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Irene Rummel, PA-C

Physician Assistant · San Jose

NPI 1336704402

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Irene Rummel’s office at (408) 645-7096 to ask if they take your plan before you enroll.

California Medical Board record

Licence G57064 · Cancelled

Licence status: Cancelled · since 1986 · Jefferson Medical College of Thomas Jefferson University.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. 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.

Original Medicare doctor bills

$15,226

Medicare paid this office $15,226 for 68 people.

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

Largest Original Medicare bills
New patient visit (45+ min)19$1,862$98
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more13$1,693$58
Return visit (30+ min)21$1,578$66

Who their Medicare patients are

68 Original Medicare patients in 2024. Average age 74 · Women 68% · Also on Medicaid 31% · Health risk score 1.63. Above the middle of the specialty; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 72% · Diabetes 34% · Depression 29% · Heart failure 24% · Chronic kidney disease 24% · Coronary heart disease 21% · Cancer 21% · Atrial fibrillation 21% · COPD 16%.

The office billed $52,919, Medicare allowed $21,329 and paid $15,226; for 260 services of 38 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
202468260741.63$52,919$15,226
2023107173730.81$58,615$13,198

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

Original Medicare services billed in 2023
New patient visit (45+ min)51$6,523$128
Return visit (30+ min)31$3,441$98
Short return visit (20+ min)12$1,107$74
New patient visit (30+ min)12$794$66

Drugs they prescribed that Part D paid

$2,109

Pharmacies billed $2,109 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 76) in 2024. At or below the middle of the specialty; the typical physician assistant clinician is at 1%.

71 generic and fewer than 11 brand-name prescriptions · $2,109 in drug cost · 24 antibiotic prescriptions to 23 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.

Year by year

Part D prescribing by year
202476530% (0)None$2,109
2023128930% (0)None$3,217
20227242NoneNone$2,709
2021252104None5%$9,070
202010939NoneNone$2,711

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

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Cephalexin11$61$6

2021: 5 drugs

Part D drugs prescribed in 2021
Atorvastatin12$195$16
Omeprazole14$124$9
Amlodipine Besylate16$96$6
Naproxen12$69$6
Metformin11$64$6

2020: 1 drug

Part D drugs prescribed in 2020
Montelukast13$88$7

Money from drug and device companies

$21 in 2024

Industry payments by year
202411None$21
202336None$333
202112None$45

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
PfizerPaxlovid$21
1 payment
  • Meals for Paxlovid · 2024-02-09 · $21
See the published payment
Every published payment
PfizerMeals · 2024-02-09Paxlovid$21
See earlier years (2023, 2021)

2023: $333

Payments by company in 2023
Exact SciencesCologuard Collection Kit$235
3 payments
  • Meals for Cologuard Collection Kit · 2023-05-24 · $125
  • Meals for Cologuard Collection Kit · 2023-03-08 · $102
  • Meals for Cologuard Collection Kit · 2023-01-26 · $8
Gilead SciencesNone$70
2 payments
  • Meals · 2023-11-15 · $35
  • Meals · 2023-10-18 · $36
ViiV HealthcareApretude$28
1 payment
  • Meals for Apretude · 2023-12-26 · $28

2021: $45

Payments by company in 2021
Amarin PharmaVascepa$45
2 payments
  • Meals for Vascepa · 2021-01-29 · $24
  • Meals for Vascepa · 2021-01-07 · $22

Professional record

NPI
1336704402
Licence
CA 57064California G57064: Cancelled
More record details
Sole proprietor
Yes
Taxonomy
Physician assistant (363A00000X)
Mailing address
1432 W San Carlos St Ste 10, San Jose, CA, 95126
NPI first listed
2019-05-04
NPI last updated
2021-06-04
NPI record certified
2021-06-04

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