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Tenzin D Lama, NP

Nurse Practitioner · Stanford

NPI 1407301989

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
11 years
Graduated 2015

Offices

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

Looking this up.

Hospitals listed: Stanford Health Care. 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 Tenzin D Lama’s office at (650) 723-4000 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.

  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$9,660

Medicare paid this office $9,660 for 93 people. Most of that is long return visits and Botox.

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

Largest Original Medicare bills
Long return visit (40+ min)24$3,268$131
Return visit (30+ min)29$2,670$86

Who their Medicare patients are

93 Original Medicare patients in 2024. Average age 55 · Under 65 60% · Women 48% · Also on Medicaid 69% · Health risk score 1.25. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 44% · Depression 37% · Diabetes 20% · Chronic kidney disease 17% · Dementia 13% · Heart failure 12% · Cancer 12%.

The office billed $66,361, Medicare allowed $13,790 and paid $9,660; for 115 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

Original Medicare by year
202493115551.25$66,361$9,660
20233345551.19$22,035$3,564
20223644561.14$20,297$2,912
20212327491.00$10,870$1,663
20203034571.44$9,231$1,357
20191218511.47$1,657$986

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
Long return visit (40+ min)22$2,600$104

2022: 1 service

Original Medicare services billed in 2022
Long return visit (40+ min)12$1,508$108

2020: 1 service

Original Medicare services billed in 2020
Return visit (30+ min)12$600$46

Drugs they prescribed that Part D paid

$663,162

Pharmacies billed $663,162 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 1,234) in 2024. At or below the middle of the specialty; the typical nurse practitioner clinician is at 0%.

1,004 generic and 196 brand-name prescriptions · $663,162 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.

Largest Part D drug costs
Epidiolex29$125,325$4,322
Fycompa54$105,380$1,951
Vimpat32$66,865$2,090
Xcopri31$60,685$1,958
Lacosamide246$43,200$176
See all 25 drugs
Every Part D drug this clinician prescribed
Epidiolex29$125,325$4,322
Fycompa54$105,380$1,951
Vimpat32$66,865$2,090
Xcopri31$60,685$1,958
Lacosamide246$43,200$176
Briviact15$37,262$2,484
Lamictal Xr12$31,830$2,652
Rufinamide14$29,875$2,134
Clobazam61$16,415$269
Lamotrigine Er43$15,916$370
Levetiracetam197$10,313$52
Levetiracetam Er34$4,199$123
Divalproex25$3,164$127
Oxcarbazepine27$3,100$115
Carbamazepine23$2,412$105
Lamotrigine94$2,098$22
Zonisamide56$1,740$31
Phenobarbital34$1,416$42
Divalproex Sodium Er17$1,344$79
Pregabalin13$918$71
Gabapentin11$430$39
Clonazepam24$338$14
Topiramate38$337$9
Risperidone12$33$3
Lorazepam19$32$2

Year by year

Part D prescribing by year
20241,2341790% (0)16%$663,162
20231,4761900% (0)16%$873,446
20221,8772800% (0)23%$1,067,724
20211,9362970% (0)38%$1,261,455
20201,8782700% (0)35%$1,094,889
20191,568264None28%$648,506
20181,4852360% (0)33%$643,831
2017747156None24%$218,127
201612None0% (0)None$5,179

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

See the drugs prescribed each year

2023: 28 drugs

Part D drugs prescribed in 2023
Fycompa72$151,744$2,108
Lacosamide252$121,839$483
Vimpat44$82,939$1,885
Lamictal Xr17$73,260$4,309
Epidiolex14$58,502$4,179
Briviact30$56,085$1,870
Lamotrigine Er55$32,966$599
Xcopri18$30,042$1,669
Clobazam101$23,301$231
Rufinamide12$15,543$1,295
Levetiracetam Er40$15,026$376
Levetiracetam181$14,601$81
Lamotrigine116$6,414$55
Dilantin22$5,560$253
Divalproex60$5,032$84
Divalproex Sodium Er27$5,024$186
Phenobarbital47$3,594$76
Zonisamide56$2,731$49
Oxcarbazepine14$2,582$184
Pregabalin22$1,422$65
Carbamazepine13$1,243$96
Clonazepam63$1,103$18
Gabapentin18$765$43
Phenytoin Sodium Extended13$747$57
Topiramate20$583$29
Lorazepam32$195$6
Risperidone12$194$16
Citalopram Hbr11$122$11

2022: 31 drugs

Part D drugs prescribed in 2022
Vimpat193$281,384$1,458
Fycompa84$142,882$1,701
Epidiolex21$111,081$5,290
Lacosamide197$59,440$302
Briviact29$48,332$1,667
Clobazam116$47,850$412
Lamotrigine Er32$44,054$1,377
Rufinamide25$41,770$1,671
Xcopri26$41,198$1,585
Levetiracetam278$16,833$61
Divalproex68$10,138$149
Oxcarbazepine35$9,190$263
Levetiracetam Er34$9,159$269
Dilantin24$5,602$233
Carbamazepine Er11$5,248$477
Phenobarbital54$4,506$83
Felbamate11$4,084$371
Zonisamide75$3,919$52
Lamotrigine148$3,788$26
Divalproex Sodium Er20$3,535$177
Carbamazepine28$2,600$93
Pregabalin31$2,214$71
Gabapentin42$1,716$41
Clonazepam95$1,365$14
Topiramate19$1,154$61
Phenytoin20$963$48
Diazepam11$686$62
Phenytoin Sodium Extended11$362$33
Sertraline13$164$13
Risperidone15$151$10
Lorazepam26$88$3

2021: 33 drugs

Part D drugs prescribed in 2021
Vimpat433$580,532$1,341
Fycompa78$122,731$1,573
Epidiolex28$69,102$2,468
Banzel17$67,248$3,956
Briviact50$57,867$1,157
Onfi20$52,504$2,625
Lamictal27$33,405$1,237
Lamotrigine Er29$23,393$807
Aptiom13$21,899$1,685
Levetiracetam246$18,482$75
Clobazam122$15,932$131
Levetiracetam Er42$11,666$278
Divalproex62$10,807$174
Oxcarbazepine22$6,069$276
Depakote12$5,665$472
Divalproex Sodium Er27$5,205$193
Dilantin15$4,751$317
Zonisamide80$4,672$58
Phenobarbital47$4,056$86
Lamotrigine149$3,926$26
Topiramate36$3,472$96
Felbamate12$2,763$230
Carbamazepine Er13$2,072$159
Carbamazepine26$1,980$76
Valproic Acid17$1,493$88
Phenytoin Sodium Extended13$1,413$109
Clonazepam100$1,233$12
Gabapentin32$1,075$34
Phenytoin11$397$36
Risperidone13$145$11
Escitalopram13$110$8
Sertraline21$65$3
Lorazepam13$47$4

2020: 29 drugs

Part D drugs prescribed in 2020
Vimpat353$424,814$1,203
Banzel42$143,236$3,410
Fycompa66$104,561$1,584
Epidiolex30$77,619$2,587
Onfi21$49,133$2,340
Briviact32$46,418$1,451
Lamictal31$45,999$1,484
Aptiom16$25,158$1,572
Lamotrigine Er31$21,232$685
Clobazam98$15,125$154
Oxtellar Xr11$14,639$1,331
Keppra12$12,780$1,065
Levetiracetam255$11,135$44
Levetiracetam Er44$9,395$214
Divalproex51$6,637$130
Phenobarbital67$4,717$70
Oxcarbazepine33$4,618$140
Zonisamide81$4,511$56
Lamotrigine140$4,193$30
Divalproex Sodium Er35$3,564$102
Dilantin15$3,221$215
Carbamazepine33$2,844$86
Felbamate13$2,450$188
Gabapentin65$1,887$29
Phenytoin Sodium Extended16$1,394$87
Clonazepam110$1,256$11
Pregabalin13$914$70
Topiramate34$853$25
Sertraline22$139$6

2019: 28 drugs

Part D drugs prescribed in 2019
Vimpat274$312,941$1,142
Fycompa59$59,750$1,013
Epidiolex12$37,615$3,135
Lamotrigine Er48$21,779$454
Clobazam66$20,918$317
Lamictal14$20,070$1,434
Briviact14$19,453$1,389
Levetiracetam277$10,119$37
Felbamate12$7,442$620
Lyrica11$6,603$600
Oxcarbazepine52$4,769$92
Lamotrigine127$4,018$32
Zonisamide64$3,017$47
Phenobarbital34$2,854$84
Levetiracetam Er34$2,729$80
Divalproex41$2,271$55
Carbamazepine22$2,222$101
Gabapentin37$1,842$50
Dilantin21$1,581$75
Phenytoin Sodium Extended19$1,158$61
Divalproex Sodium Er39$1,151$30
Clonazepam91$1,149$13
Topiramate26$337$13
Baclofen11$313$28
Risperidone12$277$23
Primidone16$256$16
Citalopram Hbr18$50$3
Lorazepam11$48$4

2018: 24 drugs

Part D drugs prescribed in 2018
Vimpat267$273,520$1,024
Onfi63$87,640$1,391
Banzel23$68,648$2,985
Lyrica51$33,973$666
Aptiom15$29,014$1,934
Fycompa32$27,604$863
Lamotrigine Er18$8,228$457
Felbamate12$7,268$606
Divalproex Sodium Er55$7,107$129
Oxcarbazepine56$6,769$121
Levetiracetam230$6,760$29
Lamotrigine173$5,499$32
Phenobarbital39$3,477$89
Zonisamide66$2,739$42
Escitalopram18$2,133$118
Carbamazepine23$1,631$71
Divalproex32$1,120$35
Levetiracetam Er17$1,067$63
Phenytoin Sodium Extended17$1,018$60
Clonazepam70$448$6
Topiramate23$410$18
Gabapentin17$275$16
Alprazolam11$166$15
Lorazepam25$96$4

2017: 17 drugs

Part D drugs prescribed in 2017
Vimpat96$98,263$1,024
Onfi24$43,256$1,802
Fycompa14$10,942$782
Divalproex Sodium Er32$5,159$161
Lamotrigine77$4,094$53
Levetiracetam128$3,448$27
Carbamazepine Er16$2,354$147
Topiramate22$1,638$74
Oxcarbazepine32$1,523$48
Levetiracetam Er16$1,474$92
Zonisamide30$1,013$34
Phenobarbital11$888$81
Clonazepam79$769$10
Gabapentin12$333$28
Diazepam11$276$25
Lorazepam14$247$18
Alprazolam11$86$8

Money from drug and device companies

$16 in 2024

Industry payments by year
202411None$16
202212None$51
202111None$25

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
Si-BoneNone$16
1 payment
  • Meals · 2024-08-08 · $16
See the published payment
Every published payment
Si-BoneMeals · 2024-08-08None$16
See earlier years (2022, 2021)

2022: $51

Payments by company in 2022
Boston ScientificGeneral - Pain Management$51
2 payments
  • Meals for General - Pain Management · 2022-07-21 · $26
  • Meals for General - Pain Management · 2022-02-09 · $25

2021: $25

Payments by company in 2021
Boston ScientificGeneral Pain Management$25
1 payment
  • Meals for General Pain Management · 2021-07-13 · $25

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
1407301989
Licence
CA NP95003582
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Nurse practitioner (363L00000X); Federal specialty code 363LA2200X (363LA2200X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2016-08-24
NPI last updated
2025-12-31
NPI record certified
2025-12-31

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