Derek Pham, PT
Physical Therapist in Private Practice · Los Gatos
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 2
- Since medical school
- 3 years
- Graduated 2023
On the public record
- Medicare does not list them as allowed to order and refer
Offices
2 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Derek Pham’s office to ask if they take your plan before you enroll.
Original Medicare doctor bills
$26,931
Medicare paid this office $26,931 for 71 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using functional activities | 62 | $12,147 | $29 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 42 | $4,226 | $21 |
| Training for self-care or home management, each 15 minutes | 56 | $3,404 | $23 |
| Therapy procedure using manual technique, each 15 minutes | 30 | $1,694 | $18 |
| Evaluation for physical therapy, typically 20 minutes | 18 | $1,477 | $82 |
See all 8 services
| Therapy procedure using functional activities | 62 | $12,147 | $29 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 42 | $4,226 | $21 |
| Training for self-care or home management, each 15 minutes | 56 | $3,404 | $23 |
| Therapy procedure using manual technique, each 15 minutes | 30 | $1,694 | $18 |
| Evaluation for physical therapy, typically 20 minutes | 18 | $1,477 | $82 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 31 | $1,410 | $23 |
| Evaluation for physical therapy, typically 30 minutes | 14 | $1,200 | $86 |
| Therapy procedure in a group setting | 22 | $415 | $12 |
Who their Medicare patients are
71 Original Medicare patients in 2024. Average age 75 · Women 68% · Also on Medicaid 31% · Health risk score 0.91. At or below the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.
Conditions among them: High blood pressure 68% · Diabetes 25% · Chronic kidney disease 18%.
The office billed $86,523, Medicare allowed $34,399 and paid $26,931; for 1,046 services of 14 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.
Professional record
- NPI
- 1295595791
- Licence
- CA 305775
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- Po Box 276950, Sacramento, CA, 95827
- NPI first listed
- 2024-03-21
- NPI last updated
- 2025-11-28
- NPI record certified
- 2025-11-28
This is when the NPI record was last certified, not a medical board exam.