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Carla Marie Pugh, MD

General Surgery · Redwood City

NPI 1477564573

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
17
3 carriers
Offices
2

Offices

2 locations · 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.

Plans that list them

17 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Pugh’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

17 of 17 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence G83898 · Current

Licensed to practise in California · since 1997 · expires 2027-02-28 · Howard 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.

  • 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

$15,241

Medicare paid this office $15,241 for 80 people.

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

Largest Original Medicare bills
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes37$2,766$44
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,868$117
Hospital discharge day management, 30 minutes or less14$1,042$74

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy1-10None
Hernia repair (minimally invasive)1-10None
Removal of tissue1-10None

Who their Medicare patients are

80 Original Medicare patients in 2024. Average age 72 · Women 45% · Also on Medicaid 41% · Health risk score 2.17. Above the middle of the specialty; the typical general surgery clinician is at 1.69.

Conditions among them: High blood pressure 74% · Chronic kidney disease 48% · Diabetes 44% · Atrial fibrillation 38% · Coronary heart disease 33% · Heart failure 33% · Dementia 31% · Depression 30% · Cancer 26% · COPD 23% · Stroke 21%.

The office billed $94,676, Medicare allowed $19,313 and paid $15,241; for 138 services of 21 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
202480138722.17$94,676$15,241
2023159299762.32$172,715$34,127
2022151309772.43$197,699$33,964
2021151334751.98$185,270$36,617
2020157384752.22$226,263$40,455
2019186415771.92$154,732$29,520
2018112237742.34$131,659$23,449
2017192402702.44$306,241$49,110
2016166336702.23$242,518$36,698
2015197406692.26$325,421$52,305
2014169403682.12$302,612$46,996
2013130276682.27$267,896$37,342

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: 5 services

Original Medicare services billed in 2023
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes72$5,071$45
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes41$4,902$120
Initial hospital care with moderate level of medical decision making at least 75 minutes23$3,678$160
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$2,991$73
Hospital discharge day management, 30 minutes or less24$1,822$76

2022: 5 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes77$9,466$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes27$3,308$123
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$2,336$93
Initial hospital care with moderate level of medical decision making at least 75 minutes12$2,153$179
Hospital discharge day management, 30 minutes or less18$1,206$67

2021: 6 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes75$10,091$66
Initial hospital care with moderate level of medical decision making at least 75 minutes18$3,331$185
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes23$2,882$125
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$2,387$95
Hospital discharge day management, 30 minutes or less34$2,350$67
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes23$2,119$92

2020: 6 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes56$6,584$68
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes52$4,190$35
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes32$2,960$92
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes20$2,719$97
Hospital discharge day management, 30 minutes or less31$2,148$67
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$2,012$126

2019: 4 services

Original Medicare services billed in 2019
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes114$8,134$35
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes55$5,080$89
Hospital discharge day management, 30 minutes or less40$2,645$66
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$1,259$66

2018: 4 services

Original Medicare services billed in 2018
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes55$3,952$35
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes44$3,950$86
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,414$54
Hospital discharge day management, 30 minutes or less19$1,225$64

2017: 5 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes89$9,071$53
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes58$4,461$74
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes18$1,917$80
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,566$104
Hospital discharge day management, 30 minutes or less25$1,441$55

2016: 4 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes81$8,206$54
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes62$4,564$74
Hospital discharge day management, 30 minutes or less22$1,219$55
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes24$1,052$30

2015: 4 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes95$9,893$53
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes73$5,340$73
Hospital discharge day management, 30 minutes or less18$1,008$56
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes13$720$30

2014: 3 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes108$12,972$54
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes50$3,596$72
Hospital discharge day management, 30 minutes or less18$992$52

2013: 3 services

Original Medicare services billed in 2013
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes48$3,241$68
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes36$3,222$53
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes21$1,047$28

Medicaid work

$583 in 2024

Medicaid paid $583 for 33 billed services this clinician did in 2024, up to 12 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.

Largest Medicaid services in 2024
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES33$583
Medicaid work by year
202433112$583
2023120116$2,265
202288116$3,008
202135117$981
202087216$2,164
2019178114$3,780
201826118$677
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES120$2,265

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES88$3,008

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES35$981

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES62$1,780
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES25$385

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES178$3,780

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES26$677

Money from drug and device companies

$14,765 in 2025

Industry payments by year
2025415$13,200$14,765
202411None$35
202212None$164

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
EthiconNone$13,200
5 payments
  • Consulting · 2025-12-15 · $2,400
  • Consulting · 2025-12-15 · $2,400
  • Consulting · 2025-10-22 · $3,000
  • Consulting · 2025-09-15 · $3,000
  • Consulting · 2025-07-17 · $2,400
Medical Device Business ServicesNone$1,386
7 payments
  • Meals · 2025-10-11 · $61
  • Meals · 2025-10-11 · $35
  • Meals · 2025-10-11 · $48
  • Travel · 2025-10-10 · $776
  • Travel · 2025-10-10 · $50
  • Meals · 2025-10-10 · $144
  • Travel · 2025-10-10 · $272
Ethicon USSurgicel Nu-Knit$156
2 payments
  • Meals for Surgicel Nu-Knit · 2025-10-31 · $125
  • Meals for Surgicel Nu-Knit · 2025-10-27 · $31
CMR SurgicalVersius Surgical System (Versius Plus)$23
1 payment
  • Meals for Versius Surgical System (Versius Plus) · 2025-08-12 · $23
See all 15 published payments
Every published payment
EthiconConsulting · 2025-12-15None$2,400
EthiconConsulting · 2025-12-15None$2,400
Ethicon USMeals · 2025-10-31Surgicel Nu-Knit$125
Ethicon USMeals · 2025-10-27Surgicel Nu-Knit$31
EthiconConsulting · 2025-10-22None$3,000
Medical Device Business ServicesMeals · 2025-10-11None$61
Medical Device Business ServicesMeals · 2025-10-11None$35
Medical Device Business ServicesMeals · 2025-10-11None$48
Medical Device Business ServicesTravel · 2025-10-10None$776
Medical Device Business ServicesTravel · 2025-10-10None$50
Medical Device Business ServicesMeals · 2025-10-10None$144
Medical Device Business ServicesTravel · 2025-10-10None$272
EthiconConsulting · 2025-09-15None$3,000
CMR SurgicalMeals · 2025-08-12Versius Surgical System (Versius Plus)$23
EthiconConsulting · 2025-07-17None$2,400
See earlier years (2024, 2022)

2024: $35

Payments by company in 2024
MedtronicNone$35
1 payment
  • Meals · 2024-10-20 · $35

2022: $164

Payments by company in 2022
Intuitive SurgicalDa Vinci Surgical System$164
2 payments
  • Meals for Da Vinci Surgical System · 2022-07-05 · $85
  • Meals for Da Vinci Surgical System · 2022-06-21 · $79

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
1477564573
Licence
CA G83898California G83898: Current · expires 2027-02-28
Trained
Howard University College of Medicine, 1992
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Surgery (208600000X)
Mailing address
300 Pasteur Dr, Palo Alto, CA, 94305
NPI first listed
2006-08-11
NPI last updated
2024-04-27
NPI record certified
2024-04-27

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

Extra NPI addresses: 600 Highland Ave, Madison, WI, 53792