Brian H Sun, MD
Internal Medicine · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 4
- 2 carriers
- Office
- 1
- Since medical school
- 11 years
- Saint Louis University School of Medicine, 2015
Offices
1 location · County of Santa Clara · 1,000 clinicians in this group
Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.
Plans that list them
4 plans · 2 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Sun’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
4 of 4 plans
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
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 itOverall 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.
| SSI - Colon SurgeryInfections | 2.572 | Worse | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.563 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.256 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.369 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.25 (0.3 to 2.2) · 1,535 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.07 (0.76 to 1.38) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 214.59 (167.38 to 261.8) · 108 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.8 · 41 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 6 · 141 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 10.2 · 124 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 8.3 · 501 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 14.9 · 653 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.1 · 348 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3 · 4,502 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.24 (0.04 to 0.43) · 9,014 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.34 (0.15 to 0.52) · 9,216 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 4.54 (2.51 to 6.58) · 1,421 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.54 (0 to 3.2) · 288 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.11 (0.66 to 3.56) · 1,446 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 11.61 (4.09 to 19.14) · 294 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 7.29 (3.39 to 11.2) · 299 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.9 (0.45 to 3.36) · 333 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.23 (0 to 0.78) · 7,538 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 5.4 · 94 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.735 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 2.573 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.6 · 185 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22.1 · 951 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 56.3 · 128 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 6.4 · 644 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 1.3 · 699 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.3 · 921 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.7 (3.9 to 8.1) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 12.6 (9.4 to 16.5) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.4 · 94 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 11.4 · 54 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.3 · 242 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.2 (9.9 to 17.4) · 702 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.4) · 195 cases | No different | Jan 2024 – Dec 2024 |
What patients said (4,032 patients answered, 29% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 2 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 4 |
| Room was "always" clean | 70% |
| Nurses "always" communicated well | 73% |
| Doctors "always" communicated well | 76% |
| Staff "always" explained | 57% |
| Yes, staff "did" give patients this information | 82% |
| Yes, staff "did" give patients information about help after discharge | 82% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 74% |
| Doctors "always" treated them with courtesy and respect | 82% |
| Patients who gave a rating of "9" or "10" (high) | 67% |
| Staff "always" explained new medications | 71% |
| Nurses "always" explained things so they could understand | 71% |
| Nurses "always" listened carefully | 69% |
| Nurses "always" treated them with courtesy and respect | 80% |
| "Always" quiet at night | 43% |
| "YES", patients would definitely recommend the hospital | 70% |
| Staff "always" explained possible side effects | 44% |
| Yes, staff "did" give patients information about possible symptoms | 83% |
Original Medicare doctor bills
$32,683
Medicare paid this office $32,683 for 97 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 56 | $11,771 | $70 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 20 | $8,555 | $107 |
| Hospital discharge day management, more than 30 minutes | 51 | $5,321 | $102 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 33 | $3,119 | $95 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 17 | $2,547 | $150 |
See all 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 56 | $11,771 | $70 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 20 | $8,555 | $107 |
| Hospital discharge day management, more than 30 minutes | 51 | $5,321 | $102 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 33 | $3,119 | $95 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 17 | $2,547 | $150 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 11 | $709 | $44 |
Who their Medicare patients are
97 Original Medicare patients in 2024. Average age 75 · Under 65 21% · 85 and older 34% · Women 43% · Also on Medicaid 85% · Health risk score 3.25. Sicker patients than 9 in 10 peers; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 75% · Diabetes 63% · Heart failure 56% · Coronary heart disease 52% · Chronic kidney disease 51% · Atrial fibrillation 47% · Depression 38% · Dementia 33% · Stroke 29% · COPD 25% · Cancer 14%.
The office billed $341,208, Medicare allowed $42,269 and paid $32,683; for 374 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
| 2024 | 97 | 374 | 75 | 3.25 | $341,208 | $32,683 |
| 2023 | 132 | 488 | 70 | 3.18 | $410,799 | $43,024 |
| 2022 | 95 | 265 | 73 | 3.33 | $253,515 | $30,316 |
| 2021 | 130 | 436 | 73 | 3.18 | $385,635 | $47,412 |
| 2020 | 140 | 449 | 70 | 3.39 | $395,961 | $47,538 |
| 2019 | 164 | 558 | 72 | 3.65 | $435,975 | $57,635 |
| 2018 | 61 | 227 | 68 | 3.49 | $121,886 | $20,600 |
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
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 97 | $22,417 | $75 |
| Hospital discharge day management, more than 30 minutes | 68 | $7,903 | $110 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 47 | $5,680 | $114 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 15 | $2,519 | $168 |
2022: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 47 | $7,768 | $80 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 27 | $7,079 | $118 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 30 | $6,616 | $221 |
| Hospital discharge day management, more than 30 minutes | 40 | $4,779 | $119 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 15 | $2,315 | $154 |
2021: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 70 | $17,272 | $79 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 51 | $11,749 | $218 |
| Hospital discharge day management, more than 30 minutes | 66 | $7,852 | $119 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 13 | $3,245 | $116 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 13 | $1,808 | $139 |
2020: 7 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 44 | $11,888 | $110 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 46 | $9,794 | $200 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 52 | $9,144 | $77 |
| Hospital discharge day management, more than 30 minutes | 67 | $7,711 | $110 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 22 | $3,250 | $141 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 12 | $1,376 | $39 |
| Hospital observation care on day of discharge | 12 | $875 | $73 |
2019: 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 104 | $26,968 | $91 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 73 | $12,659 | $171 |
| Hospital discharge day management, more than 30 minutes | 78 | $7,765 | $97 |
| Initial hospital observation care per day, typically 70 minutes | 22 | $3,673 | $160 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 13 | $1,756 | $65 |
| Hospital observation care on day of discharge | 15 | $998 | $67 |
2018: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 22 | $5,426 | $65 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 25 | $5,336 | $94 |
| Hospital discharge day management, more than 30 minutes | 31 | $3,061 | $99 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 15 | $2,729 | $182 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 13 | $1,589 | $122 |
Medicaid work
$1,659 in 2024
Medicaid paid $1,659 for 297 billed services this clinician did in 2024, up to 23 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.
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 231 | $886 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 51 | $517 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 15 | $256 |
| 2024 | 297 | 3 | 23 | $1,659 |
| 2023 | 872 | 3 | 38 | $8,221 |
| 2022 | 235 | 3 | 21 | $3,884 |
| 2021 | 586 | 4 | 32 | $8,650 |
| 2020 | 388 | 4 | 26 | $6,055 |
| 2019 | 949 | 3 | 30 | $18,274 |
| 2018 | 370 | 5 | 34 | $6,201 |
See the largest Medicaid services in earlier years
2023
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 664 | $5,378 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 152 | $1,864 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 56 | $979 |
2022
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 88 | $1,981 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 133 | $1,570 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 14 | $334 |
2021
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 377 | $5,326 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 112 | $1,986 |
| 1ST HOSP IP/OBS HIGH 75 | 68 | $1,254 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 29 | $84 |
2020
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 119 | $2,032 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 149 | $1,877 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 69 | $1,252 |
| 1ST HOSP IP/OBS HIGH 75 | 51 | $894 |
2019
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 591 | $10,157 |
| 1ST HOSP IP/OBS HIGH 75 | 184 | $4,768 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 174 | $3,348 |
2018
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 136 | $2,298 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 125 | $1,892 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 64 | $1,137 |
| 1ST HOSP IP/OBS HIGH 75 | 27 | $677 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 18 | $198 |
Drugs they prescribed that Part D paid
$13,485
Pharmacies billed $13,485 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
173 generic and fewer than 11 brand-name prescriptions · $13,485 in drug cost · 21 antibiotic prescriptions to 16 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.
| Levothyroxine | 16 | $62 | $4 |
| Atorvastatin | 16 | $51 | $3 |
Year by year
| 2024 | 201 | 65 | None | None | $13,485 |
| 2023 | 253 | 80 | None | None | $23,721 |
| 2022 | 169 | 46 | None | None | $15,135 |
| 2021 | 289 | 73 | None | None | $23,805 |
| 2020 | 230 | 61 | None | None | $16,797 |
| 2019 | 262 | 77 | None | None | $18,911 |
| 2018 | 82 | 31 | None | 21% | $6,483 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 5 drugs
| Clopidogrel | 11 | $304 | $28 |
| Pantoprazole | 18 | $284 | $16 |
| Atorvastatin | 19 | $280 | $15 |
| Amlodipine Besylate | 12 | $96 | $8 |
| Furosemide | 11 | $60 | $5 |
2022: 1 drug
| Atorvastatin | 12 | $124 | $10 |
2021: 4 drugs
| Losartan | 14 | $122 | $9 |
| Pantoprazole | 11 | $120 | $11 |
| Atorvastatin | 14 | $115 | $8 |
| Carvedilol | 11 | $65 | $6 |
2020: 4 drugs
| Atorvastatin | 16 | $147 | $9 |
| Tamsulosin | 15 | $66 | $4 |
| Clopidogrel | 13 | $64 | $5 |
| Amlodipine Besylate | 16 | $37 | $2 |
2019: 5 drugs
| Atorvastatin | 17 | $206 | $12 |
| Pantoprazole | 19 | $192 | $10 |
| Tamsulosin | 12 | $116 | $10 |
| Furosemide | 15 | $97 | $6 |
| Amlodipine Besylate | 12 | $50 | $4 |
Professional record
- NPI
- 1285029405
- Trained
- Saint Louis University School of Medicine, 2015 · 11 years ago
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Student in a training program (390200000X)
- Mailing address
- 751 S Bascom Ave, San Jose, CA, 95128
- NPI first listed
- 2015-04-03
- NPI last updated
- 2015-04-03
This is when the NPI record was last certified, not a medical board exam.