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Karen Jill Sugarman, CSW

Clinical Social Worker · Stanford

NPI 1396493284

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
4
1 carrier
Office
1
Since medical school
27 years
Graduated 1999

Offices

1 location · Stanford Health Care · 3,152 clinicians in this group

Looking this up.

Plans that list them

4 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Karen Jill Sugarman’s office at (650) 723-4000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

California Medical Board record

Licence A23153 · Cancelled

Licence status: Cancelled · since 1968 · Far Eastern University, Dr. Nicanor Reyes Medical Foundation.

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

$28,979

Medicare paid this office $28,979 for 17 people.

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

Largest Original Medicare bills
Psychotherapy, 1 hour14$25,083$102

Who their Medicare patients are

17 Original Medicare patients in 2024. Average age 56 · 85 and older 0% · Health risk score 1.94. Above the middle of the specialty; the typical licensed clinical social worker clinician is at 1.22.

Conditions among them: Depression 71%.

The office billed $172,770, Medicare allowed $36,987 and paid $28,979; for 305 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
202417305561.94$172,770$28,979
202324557562.04$248,289$32,560
202214218602.10$109,574$14,136

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: 2 services

Original Medicare services billed in 2023
Psychotherapy, 1 hour17$24,725$98
Telehealth originating site facility fee23$5,859$22

2022: 2 services

Original Medicare services billed in 2022
Psychotherapy, 1 hour12$8,977$101
Telehealth originating site facility fee13$2,164$22

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
1396493284
Licence
CA 23153California A23153: Cancelled
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 104100000X (104100000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2022-03-10
NPI last updated
2022-06-14
NPI record certified
2022-06-14

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