Irina Krugomova, PA
Physician Assistant · Stanford
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
- Since medical school
- 19 years
- Stanford University School of Medicine, 2007
On the public record
- California licence: Delinquent
Offices
1 location · Stanford Health Care · 3,152 clinicians in this group
Looking this up.
Hospitals listed: Stanford Health Care. That is not proof they admit you there this week.
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Irina Krugomova’s office at (650) 723-4000 to ask if they take your plan before you enroll.
California Medical Board record
Licence A19720 · Delinquent
Licence status: Delinquent · since 1961 · expires 2024-10-31 · University of Southern California Keck School of Medicine.
License renewal fee has not been paid. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
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.
- Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend itOverall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Stanford Health Care
Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 5.31 (4.24 to 6.37) · 8,661 cases | Worse | Jul 2022 – Jun 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 14.1 (12.7 to 15.7) · 2,191 cases | Worse | Jan 2024 – Dec 2024 |
| Postoperative respiratory failure rateComplications and deaths | 4.08 (1.95 to 6.21) · 5,296 cases | Better | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.317 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.446 | Better | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.241 | Better | Oct 2024 – Sep 2025 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.7 (0.6 to 0.9) · 3,348 cases | Better | Jan 2024 – Dec 2024 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.06 (0.45 to 1.67) · 5,374 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.86 (0.72 to 1) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 166.09 (137.88 to 194.3) · 470 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 1.1 · 192 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 6.4 · 146 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 9.7 · 253 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 6.3 · 880 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 10.3 · 935 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 8.7 · 501 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 2.1 · 7,730 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.13 (0 to 0.27) · 20,799 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.28 (0.14 to 0.43) · 23,182 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 0.94 (0.2 to 1.68) · 5,694 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.36 (1.54 to 3.19) · 7,846 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.2 (3.76 to 6.64) · 5,603 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.38 (0.23 to 2.53) · 2,211 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.52 (0.21 to 0.83) · 19,915 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.6 · 416 cases | None | Apr 2023 – Mar 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.869 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.857 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 0.368 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 16.2 · 247 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.5 · 1,021 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 47.8 · 258 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -1.6 · 990 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 20.8 · 976 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.5 · 959 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.2 (4.4 to 6.2) · 2,191 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.1 · 425 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 9.6 · 158 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.6 · 183 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.7 (10.4 to 15.4) · 4,578 cases | No different | Jan 2022 – Dec 2024 |
What patients said (6,810 patients answered, 25% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 4 |
| Quietness | 2 |
| Recommend hospital | 5 |
| Room was "always" clean | 75% |
| Nurses "always" communicated well | 82% |
| Doctors "always" communicated well | 81% |
| Staff "always" explained | 63% |
| Yes, staff "did" give patients this information | 89% |
| Yes, staff "did" give patients information about help after discharge | 89% |
| Doctors "always" explained things so they could understand | 76% |
| Doctors "always" listened carefully | 80% |
| Doctors "always" treated them with courtesy and respect | 87% |
| Patients who gave a rating of "9" or "10" (high) | 79% |
| Staff "always" explained new medications | 76% |
| Nurses "always" explained things so they could understand | 77% |
| Nurses "always" listened carefully | 79% |
| Nurses "always" treated them with courtesy and respect | 88% |
| "Always" quiet at night | 53% |
| "YES", patients would definitely recommend the hospital | 83% |
| Staff "always" explained possible side effects | 50% |
| Yes, staff "did" give patients information about possible symptoms | 90% |
Original Medicare doctor bills
$30,275
Medicare paid this office $30,275 for 167 people. Most of that is long return visits and Botox.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Long return visit (40+ min) | 71 | $12,610 | $139 |
| Long return visit (40+ min) | 64 | $7,720 | $106 |
| Return visit (30+ min) | 58 | $7,264 | $98 |
| Short return visit (20+ min) | 13 | $1,175 | $65 |
| 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 or | 14 | $595 | $22 |
Procedures Medicare counted
| Skin biopsy | 18 | More than 62% of doctors who do this |
Who their Medicare patients are
167 Original Medicare patients in 2024. Average age 68 · Under 65 26% · 85 and older 7% · Women 64% · Also on Medicaid 23% · Health risk score 1.71. Above the middle of the specialty; the typical physician assistant clinician is at 1.31.
Conditions among them: High blood pressure 68% · Depression 38% · Chronic kidney disease 28% · Diabetes 26% · Atrial fibrillation 26% · Coronary heart disease 23% · Heart failure 16% · COPD 13% · Stroke 13% · Cancer 11% · Dementia 9%.
The office billed $179,238, Medicare allowed $40,072 and paid $30,275; for 297 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 | 167 | 297 | 68 | 1.71 | $179,238 | $30,275 |
| 2023 | 133 | 260 | 69 | 1.77 | $136,601 | $21,265 |
| 2022 | 69 | 123 | 67 | 1.85 | $58,821 | $10,235 |
| 2021 | 78 | 127 | 70 | 1.77 | $53,653 | $9,971 |
| 2020 | 62 | 99 | 66 | 1.86 | $39,527 | $6,575 |
| 2019 | 67 | 104 | 66 | 1.80 | $11,858 | $6,974 |
| 2018 | 66 | 101 | 65 | 1.86 | $12,442 | $6,670 |
| 2017 | 57 | 99 | 65 | 2.06 | $21,997 | $6,839 |
| 2016 | 84 | 138 | 67 | 1.74 | $29,696 | $9,035 |
| 2015 | 99 | 139 | 71 | 1.52 | $24,357 | $6,738 |
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
| Long return visit (40+ min) | 109 | $16,339 | $107 |
| Return visit (30+ min) | 34 | $2,659 | $74 |
| 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 or | 28 | $1,159 | $24 |
| Short return visit (20+ min) | 14 | $726 | $52 |
2022: 3 services
| Long return visit (40+ min) | 47 | $7,305 | $107 |
| Return visit (30+ min) | 17 | $1,468 | $73 |
| Short return visit (20+ min) | 14 | $680 | $49 |
2021: 4 services
| Long return visit (40+ min) | 48 | $6,645 | $107 |
| Return visit (30+ min) | 23 | $1,935 | $74 |
| Short return visit (20+ min) | 11 | $641 | $49 |
| 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 or | 11 | $433 | $25 |
2020: 2 services
| Long return visit (40+ min) | 48 | $4,484 | $76 |
| Return visit (30+ min) | 19 | $1,507 | $60 |
2019: 2 services
| Long return visit (40+ min) | 43 | $3,758 | $84 |
| Return visit (30+ min) | 37 | $2,989 | $55 |
2018: 3 services
| Long return visit (40+ min) | 33 | $3,078 | $75 |
| Return visit (30+ min) | 25 | $1,816 | $57 |
| Return visit (30+ min) | 14 | $901 | $60 |
2017: 2 services
| Long return visit (40+ min) | 52 | $6,086 | $71 |
| Return visit (30+ min) | 11 | $715 | $60 |
2016: 2 services
| Long return visit (40+ min) | 42 | $4,632 | $84 |
| Return visit (30+ min) | 57 | $4,287 | $55 |
2015: 2 services
| Return visit (30+ min) | 83 | $5,515 | $52 |
| Short return visit (20+ min) | 23 | $894 | $34 |
Drugs they prescribed that Part D paid
$210,809
Pharmacies billed $210,809 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 0% of their Part D prescriptions (0 of 908) in 2024. At or below the middle of the specialty; the typical physician assistant clinician is at 1%.
892 generic and 16 brand-name prescriptions · $210,809 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.
| Droxidopa | 157 | $101,384 | $646 |
| Midodrine | 194 | $9,804 | $51 |
| Pyridostigmine | 85 | $5,647 | $66 |
| Mycophenolate Mofetil | 20 | $2,439 | $122 |
| Fludrocortisone Acetate | 65 | $2,092 | $32 |
See all 14 drugs
| Droxidopa | 157 | $101,384 | $646 |
| Midodrine | 194 | $9,804 | $51 |
| Pyridostigmine | 85 | $5,647 | $66 |
| Mycophenolate Mofetil | 20 | $2,439 | $122 |
| Fludrocortisone Acetate | 65 | $2,092 | $32 |
| Carbidopa-Levodopa | 26 | $1,086 | $42 |
| Propranolol | 43 | $547 | $13 |
| Gabapentin | 45 | $484 | $11 |
| Losartan | 43 | $324 | $8 |
| Carbidopa-Levodopa Er | 13 | $239 | $18 |
| Baclofen | 30 | $205 | $7 |
| Glycopyrrolate | 13 | $173 | $13 |
| Metoprolol | 20 | $97 | $5 |
| Lisinopril | 12 | $13 | $1 |
Year by year
| 2024 | 908 | 159 | 0% (0) | 2% | $210,809 |
| 2023 | 707 | 131 | None | 3% | $304,272 |
| 2022 | 490 | 90 | 0% (0) | 5% | $113,684 |
| 2021 | 363 | 62 | None | 4% | $115,708 |
| 2020 | 351 | 54 | 0% (0) | None | $259,243 |
| 2019 | 357 | 40 | 0% (0) | 7% | $88,900 |
| 2018 | 343 | 45 | 0% (0) | 9% | $152,455 |
| 2017 | 249 | 31 | 0% (0) | 17% | $154,743 |
| 2016 | 252 | 56 | 0% (0) | 10% | $102,123 |
| 2015 | 404 | 97 | 0% (0) | 9% | $45,560 |
| 2014 | 83 | 24 | 0% (0) | 18% | $9,612 |
| 2013 | 90 | 28 | 0% (0) | 23% | $6,598 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 13 drugs
| Droxidopa | 132 | $185,129 | $1,402 |
| Midodrine | 135 | $10,187 | $75 |
| Pyridostigmine | 82 | $3,495 | $43 |
| Mycophenolate Mofetil | 14 | $2,029 | $145 |
| Gabapentin | 59 | $1,854 | $31 |
| Fludrocortisone Acetate | 33 | $1,365 | $41 |
| Carbidopa-Levodopa | 21 | $678 | $32 |
| Propranolol | 20 | $630 | $31 |
| Memantine | 13 | $187 | $14 |
| Clonidine | 18 | $149 | $8 |
| Losartan | 12 | $100 | $8 |
| Lisinopril | 15 | $54 | $4 |
| Metoprolol | 13 | $49 | $4 |
2022: 11 drugs
| Droxidopa | 46 | $84,663 | $1,840 |
| Midodrine | 75 | $7,255 | $97 |
| Gabapentin | 63 | $3,556 | $56 |
| Pyridostigmine | 62 | $3,534 | $57 |
| Fludrocortisone Acetate | 26 | $1,122 | $43 |
| Carbidopa-Levodopa | 27 | $583 | $22 |
| Propranolol | 15 | $546 | $36 |
| Baclofen | 18 | $539 | $30 |
| Azathioprine | 13 | $377 | $29 |
| Prednisone | 15 | $206 | $14 |
| Clonazepam | 11 | $103 | $9 |
2021: 11 drugs
| Droxidopa | 17 | $60,321 | $3,548 |
| Midodrine | 71 | $5,601 | $79 |
| Gabapentin | 39 | $3,727 | $96 |
| Pyridostigmine | 62 | $3,279 | $53 |
| Propranolol | 17 | $566 | $33 |
| Carbidopa-Levodopa | 12 | $545 | $45 |
| Baclofen | 17 | $518 | $30 |
| Fludrocortisone Acetate | 13 | $464 | $36 |
| Azathioprine | 12 | $364 | $30 |
| Sulfamethoxazole-Trimethoprim | 13 | $62 | $5 |
| Clonidine | 11 | $39 | $4 |
2020: 9 drugs
| Northera | 27 | $241,800 | $8,956 |
| Midodrine | 59 | $4,569 | $77 |
| Pyridostigmine | 64 | $3,749 | $59 |
| Gabapentin | 38 | $3,504 | $92 |
| Fludrocortisone Acetate | 18 | $767 | $43 |
| Baclofen | 11 | $463 | $42 |
| Carbidopa-Levodopa | 19 | $460 | $24 |
| Clonazepam | 11 | $217 | $20 |
| Sulfamethoxazole-Trimethoprim | 14 | $31 | $2 |
2019: 7 drugs
| Gabapentin | 30 | $5,683 | $189 |
| Midodrine | 79 | $5,428 | $69 |
| Pyridostigmine | 51 | $2,775 | $54 |
| Fludrocortisone Acetate | 18 | $799 | $44 |
| Baclofen | 21 | $785 | $37 |
| Amantadine | 11 | $521 | $47 |
| Glycopyrrolate | 11 | $491 | $45 |
2018: 7 drugs
| Northera | 14 | $125,263 | $8,947 |
| Midodrine | 69 | $5,299 | $77 |
| Gabapentin | 28 | $3,629 | $130 |
| Pyridostigmine | 33 | $1,639 | $50 |
| Fludrocortisone Acetate | 31 | $855 | $28 |
| Desmopressin Acetate | 13 | $798 | $61 |
| Glycopyrrolate | 16 | $552 | $35 |
2017: 8 drugs
| Northera | None | 12 | $90,334 | $7,528 |
| Gamunex-C | Immune globulin | 14 | $44,029 | $3,145 |
| Midodrine | None | 40 | $3,368 | $84 |
| Pyridostigmine | None | 35 | $1,741 | $50 |
| Azathioprine | None | 13 | $486 | $37 |
| Fludrocortisone Acetate | None | 23 | $469 | $20 |
| Gabapentin | None | 22 | $431 | $20 |
| Potassium Chloride | None | 15 | $342 | $23 |
2016: 8 drugs
| Midodrine | 34 | $1,730 | $51 |
| Desmopressin Acetate | 16 | $996 | $62 |
| Pyridostigmine | 35 | $766 | $22 |
| Carbidopa-Levodopa | 26 | $384 | $15 |
| Fludrocortisone Acetate | 14 | $352 | $25 |
| Potassium Chloride | 11 | $282 | $26 |
| Carbidopa-Levodopa Er | 11 | $265 | $24 |
| Gabapentin | 12 | $166 | $14 |
2015: 6 drugs
| Azilect | 18 | $13,168 | $732 |
| Carbidopa-Levodopa | 155 | $5,535 | $36 |
| Amantadine | 35 | $3,917 | $112 |
| Carbidopa-Levodopa Er | 80 | $3,281 | $41 |
| Gabapentin | 18 | $167 | $9 |
| Clonazepam | 15 | $80 | $5 |
2014: 2 drugs
| Carbidopa-Levodopa | 20 | $864 | $43 |
| Carbidopa-Levodopa Er | 19 | $432 | $23 |
2013: 3 drugs
| Carbidopa-Levodopa | 36 | $2,203 | $61 |
| Rivastigmine | 22 | $2,018 | $92 |
| Clonazepam | 14 | $62 | $4 |
Money from drug and device companies
$138 in 2024
| 2024 | 1 | 1 | None | $138 |
| 2022 | 1 | 2 | None | $145 |
| 2021 | 1 | 1 | None | $60 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Alnylam Pharmaceuticals | None | $138 | 1 payment
|
See the published payment
| Alnylam Pharmaceuticals | Meals · 2024-03-21 | None | $138 |
See earlier years (2022, 2021)
2022: $145
| Alnylam Pharmaceuticals | Onpattro | $145 | 2 payments
|
2021: $60
| SK Life Science | Xcopri | $60 | 1 payment
|
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 76.5 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1295991149
- Licence
- CA 19720California A19720: Delinquent · expires 2024-10-31
- Trained
- Stanford University School of Medicine, 2007 · 19 years ago
- Group
- Stanford Health Care
- Video visits
- Lists video visits
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Physician assistant (363A00000X); Physician assistant, medical (363AM0700X)
- Mailing address
- 300 Pasteur Dr, Stanford, CA, 94305
- NPI first listed
- 2008-07-30
- NPI last updated
- 2025-12-19
- NPI record certified
- 2025-12-19
This is when the NPI record was last certified, not a medical board exam.