Phong Duy Nguyen, NP
Nurse Practitioner · Mountain View
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 4
Offices
4 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group
Looking this up.
Hospitals listed: Mills-Peninsula Medical Center. 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 Phong Duy Nguyen’s office to ask if they take your plan before you enroll.
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.
- Peninsula Medical CenterBurlingame, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 78% would definitely recommend itOverall rating: 5 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.139, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.242, Oct 2024 – Sep 2025
See every measure and the patient survey for Peninsula Medical Center
Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 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.
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.139 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.242 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.21 (0.27 to 2.15) · 1,258 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.81 (0.51 to 1.1) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 155.44 (112.67 to 198.21) · 90 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.5 · 32 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 7.1 · 82 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 10 · 188 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 9 · 473 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 14.8 · 342 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 9.4 · 485 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 2.9 · 3,730 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.2 (0 to 0.4) · 6,904 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.21 (0.02 to 0.4) · 7,052 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.41 (1.43 to 5.39) · 1,695 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.72 (0.17 to 3.28) · 665 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.11 (0.66 to 3.56) · 1,545 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 7.1 (1.3 to 12.9) · 670 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.96 (2.63 to 9.29) · 653 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.61 (0.15 to 3.08) · 418 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.14 (0 to 0.78) · 5,539 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.7 · 192 cases | None | Apr 2023 – Mar 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.215 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.263 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.74 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.3 · 300 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 19 · 702 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 1.2 · 207 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -13.6 · 531 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 24.3 · 343 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 18.1 · 449 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 4.5 (2.8 to 7) · 85 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 9.6 (6.7 to 13.7) · 85 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.7 · 189 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 11 · 45 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.6 · 117 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13 (9.7 to 17.2) · 584 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.7 to 1.2) · 764 cases | No different | Jan 2024 – Dec 2024 |
What patients said (523 patients answered, 27% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 4 |
| Quietness | 3 |
| Recommend hospital | 5 |
| Room was "always" clean | 76% |
| Nurses "always" communicated well | 81% |
| Doctors "always" communicated well | 80% |
| Staff "always" explained | 58% |
| Yes, staff "did" give patients this information | 89% |
| Yes, staff "did" give patients information about help after discharge | 87% |
| Doctors "always" explained things so they could understand | 74% |
| Doctors "always" listened carefully | 79% |
| Doctors "always" treated them with courtesy and respect | 87% |
| Patients who gave a rating of "9" or "10" (high) | 75% |
| Staff "always" explained new medications | 72% |
| 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 | 54% |
| "YES", patients would definitely recommend the hospital | 78% |
| Staff "always" explained possible side effects | 44% |
| Yes, staff "did" give patients information about possible symptoms | 90% |
Original Medicare doctor bills
$13,270
Medicare paid this office $13,270 for 260 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Anticoagulant management of patient taking warfarin | 254 | $6,964 | $9 |
| Short return visit (20+ min) | 46 | $3,201 | $70 |
| Telephone medical discussion with physician, 21-30 minutes | 14 | $1,464 | $105 |
| Short return visit | 11 | $395 | $36 |
Who their Medicare patients are
260 Original Medicare patients in 2024. Average age 80 · 85 and older 31% · Women 44% · Also on Medicaid 12% · Health risk score 1.55. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.
Conditions among them: High blood pressure 72% · Atrial fibrillation 68% · Coronary heart disease 32% · Heart failure 30% · Chronic kidney disease 28% · Diabetes 25% · Cancer 15% · Depression 15% · COPD 14% · Stroke 10% · Dementia 8%.
The office billed $57,032, Medicare allowed $17,798 and paid $13,270; for 847 services of 7 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 | 260 | 847 | 80 | 1.55 | $57,032 | $13,270 |
| 2022 | 169 | 1,196 | 77 | 2.23 | $231,645 | $75,257 |
| 2021 | 258 | 1,571 | 75 | 2.00 | $285,798 | $89,889 |
| 2020 | 106 | 865 | 78 | 2.75 | $162,135 | $49,468 |
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
2022: 8 services
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 97 | $36,401 | $52 |
| Removal of skin and tissue, 20.0 sq cm or less | 32 | $13,638 | $108 |
| Initial nursing facility care with straightforward or low level of medical decision making, per day at least 25 minutes | 53 | $3,581 | $68 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes | 29 | $925 | $31 |
| New patient visit (15+ min) | 13 | $853 | $66 |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 22 | $801 | $35 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 11 | $740 | $49 |
| Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; booster dose | 17 | $695 | $41 |
2021: 14 services
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 80 | $27,058 | $52 |
| Removal of skin and tissue, 20.0 sq cm or less | 26 | $13,730 | $108 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 70 | $10,246 | $51 |
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 12 | $5,833 | $102 |
| Initial nursing facility care with straightforward or low level of medical decision making, per day at least 25 minutes | 56 | $3,762 | $67 |
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 20 | $3,457 | $69 |
| Removal of skin and tissue, 20.0 sq cm or less | 24 | $3,356 | $45 |
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 16 | $2,802 | $68 |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 70 | $2,508 | $35 |
| Initial nursing facility care with straightforward or low level of medical decision making, per day at least 25 minutes | 35 | $2,382 | $68 |
| Office for the evaluation and management of established patient that may not require presence of healthcare professional | 96 | $2,320 | $24 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes | 45 | $2,110 | $31 |
| Removal of skin and tissue, each additional 20.0 sq cm or less | 12 | $1,415 | $33 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes | 25 | $953 | $31 |
2020: 8 services
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 48 | $17,493 | $52 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 44 | $10,459 | $53 |
| Removal of skin and tissue, 20.0 sq cm or less | 13 | $5,770 | $107 |
| Initial nursing facility care with straightforward or low level of medical decision making, per day at least 25 minutes | 41 | $2,974 | $68 |
| Initial nursing facility care with straightforward or low level of medical decision making, per day at least 25 minutes | 29 | $1,998 | $67 |
| Removal of skin and tissue, 20.0 sq cm or less | 13 | $1,881 | $47 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes | 32 | $1,507 | $33 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day at least 10 minutes | 24 | $1,109 | $33 |
Medicaid work
$5,636 in 2022
Medicaid paid $5,636 for 611 billed services this clinician did in 2022, up to 30 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 NURSING FACILITY CARE LOW MDM 20 MINUTES | 611 | $5,636 |
| 2022 | 611 | 1 | 30 | $5,636 |
| 2021 | 979 | 6 | 50 | $13,799 |
| 2020 | 130 | 1 | 15 | $660 |
See the largest Medicaid services in earlier years
2021
| SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES | 680 | $7,757 |
| SARSCOV CORONAVIRUS AG IA | 103 | $3,025 |
| OFF/OP EST MAY X REQ PHY/QHP | 137 | $1,418 |
| Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less | 33 | $1,347 |
| INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN | 13 | $156 |
| SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES | 13 | $96 |
2020
| SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES | 130 | $660 |
Drugs they prescribed that Part D paid
$3,641
Pharmacies billed $3,641 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 77) in 2024. At or below the middle of the specialty; the typical nurse practitioner clinician is at 0%.
76 generic and fewer than 11 brand-name prescriptions · $3,641 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.
| Enoxaparin | 17 | $2,992 | $166 |
| Warfarin | 29 | $597 | $11 |
Year by year
| 2024 | 77 | 43 | 0% (0) | None | $3,641 |
| 2023 | 11 | None | 0% (0) | 0% | $232 |
| 2022 | 21 | 15 | 0% (0) | None | $364 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
Money from drug and device companies
$95 in 2023
| 2023 | 1 | 4 | None | $95 |
| 2022 | 2 | 4 | None | $89 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Boehringer Ingelheim Pharmaceuticals | Jardiance | $95 | 4 payments
|
See all 4 published payments
| Boehringer Ingelheim Pharmaceuticals | Meals · 2023-11-10 | Jardiance | $26 |
| Boehringer Ingelheim Pharmaceuticals | Meals · 2023-10-04 | Jardiance | $23 |
| Boehringer Ingelheim Pharmaceuticals | Meals · 2023-02-23 | Jardiance | $19 |
| Boehringer Ingelheim Pharmaceuticals | Meals · 2023-01-10 | Jardiance | $26 |
See earlier years (2022)
2022: $89
| Boehringer Ingelheim Pharmaceuticals | Jardiance | $70 | 3 payments
|
| Lilly USA | Trulicity | $19 | 1 payment
|
Professional record
- NPI
- 1316502297
- Licence
- CA 95010668
- Video visits
- Lists video visits
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 363LF0000X (363LF0000X)
- Mailing address
- Anticoagulation Clinic, 701 East El Camino Real, Mountain View, CA, 94040
- NPI first listed
- 2019-05-06
- NPI last updated
- 2025-01-23
- NPI record certified
- 2025-01-23
This is when the NPI record was last certified, not a medical board exam.