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Karen L Pike, MD

Emergency Medicine · Mountain View

NPI 1497700553

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

Offices

1 location · El Camino Health Medical Network LLC · 202 clinicians in this group

Looking this up.

Hospitals listed: El Camino Health. 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. Pike’s office at (650) 988-7667 to ask if they take your plan before you enroll.

California Medical Board record

Licence A60848 · Current

Licensed to practise in California · since 1996 · expires 2028-07-31 · Georgetown University School 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.

  • El Camino HealthMountain View, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of El Camino Health, which runs 2 hospitalsPatients rate it 4 of 5 · 80% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.291, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.393, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0, Oct 2024 – Sep 2025
See every measure and the patient survey for El Camino Health

Behind the star rating — Deaths: 3 better, 5 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 1 better, 9 the same, 1 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 El Camino Health
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.291BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.393BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.96 (0.12 to 1.79) · 2,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.28)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths167.38 (125.03 to 209.73) · 96 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.6 · 68 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 185 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.8 · 200 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.9 · 814 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13 · 842 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 361 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 4,633 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.34) · 11,474 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.45) · 11,626 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.14 (1.39 to 4.9) · 2,814 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2 (0.61 to 3.39) · 1,327 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.8 to 3.43) · 2,641 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.39 (4.18 to 14.6) · 1,287 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.57 (3.47 to 9.68) · 1,308 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.14 (0.71 to 3.57) · 827 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.6 (0.05 to 1.15) · 9,460 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.5 · 122 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.993No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.706No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.376No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.5 · 218 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.5 · 962 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits3.8 · 200 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-17 · 922 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits18.6 · 860 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.7 · 827 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.1 (4.5 to 8.2) · 313 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.4 (10.6 to 16.5) · 313 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.7 · 237 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (10 to 16.1) · 1,639 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.8 to 1.1) · 1,619 casesNo differentJan 2024 – Dec 2024

What patients said (1,535 patients answered, 22% of those asked)

Patient survey stars by topic at El Camino Health
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at El Camino Health
Room was "always" clean75%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge86%
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)76%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$30,804

Medicare paid this office $30,804 for 213 people.

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

Largest Original Medicare bills
Emergency department visit with high level of medical decision making91$14,386$158
Emergency department visit with moderate level of medical decision making76$8,257$107
Critical care, first 30-74 minutes19$3,744$197
Emergency department visit with low level of medical decision making11$709$64
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only24$193$8

Who their Medicare patients are

213 Original Medicare patients in 2024. Average age 79 · Under 65 6% · 85 and older 34% · Women 60% · Also on Medicaid 18% · Health risk score 1.67. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Coronary heart disease 38% · Chronic kidney disease 38% · Diabetes 31% · Depression 29% · Heart failure 26% · Atrial fibrillation 26% · Cancer 24% · Dementia 18% · COPD 16% · Stroke 13%.

The office billed $235,201, Medicare allowed $38,728 and paid $30,804; for 284 services of 32 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
2024213284791.67$235,201$30,804
2023237296791.38$251,840$34,153
2022251342791.40$242,508$37,458
2021218303791.43$195,132$31,877
2020241375791.63$239,550$36,358
2019355497791.73$313,605$49,131
2018216286791.70$143,118$31,293
2017315436771.68$195,778$61,481
2016333486791.61$183,993$41,039
2015298525771.49$164,773$38,366
2014287474761.38$151,844$35,549
2013309545761.58$166,175$40,369

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
Emergency department visit with high level of medical decision making104$16,989$162
Emergency department visit with moderate level of medical decision making94$9,961$104
Critical care, first 30-74 minutes15$3,131$209
Emergency department visit with low level of medical decision making12$748$62
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only19$111$6

2022: 5 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making114$20,425$173
Emergency department visit with moderate level of medical decision making61$6,474$106
Critical care, first 30-74 minutes19$4,786$239
Emergency department visit with low level of medical decision making36$2,346$65
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only44$332$7

2021: 5 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making112$19,933$178
Emergency department visit with moderate level of medical decision making44$4,759$108
Emergency department visit with low level of medical decision making43$2,756$63
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only39$303$8
X-ray of chest, 1 view14$110$8

2020: 6 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making146$23,611$154
Emergency department visit with moderate level of medical decision making44$4,584$102
Critical care, first 30-74 minutes20$4,110$206
Emergency department visit with low level of medical decision making30$1,649$55
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only77$601$8
X-ray of chest, 1 view14$121$9

2019: 6 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making187$29,154$150
Emergency department visit with moderate level of medical decision making97$9,464$98
Critical care, first 30-74 minutes22$4,354$198
Emergency department visit with low level of medical decision making53$2,816$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only51$409$8
X-ray of chest, 1 view20$168$8

2018: 4 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making116$20,461$166
Emergency department visit with moderate level of medical decision making46$4,669$99
Emergency department visit with low level of medical decision making49$2,789$57
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only26$232$9

2017: 4 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making174$38,925$214
Emergency department visit with moderate level of medical decision making74$11,184$143
Emergency department visit with low level of medical decision making66$5,129$72
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only46$522$11

2016: 5 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making173$26,423$147
Emergency department visit with moderate level of medical decision making65$6,181$92
Emergency department visit with low level of medical decision making84$4,239$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only82$630$7
X-ray of chest, 1 view, front14$116$8

2015: 5 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making155$23,261$148
Emergency department visit with moderate level of medical decision making68$7,184$101
Emergency department visit with low level of medical decision making65$3,415$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only124$1,016$8
X-ray of chest, 1 view, front30$248$8

2014: 5 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making134$20,285$147
Emergency department visit with moderate level of medical decision making76$7,243$92
Emergency department visit with low level of medical decision making65$3,286$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only100$833$8
X-ray of chest, 1 view, front18$144$8

2013: 5 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making152$22,598$143
Emergency department visit with moderate level of medical decision making85$8,611$97
Emergency department visit with low level of medical decision making67$3,700$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only123$939$7
X-ray of chest, 1 view, front23$180$8

Medicaid work

$1,716 in 2023

Medicaid paid $1,716 for 46 billed services this clinician did in 2023, up to 19 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 2023
EMERGENCY DEPT VISIT MOD MDM46$1,716
Medicaid work by year
202346119$1,716
202213113$174
201913113$612
201841216$1,417
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
EMERGENCY DEPT VISIT LOW MDM13$174

2019

Largest Medicaid services in 2019
EMERGENCY DEPT VISIT LOW MDM13$612

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT LOW MDM28$868
EMERGENCY DEPT VISIT MOD MDM13$549

Drugs they prescribed that Part D paid

$3,695

Pharmacies billed $3,695 in 2024.

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

95 generic and fewer than 11 brand-name prescriptions · $3,695 in drug cost · 49 antibiotic prescriptions to 47 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.

Largest Part D drug costs
Cephalexin14$120$8

Year by year

Part D prescribing by year
202410789NoneNone$3,695
20231058320% (21)None$1,590
20221018426% (26)None$3,164
2021786831% (24)None$1,184
20201108727% (30)None$1,447
20191097624% (26)10%$3,285
2018926828% (26)None$1,427
20171338422% (29)None$1,742
20161209625% (30)None$1,818
20151359836% (49)None$1,619
201413610229% (40)None$2,420
201315611024% (38)None$3,321

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

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Cephalexin12$94$8
Hydrocodone-Acetaminophen16$49$3

2022: 2 drugs

Part D drugs prescribed in 2022
Hydrocodone-Acetaminophen20$86$4
Cephalexin12$67$6

2021: 1 drug

Part D drugs prescribed in 2021
Hydrocodone-Acetaminophen16$80$5

2020: 3 drugs

Part D drugs prescribed in 2020
Ondansetron Odt11$151$14
Hydrocodone-Acetaminophen23$96$4
Cephalexin13$89$7

2019: 2 drugs

Part D drugs prescribed in 2019
Hydrocodone-Acetaminophen21$134$6
Cephalexin14$114$8

2018: 1 drug

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen19$106$6

2017: 1 drug

Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen25$94$4

2016: 2 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen23$143$6
Cephalexin13$97$7

2015: 1 drug

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen39$243$6

2014: 2 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen29$173$6
Cephalexin16$135$8

2013: 3 drugs

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen26$164$6
Cephalexin18$147$8
Prednisone14$45$3

Money from drug and device companies

$23 in 2025

Industry payments by year
202511None$23
202311None$115

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
Philips North AmericaCoronary Other$23
1 payment
  • Meals for Coronary Other · 2025-10-01 · $23
See the published payment
Every published payment
Philips North AmericaMeals · 2025-10-01Coronary Other$23
See earlier years (2023)

2023: $115

Payments by company in 2023
MedtronicKyphon Express II Kyphopak Tray$115
1 payment
  • Meals for Kyphon Express II Kyphopak Tray · 2023-09-14 · $115

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
94.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1497700553
Licence
CA A60848California A60848: Current · expires 2028-07-31
Trained
Georgetown University School of Medicine, 1995
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
2100 Powell Street, Ste 920, Emeryville, CA, 94608
NPI first listed
2006-05-24
NPI last updated
2026-07-13

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