions · $10,973 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
Hydrocodone-Acetaminophen38$1,042$27
Oxycodone18$186$10
Tramadol13$155$12

Professional record

NPI
1245319375
Licence
CA A103643California A103643: Current · expires 2028-05-31
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 2081P2900X (2081P2900X)
Mailing address
15047 Los Gatos Blvd, Ste.200, Los Gatos, CA, 95032
NPI first listed
2006-11-02
NPI last updated
2011-12-22

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