Paul D Marcus, MD
Internal Medicine · Oakland
- 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
- Since medical school
- 14 years
- Ohio State University College of Medicine, 2012
Offices
1 location · Permanente Medical Group Inc · 10,928 clinicians in this group
Hospitals listed: Kaiser Foundation Hospital - Oakland/Richmond. 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. Marcus’s office at (510) 752-1000 to ask if they take your plan before you enroll.
California Medical Board record
Licence A128420 · Current
Licensed to practise in California · since 2014 · expires 2028-01-31 · Ohio State University College of Medicine.
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.
- Kaiser Foundation Hospital - Oakland/RichmondOakland, 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 · 72% would definitely recommend itOverall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.203, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.334, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital - Oakland/Richmond
Behind the star rating — Deaths: 0 better, 6 the same, 0 worse of 6 measures. Safety: 2 better, 4 the same, 0 worse of 6 measures. Readmissions: 0 better, 2 the same, 2 worse of 4 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| SSI - Colon SurgeryInfections | 2.203 | Worse | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.334 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.96 (0 to 2.01) · 443 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.01 (0.62 to 1.4) | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 8.4 · 52 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.2 · 40 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 10.7 · 96 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 16.7 · 94 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.8 · 489 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 4.1 · 4,684 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.25 (0.03 to 0.48) · 2,673 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.33 (0.12 to 0.54) · 2,783 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.39 (0.96 to 5.81) · 381 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.62 (0 to 3.32) · 146 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.07 (0.44 to 3.71) · 359 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 7.63 (0 to 16.81) · 123 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.35 (1.31 to 9.38) · 146 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 2.04 (0.54 to 3.55) · 115 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.79 (0 to 1.61) · 2,133 cases | No different | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.562 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.715 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.876 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 13.9 · 312 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 24.2 · 974 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 55.2 · 127 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 10 · 112 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 20 · 819 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.3 · 262 cases | None | Jul 2023 – Jun 2025 |
What patients said (2,982 patients answered, 23% of those asked)
| Cleanliness | 3 |
| Nurse communication | 2 |
| Doctor communication | 3 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 4 |
| Room was "always" clean | 71% |
| Nurses "always" communicated well | 73% |
| Doctors "always" communicated well | 78% |
| Staff "always" explained | 57% |
| Yes, staff "did" give patients this information | 86% |
| Yes, staff "did" give patients information about help after discharge | 88% |
| Doctors "always" explained things so they could understand | 72% |
| Doctors "always" listened carefully | 77% |
| Doctors "always" treated them with courtesy and respect | 84% |
| Patients who gave a rating of "9" or "10" (high) | 69% |
| Staff "always" explained new medications | 70% |
| Nurses "always" explained things so they could understand | 69% |
| Nurses "always" listened carefully | 69% |
| Nurses "always" treated them with courtesy and respect | 80% |
| "Always" quiet at night | 48% |
| "YES", patients would definitely recommend the hospital | 72% |
| Staff "always" explained possible side effects | 44% |
| Yes, staff "did" give patients information about possible symptoms | 85% |
Original Medicare doctor bills
$12,589
Medicare paid this office $12,589 for 75 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 33 | $6,072 | $70 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 26 | $2,879 | $111 |
| Hospital discharge day management, 30 minutes or less | 20 | $1,466 | $73 |
Who their Medicare patients are
75 Original Medicare patients in 2024. Average age 72 · Under 65 17% · 85 and older 17% · Women 48% · Also on Medicaid 76% · Health risk score 2.18. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 75% · Diabetes 53% · Chronic kidney disease 52% · Coronary heart disease 49% · Heart failure 45% · COPD 36% · Dementia 36% · Depression 33% · Atrial fibrillation 31% · Stroke 28% · Cancer 15%.
The office billed $35,087, Medicare allowed $15,947 and paid $12,589; for 156 services of 10 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 | 75 | 156 | 72 | 2.18 | $35,087 | $12,589 |
| 2023 | 47 | 83 | 75 | 3.89 | $16,410 | $6,799 |
| 2022 | 49 | 100 | 74 | 3.06 | $16,441 | $6,423 |
| 2021 | 56 | 111 | 71 | 3.28 | $19,572 | $7,369 |
| 2020 | 66 | 112 | 70 | 3.70 | $18,403 | $7,509 |
| 2019 | 53 | 90 | 71 | 3.60 | $19,419 | $6,416 |
| 2018 | 63 | 114 | 74 | 3.14 | $22,801 | $7,665 |
| 2017 | 70 | 145 | 74 | 3.40 | $26,790 | $8,796 |
| 2016 | 39 | 90 | 72 | 3.58 | $20,159 | $5,545 |
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: 3 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 22 | $3,016 | $70 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 13 | $1,495 | $115 |
| Hospital discharge day management, 30 minutes or less | 13 | $948 | $73 |
2022: 1 service
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 32 | $4,208 | $63 |
2021: 2 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 20 | $3,780 | $64 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 11 | $981 | $89 |
2020: 2 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 32 | $3,914 | $65 |
| Hospital discharge day management, 30 minutes or less | 18 | $1,130 | $63 |
2019: 2 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 25 | $2,752 | $64 |
| Initial hospital observation care per day, typically 30 minutes | 11 | $987 | $82 |
2018: 3 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 28 | $3,417 | $61 |
| Hospital discharge day management, 30 minutes or less | 24 | $1,523 | $63 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 12 | $1,025 | $85 |
2017: 2 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 37 | $4,493 | $61 |
| Hospital discharge day management, 30 minutes or less | 24 | $1,426 | $59 |
2016: 2 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 22 | $3,281 | $61 |
| Hospital discharge day management, 30 minutes or less | 19 | $1,239 | $62 |
Medicaid work
$597 in 2024
Medicaid paid $597 for 37 billed services this clinician did in 2024, up to 14 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 HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 37 | $597 |
| 2024 | 37 | 1 | 14 | $597 |
Drugs they prescribed that Part D paid
$22,233
Pharmacies billed $22,233 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
133 generic and 22 brand-name prescriptions · $22,233 in drug cost · 28 antibiotic prescriptions to 18 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
| 2024 | 155 | 53 | None | 14% | $22,233 |
| 2023 | 163 | 42 | None | 14% | $32,343 |
| 2022 | 147 | 56 | None | None | $6,475 |
| 2021 | 144 | 59 | 13% (19) | None | $10,123 |
| 2020 | 185 | 68 | 7% (12) | None | $8,851 |
| 2019 | 185 | 60 | 7% (13) | None | $9,161 |
| 2018 | 241 | 69 | 5% (12) | None | $10,705 |
| 2017 | 211 | 81 | 8% (16) | 25% | $11,768 |
| 2016 | 89 | 43 | None | 25% | $2,076 |
| 2015 | 60 | 13 | 0% (0) | None | $1,660 |
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
| Amlodipine Besylate | 16 | $146 | $9 |
2020: 2 drugs
| Cefpodoxime Proxetil | 11 | $334 | $30 |
| Doxycycline Monohydrate | 12 | $92 | $8 |
2019: 1 drug
| Atorvastatin | 16 | $324 | $20 |
2018: 2 drugs
| Metoprolol | 13 | $104 | $8 |
| Prednisone | 11 | $82 | $7 |
2017: 2 drugs
| Atorvastatin | 14 | $340 | $24 |
| Furosemide | 16 | $151 | $9 |
2016: 1 drug
| Atorvastatin | 14 | $351 | $25 |
Professional record
- NPI
- 1386900959
- Licence
- CA A128420California A128420: Current · expires 2028-01-31
- Trained
- Ohio State University College of Medicine, 2012 · 14 years ago
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Taxonomy
- Internal medicine (207R00000X)
- Mailing address
- 3801 Miranda Ave # Mc111, Palo Alto, CA, 94304
- NPI first listed
- 2012-04-07
- NPI last updated
- 2022-02-11
This is when the NPI record was last certified, not a medical board exam.
This office lists an electronic records connection.