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Michelle Evans, NP

Nurse Practitioner · Los Gatos

NPI 1255001228

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

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

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Michelle Evans’s office at (408) 739-6000 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$41,765

Medicare paid this office $41,765 for 360 people.

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

Largest Original Medicare bills
New patient visit (45+ min)99$12,369$125
New patient visit (30+ min)123$8,229$67
Return visit (30+ min)62$6,470$100
Short return visit (20+ min)80$5,119$63
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus27$3,774$140
See all 7 services
Every Original Medicare service billed
New patient visit (45+ min)99$12,369$125
New patient visit (30+ min)123$8,229$67
Return visit (30+ min)62$6,470$100
Short return visit (20+ min)80$5,119$63
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus27$3,774$140
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)16$275$16
Automated urinalysis test39$88$2

Procedures Medicare counted

Procedure volume Medicare published
Removal of nail tissue1-10None

Who their Medicare patients are

360 Original Medicare patients in 2024. Average age 76 · Under 65 4% · 85 and older 17% · Women 63% · Also on Medicaid 10% · Health risk score 0.91. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 66% · Coronary heart disease 24% · Diabetes 20% · Atrial fibrillation 20% · Chronic kidney disease 19% · Cancer 18% · Depression 17% · Heart failure 13% · COPD 8% · Dementia 5% · Stroke 5%.

The office billed $183,548, Medicare allowed $58,340 and paid $41,765; for 610 services of 56 kinds; $259 of it was for drugs given in the office and $41,506 for care.

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
2024360610760.91$183,548$41,765
2023440742740.85$171,827$36,678
20226711,331750.94$304,792$69,063

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: 7 services

Original Medicare services billed in 2023
Short return visit (20+ min)235$13,733$57
New patient visit (30+ min)177$11,784$67
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus27$3,774$140
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza34$2,119$62
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)16$259$16
X-ray of chest, 2 views18$204$11
Automated urinalysis test59$128$2

2022: 9 services

Original Medicare services billed in 2022
New patient visit (45+ min)157$17,703$113
Short return visit (20+ min)218$15,023$66
New patient visit (30+ min)190$14,980$79
Return visit (30+ min)139$12,923$91
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza123$3,779$30
X-ray of chest, 2 views38$900$24
Automated urinalysis test96$229$2
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)11$180$16
Removal of impacted ear wax by washing13$152$12

Drugs they prescribed that Part D paid

$5,483

Pharmacies billed $5,483 in 2024.

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

206 generic and fewer than 11 brand-name prescriptions · $5,483 in drug cost · 137 antibiotic prescriptions to 112 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.

Largest Part D drug costs
Albuterol Sulfate Hfa15$497$33
Amoxicillin-Clavulanate Potass31$213$7
Doxycycline Hyclate19$161$8
Cephalexin27$129$5
Azithromycin22$99$4

Year by year

Part D prescribing by year
2024243192NoneNone$5,483
2023238194None9%$5,618
2022269204None12%$5,979
202138330% (0)None$833

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

See the drugs prescribed each year

2023: 6 drugs

Part D drugs prescribed in 2023
Albuterol Sulfate Hfa23$628$27
Doxycycline Hyclate22$223$10
Cephalexin26$158$6
Amoxicillin-Clavulanate Potass16$147$9
Paxlovid (Eua)11$110$10
Prednisone14$22$2

2022: 7 drugs

Part D drugs prescribed in 2022
Albuterol Sulfate Hfa30$1,040$35
Neomycin-Polymyxin-Hydrocort14$821$59
Doxycycline Hyclate26$383$15
Mupirocin20$177$9
Cephalexin25$120$5
Triamcinolone Acetonide14$119$8
Azithromycin14$57$4

Money from drug and device companies

$37 in 2025

Industry payments by year
202522None$37
202322None$219

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
HollisterNew Image$19
1 payment
  • Meals for New Image · 2025-03-09 · $19
Takeda Pharmaceuticals U.S.A.Eohilia$18
1 payment
  • Meals for Eohilia · 2025-07-28 · $18
See all 2 published payments
Every published payment
Takeda Pharmaceuticals U.S.A.Meals · 2025-07-28Eohilia$18
HollisterMeals · 2025-03-09New Image$19
See earlier years (2023)

2023: $219

Payments by company in 2023
Mayne Pharma CommercialNextstellis$124
1 payment
  • Meals for Nextstellis · 2023-07-11 · $124
Regeneron Healthcare SolutionsEvkeeza$95
1 payment
  • Meals for Evkeeza · 2023-02-24 · $95

Professional record

NPI
1255001228
Licence
CA 95018397
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 363LF0000X (363LF0000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2021-09-20
NPI last updated
2023-06-22
NPI record certified
2023-06-22

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