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Justin W Tong, MD

Internal Medicine · Santa Clara

NPI 1336372549

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
2
Since medical school
17 years
Georgetown University School of Medicine, 2009

Offices

2 locations · Permanente Medical Group Inc · 10,928 clinicians in this group

Looking this up.

Hospitals listed: Kaiser Foundation Hospital-Santa Clara. 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 Dr. Tong’s office at (408) 851-1000 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.

  • Kaiser Foundation Hospital-Santa ClaraSanta Clara, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Kaiser Permanente, which runs 41 hospitals in 3 statesPatients rate it 3 of 5 · 75% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.38, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital-Santa Clara

Behind the star rating — Deaths: 0 better, 3 the same, 0 worse of 3 measures. Safety: 2 better, 4 the same, 0 worse of 6 measures. Readmissions: 0 better, 1 the same, 1 worse of 2 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Kaiser Foundation Hospital-Santa Clara
Clostridium Difficile (C.Diff)Infections0.38BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.01 (0 to 2.09) · 181 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.61 to 1.42)No differentJul 2022 – Jun 2024
Death rate for stroke patientsComplications and deaths10.5 · 312 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 3,736 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.43) · 910 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 1,036 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.53 (2.03 to 7.03) · 235 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.57 (0 to 3.25) · 83 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.5 (0.82 to 4.18) · 178 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.73 (3.81 to 19.64) · 74 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.31 (1.3 to 9.32) · 94 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.75 (0.22 to 3.28) · 37 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.34 (0 to 1.34) · 819 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.72No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.049No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.598No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.926No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13 · 589 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.7 · 828 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits107.6 · 27 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.9 · 642 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits7.8 · 249 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.6 · 181 casesNoneJul 2023 – Jun 2025

What patients said (572 patients answered, 25% of those asked)

Patient survey stars by topic at Kaiser Foundation Hospital-Santa Clara
Cleanliness4
Nurse communication3
Doctor communication4
Communication about medicines2
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Kaiser Foundation Hospital-Santa Clara
Room was "always" clean72%
Nurses "always" communicated well75%
Doctors "always" communicated well80%
Staff "always" explained57%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully71%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night44%
"YES", patients would definitely recommend the hospital75%
Staff "always" explained possible side effects42%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$2,963

Medicare paid this office $2,963 for 13 people.

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

Who their Medicare patients are

13 Original Medicare patients in 2024. Average age 72 · Health risk score 2.65. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

The office billed $8,894, Medicare allowed $3,767 and paid $2,963; for 39 services of 6 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

Original Medicare by year
20241339722.65$8,894$2,963
20231440722.29$7,063$3,104
20211437683.64$6,950$2,645

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: 1 service

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$2,067$71

Drugs they prescribed that Part D paid

$11,766

Pharmacies billed $11,766 in 2024.

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

Opioids were 9% of their Part D prescriptions (21 of 238) in 2024. A higher opioid share than 9 in 10 peers; the typical internal medicine clinician is at 1%.

206 generic and fewer than 11 brand-name prescriptions · $11,766 in drug cost · 24 antibiotic prescriptions to 17 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
Warfarin14$163$12
Metoprolol15$158$11
Furosemide19$147$8
Oxycodone18$139$8

Year by year

Part D prescribing by year
2024238839% (21)None$11,766
20232938411% (33)16%$13,092
20222135911% (23)None$9,561
2021194587% (13)None$11,064
2020247658% (19)12%$8,883
20193011028% (25)None$12,129
20183931155% (18)28%$16,372
20174171234% (18)None$27,855
20163421133% (11)None$19,934
2015345137NoneNone$42,445
20143471397% (23)None$18,716
20133601255% (18)None$14,594

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

See the drugs prescribed each year

2023: 9 drugs

Part D drugs prescribed in 2023
Amiodarone15$422$28
Atorvastatin13$250$19
Oxycodone32$246$8
Furosemide27$236$9
Metoprolol22$217$10
Metoprolol15$210$14
Pantoprazole15$179$12
Losartan12$128$11
Famotidine11$107$10

2022: 3 drugs

Part D drugs prescribed in 2022
Furosemide22$224$10
Metoprolol16$138$9
Oxycodone16$119$7

2021: 5 drugs

Part D drugs prescribed in 2021
Atorvastatin13$203$16
Pantoprazole11$188$17
Furosemide14$139$10
Metoprolol16$139$9
Oxycodone11$81$7

2020: 8 drugs

Part D drugs prescribed in 2020
Amiodarone13$375$29
Atorvastatin22$353$16
Clopidogrel12$300$25
Pantoprazole13$240$18
Warfarin19$222$12
Metoprolol25$222$9
Famotidine16$126$8
Oxycodone17$126$7

2019: 7 drugs

Part D drugs prescribed in 2019
Warfarin37$452$12
Atorvastatin15$334$22
Pantoprazole14$309$22
Amiodarone12$275$23
Metoprolol22$214$10
Furosemide14$149$11
Oxycodone19$135$7

2018: 12 drugs

Part D drugs prescribed in 2018
Pantoprazole20$512$26
Atorvastatin19$507$27
Furosemide32$378$12
Warfarin30$377$13
Amiodarone16$332$21
Clopidogrel11$296$27
K-Tab Er12$177$15
Metoprolol21$176$8
Losartan15$154$10
Lisinopril12$126$11
Oxycodone13$94$7
Levofloxacin11$70$6

2017: 9 drugs

Part D drugs prescribed in 2017
Humulin N12$1,502$125
Atorvastatin36$1,008$28
Pantoprazole15$443$30
Furosemide30$364$12
Gabapentin11$336$31
Warfarin24$313$13
Metoprolol31$253$8
Lisinopril15$135$9
Oxycodone11$98$9

2016: 7 drugs

Part D drugs prescribed in 2016
Atorvastatin24$768$32
Pantoprazole21$518$25
Metoprolol29$298$10
Warfarin19$266$14
Furosemide22$265$12
Hydralazine12$254$21
Lisinopril11$92$8

2015: 8 drugs

Part D drugs prescribed in 2015
Humulin N12$595$50
Atorvastatin15$529$35
Warfarin25$365$15
Pantoprazole15$316$21
Furosemide19$229$12
Prednisone13$225$17
Metoprolol21$203$10
Ciprofloxacin14$143$10

2014: 5 drugs

Part D drugs prescribed in 2014
Warfarin30$401$13
Furosemide24$289$12
Pantoprazole11$281$26
Metoprolol15$116$8
Levofloxacin11$91$8

2013: 6 drugs

Part D drugs prescribed in 2013
Warfarin23$334$15
Furosemide29$332$11
Metoprolol19$130$7
Lisinopril14$124$9
Levofloxacin14$106$8
Isosorbide Mononitrate Er12$93$8

Professional record

NPI
1336372549
Trained
Georgetown University School of Medicine, 2009 · 17 years ago
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Student in a training program (390200000X)
Mailing address
1480 Broadway, Unit 2508, San Diego, CA, 92101
NPI first listed
2009-09-03
NPI last updated
2021-12-14

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

This office lists an electronic records connection.