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Margaret Mumbi Mongare, MD

Internal Medicine · Palo Alto

NPI 1427555408

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Offices
3

Offices

3 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: 757662. That is not proof they admit you there this week.

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Mongare’s office 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
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026

California Medical Board record

Licence A167176 · Current

Licensed to practise in California · since 2019 · expires 2027-12-31 · Stanford University School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$79,366

Medicare paid this office $79,366 for 239 people.

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

Largest Original Medicare bills
Return visit (30+ min)187$35,747$112
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit119$18,700$157
Long return visit (40+ min)49$9,411$154
Short return visit (20+ min)50$3,408$64
Sarscov2 vac 50 mcg/0.5ml im17$2,477$146
See all 8 services
Every Original Medicare service billed
Return visit (30+ min)187$35,747$112
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit119$18,700$157
Long return visit (40+ min)49$9,411$154
Short return visit (20+ min)50$3,408$64
Sarscov2 vac 50 mcg/0.5ml im17$2,477$146
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and22$1,480$53
Admn sarscov2 vacc 1 dose17$886$52
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's11$164$15

Who their Medicare patients are

239 Original Medicare patients in 2024. Average age 79 · Under 65 0% · 85 and older 26% · Women 54% · Health risk score 0.88. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 56% · Coronary heart disease 21% · Chronic kidney disease 17% · Cancer 17% · Atrial fibrillation 15% · Depression 12% · Diabetes 11% · Heart failure 9% · COPD 7% · Dementia 7%.

The office billed $214,075, Medicare allowed $99,861 and paid $79,366; for 689 services of 32 kinds; $5,933 of it was for drugs given in the office and $73,433 for care.

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
2024239689790.88$214,075$79,366
2023278679780.94$204,575$77,862
2022241439790.83$118,121$42,471
20216581780.95$23,726$9,431

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: 10 services

Original Medicare services billed in 2023
Return visit (30+ min)163$25,786$111
Long return visit (40+ min)82$16,667$160
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit95$14,811$156
Short return visit (20+ min)81$7,614$80
Pneumococcal conjugate vaccine, 15 valent (pcv15), for intramuscular use13$3,137$241
Short return visit34$1,556$46
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and19$1,389$51
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage15$1,137$76
Administration of influenza virus vaccine16$591$37
Administration of pneumococcal vaccine16$549$34

2022: 8 services

Original Medicare services billed in 2022
Return visit (30+ min)118$13,231$92
Long return visit (40+ min)43$8,476$170
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit50$7,767$155
Short return visit (20+ min)79$6,798$77
Short return visit31$1,421$44
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage14$984$70
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and12$623$48
Administration of influenza virus vaccine16$597$37

2021: 2 services

Original Medicare services billed in 2021
Return visit (30+ min)50$6,642$121
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit11$1,584$144

Drugs they prescribed that Part D paid

$165,826

Pharmacies billed $165,826 in 2024.

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

2,227 generic and fewer than 11 brand-name prescriptions · $165,826 in drug cost · 75 antibiotic prescriptions to 31 people · 22 antipsychotic prescriptions to people over 65.

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
Eliquis40$64,532$1,613
Estradiol29$3,823$132
Vancomycin12$2,997$250
Atorvastatin231$2,436$11
Amlodipine Besylate196$1,753$9
See all 52 drugs
Every Part D drug this clinician prescribed
Eliquis40$64,532$1,613
Estradiol29$3,823$132
Vancomycin12$2,997$250
Atorvastatin231$2,436$11
Amlodipine Besylate196$1,753$9
Tamsulosin81$1,718$21
Valsartan42$1,562$37
Losartan111$1,544$14
Celecoxib20$1,461$73
Synthroid24$1,446$60
Paxlovid13$1,429$110
Rosuvastatin51$1,056$21
Omeprazole58$954$16
Levothyroxine85$908$11
Famotidine70$892$13
Gabapentin66$847$13
Eletriptan Hbr16$730$46
Mirtazapine29$681$23
Metoprolol30$662$22
Oxybutynin Chloride Er18$605$34
Benazepril27$603$22
Trazodone34$533$16
Escitalopram41$475$12
Duloxetine18$454$25
Metformin48$450$9
Lisinopril60$438$7
Paroxetine24$436$18
Albuterol Sulfate Hfa19$401$21
Alendronate36$377$10
Allopurinol29$371$13
Simvastatin49$360$7
Pravastatin29$358$12
Fluoxetine18$348$19
Chlorthalidone16$324$20
Quetiapine22$324$15
Hydrochlorothiazide48$310$6
Sertraline24$309$13
Metformin Hcl Er30$261$9
Irbesartan13$213$16
Nitrofurantoin Mono-Macro20$201$10
Citalopram Hbr20$170$9
Furosemide13$166$13
Zolpidem16$145$9
Lisinopril-Hydrochlorothiazide22$137$6
Metoprolol17$85$5
Naproxen13$83$6
Atenolol12$75$6
Ipratropium11$74$7
Sulfamethoxazole-Trimethoprim15$58$4
Clopidogrel12$55$5
Azithromycin14$30$2
Amitriptyline11$17$2

Year by year

Part D prescribing by year
20242,427259NoneNone$165,826
20231,8232811% (18)7%$110,207
2022841182None8%$60,183
2021130390% (0)None$9,882
2020139300% (0)None$11,980

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

See the drugs prescribed each year

2023: 45 drugs

Part D drugs prescribed in 2023
Eliquis16$22,686$1,418
Estradiol13$2,160$166
Atorvastatin160$2,087$13
Rosuvastatin38$1,853$49
Mirtazapine34$1,596$47
Tamsulosin66$1,445$22
Gabapentin50$1,397$28
Synthroid16$1,343$84
Losartan74$1,305$18
Amlodipine Besylate108$1,199$11
Valsartan33$998$30
Levothyroxine58$741$13
Lisinopril56$734$13
Celecoxib11$653$59
Potassium Chloride20$595$30
Omeprazole35$585$17
Fluticasone Propionate16$569$36
Famotidine49$538$11
Alendronate42$515$12
Trazodone31$482$16
Duloxetine13$481$37
Benazepril26$478$18
Finasteride22$451$20
Metformin Hcl Er21$406$19
Paroxetine24$397$17
Metoprolol30$362$12
Metformin34$351$10
Pregabalin12$332$28
Allopurinol21$323$15
Metoprolol13$284$22
Lisinopril-Hydrochlorothiazide20$272$14
Chlorthalidone17$262$15
Montelukast14$258$18
Hydrochlorothiazide41$245$6
Pravastatin26$229$9
Paxlovid (Eua)17$184$11
Simvastatin24$181$8
Sertraline12$179$15
Zolpidem16$146$9
Escitalopram13$120$9
Citalopram Hbr14$114$8
Furosemide13$107$8
Warfarin11$106$10
Clonazepam12$41$3
Naproxen18$29$2

2022: 24 drugs

Part D drugs prescribed in 2022
Eliquis36$25,804$717
Mirtazapine22$1,302$59
Atorvastatin69$791$11
Tamsulosin29$748$26
Levothyroxine37$560$15
Benazepril15$458$31
Paroxetine17$418$25
Metoprolol19$416$22
Amlodipine Besylate49$354$7
Pravastatin16$329$21
Finasteride13$276$21
Losartan22$246$11
Metformin21$245$12
Famotidine18$222$12
Primidone12$166$14
Omeprazole16$164$10
Trazodone12$156$13
Lisinopril18$149$8
Hydrochlorothiazide16$147$9
Carvedilol13$132$10
Spironolactone12$117$10
Furosemide11$79$7
Simvastatin13$61$5
Naproxen14$27$2

2021: 1 drug

Part D drugs prescribed in 2021
Amlodipine Besylate12$119$10

Professional record

NPI
1427555408
Licence
CA A167176California A167176: Current · expires 2027-12-31
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2018-04-06
NPI last updated
2021-09-29
NPI record certified
2021-09-29

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