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Tohru Sato, MD

Gastroenterology · San Carlos

NPI 1497847248

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
12
3 carriers
Office
1

Offices

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

Looking this up.

Plans that list them

12 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Sato’s office at (650) 321-4121 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

12 of 12 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 Sutter Advantage +More (HMO)Alignment 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

Original Medicare doctor bills

$84,232

Medicare paid this office $84,232 for 338 people.

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

Largest Original Medicare bills
Removal of polyps or growths of large bowel using an endoscope with mechanical snare134$31,346$234
Long return visit (40+ min)85$18,163$161
Biopsy of large bowel using a flexible endoscope104$10,628$102
Return visit (30+ min)37$4,240$109
Colorectal cancer screening; colonoscopy on individual at high risk16$3,262$204
See all 11 services
Every Original Medicare service billed
Removal of polyps or growths of large bowel using an endoscope with mechanical snare134$31,346$234
Long return visit (40+ min)85$18,163$161
Biopsy of large bowel using a flexible endoscope104$10,628$102
Return visit (30+ min)37$4,240$109
Colorectal cancer screening; colonoscopy on individual at high risk16$3,262$204
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope48$3,180$66
New patient visit (60+ min)15$3,116$208
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk12$2,451$204
New patient visit (45+ min)13$1,894$146
Diagnostic exam of large bowel using a flexible endoscope11$1,774$161
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito207$927$4

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy163More than 90% of doctors who do this
Upper gastrointestinal (GI) endoscopy for acid reflux71More than 70% of doctors who do this

Who their Medicare patients are

338 Original Medicare patients in 2024. Average age 73 · Women 55% · Also on Medicaid 5% · Health risk score 0.76. At or below the middle of the specialty; the typical gastroenterology clinician is at 1.42.

Conditions among them: High blood pressure 54% · Coronary heart disease 16% · Diabetes 15% · Depression 13% · Chronic kidney disease 11% · Cancer 11% · Atrial fibrillation 10% · COPD 5% · Heart failure 4%.

The office billed $815,888, Medicare allowed $104,971 and paid $84,232; for 763 services of 25 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
2024338763730.76$815,888$84,232
2023313714730.72$713,375$77,596
2022293703740.79$597,633$70,323
2021271646740.74$573,594$60,880
2020252566740.82$483,512$54,103
2019261587730.77$521,895$57,648
2018269659740.88$522,636$59,779
2017133342741.03$240,528$30,053

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: 9 services

Original Medicare services billed in 2023
Removal of polyps or growths of large bowel using an endoscope with mechanical snare104$24,592$236
Biopsy of large bowel using a flexible endoscope114$13,011$114
Long return visit (40+ min)61$12,602$164
Return visit (30+ min)53$7,112$117
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope51$3,897$74
New patient visit (60+ min)20$3,771$189
Colorectal cancer screening; colonoscopy on individual at high risk18$3,736$208
New patient visit (45+ min)22$2,594$118
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito185$868$5

2022: 10 services

Original Medicare services billed in 2022
Removal of polyps or growths of large bowel using an endoscope with mechanical snare78$17,769$228
Long return visit (40+ min)69$17,470$168
Biopsy of large bowel using a flexible endoscope100$10,681$107
New patient visit (60+ min)30$5,614$187
Return visit (30+ min)33$3,159$85
New patient visit (45+ min)20$2,897$145
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope44$2,865$62
Office for the evaluation and management of established patient that may not require presence of healthcare professional38$902$23
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito165$783$5
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or16$639$29

2021: 9 services

Original Medicare services billed in 2021
Removal of polyps or growths of large bowel using an endoscope with mechanical snare71$16,163$228
Biopsy of large bowel using a flexible endoscope111$12,799$115
Return visit (30+ min)58$9,064$112
New patient visit (45+ min)28$4,392$157
Long return visit (40+ min)24$3,595$150
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope41$3,244$75
Telephone medical discussion with physician, 21-30 minutes11$1,747$97
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito167$833$5
Office for the evaluation and management of established patient that may not require presence of healthcare professional34$710$20

2020: 10 services

Original Medicare services billed in 2020
Biopsy of large bowel using a flexible endoscope99$14,013$142
Removal of polyps or growths of large bowel using an endoscope with mechanical snare36$8,570$238
Return visit (30+ min)62$7,226$94
Colorectal cancer screening; colonoscopy on individual at high risk22$4,651$211
New patient visit (45+ min)32$4,503$141
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope38$3,468$89
Long return visit (40+ min)19$2,576$136
Telephone medical discussion with physician, 21-30 minutes14$1,770$98
Telephone medical discussion with physician, 11-20 minutes12$1,093$73
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito158$831$5

2019: 8 services

Original Medicare services billed in 2019
Biopsy of large bowel using a flexible endoscope103$13,574$132
Removal of polyps or growths of large bowel using an endoscope with mechanical snare41$8,844$216
New patient visit (45+ min)59$8,320$141
Return visit (30+ min)48$5,980$98
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope51$3,824$72
Colorectal cancer screening; colonoscopy on individual at high risk15$3,213$214
Long return visit (40+ min)21$2,894$138
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito161$823$5

2018: 10 services

Original Medicare services billed in 2018
Biopsy of large bowel using a flexible endoscope106$13,391$126
Removal of polyps or growths of large bowel using an endoscope with mechanical snare48$9,032$188
Return visit (30+ min)49$6,666$99
New patient visit (45+ min)44$5,797$132
Removal of large bowel tissue using a flexible endoscope18$5,475$304
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope39$3,178$79
Long return visit (40+ min)22$3,019$131
Colorectal cancer screening; colonoscopy on individual at high risk14$2,950$211
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito168$838$5
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes54$658$11

2017: 8 services

Original Medicare services billed in 2017
Biopsy of large bowel using a flexible endoscope44$6,056$138
New patient visit (45+ min)21$3,090$147
Return visit (30+ min)23$2,930$101
Long return visit (40+ min)16$2,564$135
Removal of polyps or growths of large bowel using an endoscope with mechanical snare12$2,459$205
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope28$2,452$88
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes39$534$11
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito80$366$5

Drugs they prescribed that Part D paid

$621,398

Pharmacies billed $621,398 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 687) in 2024. At or below the middle of the specialty; the typical gastroenterology clinician is at 0%.

500 generic and 187 brand-name prescriptions · $621,398 in drug cost · 15 antibiotic prescriptions to 12 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
Creon34$93,617$2,753
Sod Sulf-Potass Sulf-Mag Sulf236$15,778$67
Linzess13$14,718$1,132
Mesalamine15$14,704$980
Famotidine45$1,840$41
See all 8 drugs
Every Part D drug this clinician prescribed
Creon34$93,617$2,753
Sod Sulf-Potass Sulf-Mag Sulf236$15,778$67
Linzess13$14,718$1,132
Mesalamine15$14,704$980
Famotidine45$1,840$41
Omeprazole110$1,063$10
Pantoprazole50$855$17
Peg 3350-Electrolyte24$464$19

Year by year

Part D prescribing by year
20246873580% (0)27%$621,398
20236093130% (0)None$445,793
20225152140% (0)None$485,845
20215582880% (0)50%$218,157
20204102170% (0)52%$372,812
20193992080% (0)44%$59,935
20183071910% (0)36%$42,672
20172862020% (0)30%$49,888
2016347276None15%$33,387
201566560% (0)None$4,432
201313None0% (0)None$1,046

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

See the drugs prescribed each year

2023: 9 drugs

Part D drugs prescribed in 2023
Creon27$80,787$2,992
Linzess26$26,891$1,034
Mesalamine12$15,124$1,260
Sod Sulf-Potass Sulf-Mag Sulf166$13,291$80
Famotidine43$4,706$109
Omeprazole105$1,580$15
Peg 3350-Electrolyte35$867$25
Pantoprazole38$742$20
Lactulose13$59$5

2022: 10 drugs

Part D drugs prescribed in 2022
Stelara12$320,053$26,671
Creon23$55,729$2,423
Zenpep12$32,043$2,670
Linzess35$27,973$799
Mesalamine17$13,528$796
Suprep85$9,824$116
Famotidine31$5,265$170
Omeprazole109$1,471$13
Pantoprazole32$681$21
Peg 3350-Electrolyte28$517$18

2021: 10 drugs

Part D drugs prescribed in 2021
Linzess40$24,760$619
Suprep168$18,599$111
Mesalamine16$13,005$813
Famotidine37$5,741$155
Budesonide Ec15$3,648$243
Clenpiq12$2,100$175
Omeprazole75$1,464$20
Dicyclomine19$544$29
Peg 3350-Electrolyte23$395$17
Pantoprazole26$356$14

2020: 7 drugs

Part D drugs prescribed in 2020
Suprep133$14,003$105
Linzess16$11,845$740
Mesalamine17$11,403$671
Famotidine33$6,167$187
Omeprazole54$737$14
Diphenoxylate-Atropine16$562$35
Peg 3350-Electrolyte16$320$20

2019: 8 drugs

Part D drugs prescribed in 2019
Mesalamine16$13,861$866
Suprep132$13,251$100
Linzess11$6,706$610
Famotidine74$1,378$19
Omeprazole40$703$18
Ranitidine18$373$21
Gavilyte-N18$310$17
Peg 3350-Electrolyte11$194$18

2018: 7 drugs

Part D drugs prescribed in 2018
Lialda11$15,602$1,418
Suprep24$2,226$93
Peg 3350-Electrolyte66$1,108$17
Famotidine20$1,019$51
Omeprazole29$888$31
Gavilyte-N43$704$16
Pantoprazole13$294$23

2017: 5 drugs

Part D drugs prescribed in 2017
Lialda11$16,450$1,495
Gavilyte-C101$1,709$17
Peg 3350-Electrolyte41$582$14
Omeprazole20$403$20
Gavilyte-N12$213$18

2016: 2 drugs

Part D drugs prescribed in 2016
Gavilyte-C222$3,786$17
Metronidazole11$135$12

2015: 1 drug

Part D drugs prescribed in 2015
Gavilyte-C44$748$17

Money from drug and device companies

$1,138 in 2025

Industry payments by year
20251042None$1,138
202425None$247
202322None$269
202211None$125
201922None$110

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
AbbvieLinzess$285
17 payments
  • Meals for Linzess · 2025-12-12 · $9
  • Meals for Linzess · 2025-12-05 · $27
  • Meals for Linzess · 2025-11-19 · $7
  • Meals for Linzess · 2025-11-12 · $12
  • Meals for Linzess · 2025-10-29 · $18
  • Meals · 2025-09-19 · $27
  • Meals for Creon · 2025-09-09 · $7
  • Meals for Linzess · 2025-09-05 · $15
  • Meals for Linzess · 2025-08-22 · $16
  • Meals for Viberzi · 2025-08-07 · $29
  • Meals for Viberzi · 2025-07-25 · $14
  • Meals for Creon · 2025-06-07 · $8
  • Meals for Linzess · 2025-05-27 · $15
  • Meals for Creon · 2025-04-16 · $14
  • Meals for Creon · 2025-03-25 · $23
  • Meals for Creon · 2025-03-21 · $14
  • Meals for Linzess · 2025-01-22 · $30
Madrigal PharmaceuticalsRezdiffra$223
4 payments
  • Meals for Rezdiffra · 2025-09-24 · $35
  • Meals for Rezdiffra · 2025-06-10 · $28
  • Meals for Rezdiffra · 2025-03-17 · $32
  • Meals for Rezdiffra · 2025-01-21 · $127
Lilly USAOmvoh$218
4 payments
  • Meals for Omvoh · 2025-08-18 · $26
  • Meals for Omvoh · 2025-05-01 · $125
  • Meals for Omvoh · 2025-04-07 · $34
  • Meals for Omvoh · 2025-02-25 · $33
Salix Pharmaceuticals a division of Bausch Health USXifaxan$99
4 payments
  • Meals for Xifaxan · 2025-12-21 · $25
  • Meals for Xifaxan · 2025-10-24 · $25
  • Meals for Xifaxan · 2025-07-08 · $25
  • Meals for Xifaxan · 2025-06-23 · $25
Janssen BiotechTremfya$74
3 payments
  • Meals for Tremfya · 2025-09-11 · $26
  • Meals for Tremfya · 2025-08-13 · $24
  • Meals for Tremfya · 2025-04-29 · $24
Aimmune TherapeuticsZenpep$63
2 payments
  • Meals for Zenpep · 2025-10-06 · $37
  • Meals for Vowst · 2025-08-15 · $26
See all 42 published payments
Every published payment
Salix Pharmaceuticals a division of Bausch Health USMeals · 2025-12-21Xifaxan$25
ArdelyxMeals · 2025-12-18Ibsrela$28
AbbvieMeals · 2025-12-12Linzess$9
AbbvieMeals · 2025-12-05Linzess$27
Novo NordiskMeals · 2025-11-20Wegovy$20
AbbvieMeals · 2025-11-19Linzess$7
AbbvieMeals · 2025-11-12Linzess$12
Phathom PharmaceuticalsMeals · 2025-11-05Voquezna$22
Celltrion USAMeals · 2025-10-30Vegzelma$21
AbbvieMeals · 2025-10-29Linzess$18
Salix Pharmaceuticals a division of Bausch Health USMeals · 2025-10-24Xifaxan$25
ArdelyxMeals · 2025-10-23Ibsrela$28
Aimmune TherapeuticsMeals · 2025-10-06Zenpep$37
Madrigal PharmaceuticalsMeals · 2025-09-24Rezdiffra$35
AbbvieMeals · 2025-09-19None$27
Janssen BiotechMeals · 2025-09-11Tremfya$26
AbbvieMeals · 2025-09-09Creon$7
AbbvieMeals · 2025-09-05Linzess$15
AbbvieMeals · 2025-08-22Linzess$16
Lilly USAMeals · 2025-08-18Omvoh$26
Aimmune TherapeuticsMeals · 2025-08-15Vowst$26
Janssen BiotechMeals · 2025-08-13Tremfya$24
AbbvieMeals · 2025-08-07Viberzi$29
AbbvieMeals · 2025-07-25Viberzi$14
Salix Pharmaceuticals a division of Bausch Health USMeals · 2025-07-08Xifaxan$25
Salix Pharmaceuticals a division of Bausch Health USMeals · 2025-06-23Xifaxan$25
Madrigal PharmaceuticalsMeals · 2025-06-10Rezdiffra$28
AbbvieMeals · 2025-06-07Creon$8
AbbvieMeals · 2025-05-27Linzess$15
Lilly USAMeals · 2025-05-01Omvoh$125
Janssen BiotechMeals · 2025-04-29Tremfya$24
AbbvieMeals · 2025-04-16Creon$14
Lilly USAMeals · 2025-04-07Omvoh$34
AbbvieMeals · 2025-03-25Creon$23
AbbvieMeals · 2025-03-21Creon$14
Madrigal PharmaceuticalsMeals · 2025-03-17Rezdiffra$32
Celltrion USAMeals · 2025-03-10Vegzelma$33
Phathom PharmaceuticalsMeals · 2025-03-04Voquezna$22
Phathom PharmaceuticalsMeals · 2025-03-04Voquezna$2
Lilly USAMeals · 2025-02-25Omvoh$33
AbbvieMeals · 2025-01-22Linzess$30
Madrigal PharmaceuticalsMeals · 2025-01-21Rezdiffra$127
See earlier years (2024, 2023, 2022, 2019)

2024: $247

Payments by company in 2024
Lilly USAOmvoh$189
3 payments
  • Meals for Omvoh · 2024-12-06 · $30
  • Meals for Omvoh · 2024-10-22 · $34
  • Meals for Omvoh · 2024-05-30 · $125
AbbvieCreon$58
2 payments
  • Meals for Creon · 2024-11-06 · $30
  • Meals for Creon · 2024-09-11 · $28

2023: $269

Payments by company in 2023
E.R. Squibb & Sons L.L.C.Zeposia$150
1 payment
  • Meals for Zeposia · 2023-10-12 · $150
AbbVieRinvoq$119
1 payment
  • Meals for Rinvoq · 2023-09-07 · $119

2022: $125

Payments by company in 2022
AbbvieSkyrizi$125
1 payment
  • Meals for Skyrizi · 2022-10-20 · $125

2019: $110

Payments by company in 2019
AbbVieNone$91
1 payment
  • Meals · 2019-05-30 · $91
Takeda Pharmaceuticals U.S.A.Entyvio$19
1 payment
  • Meals for Entyvio · 2019-07-22 · $19

Professional record

NPI
1497847248
Licence
CA A066832
Trained
State University of New York at Stony Brook, School of Medicine, 1995
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RG0100X (207RG0100X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2006-09-29
NPI last updated
2020-06-08
NPI record certified
2020-06-08

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

Extra NPI addresses: 3801 Miranda Ave, Palo Alto, CA, 94304