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Scott Sutherland, MD

Pediatric Medicine · Palo Alto

NPI 1518027291

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 · Lpch Medical Group Div of Lucile · 332 clinicians in this group

Looking this up.

Hospitals listed: Lucile Salter Packard Children'S Hsp at Stanford. 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. Sutherland’s office at (650) 498-7200 to ask if they take your plan before you enroll.

California Medical Board record

Licence A83954 · Current

Licensed to practise in California · since 2003 · expires 2027-04-30 · Yale 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.

  • Lucile Salter Packard Children'S Hsp at StanfordPalo Alto, CAChildren · Voluntary non-profit - Private · No emergency departmentPart of Stanford Health Care, which runs 3 hospitals
    No overall ratingNo measure marked better or worse than the national rate

Original Medicare doctor bills

$10,229

Medicare paid this office $10,229 for 17 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$4,134$106

Who their Medicare patients are

17 Original Medicare patients in 2024. Average age 14 · Under 65 100% · 85 and older 0% · Health risk score 7.79. Sicker patients than 9 in 10 peers; the typical pediatric medicine clinician is at 1.4.

Conditions among them: High blood pressure 75% · Chronic kidney disease 75%.

The office billed $41,598, Medicare allowed $12,854 and paid $10,229; for 65 services of 8 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
20241765147.79$41,598$10,229
20211160156.65$46,501$12,250
20201271137.59$62,644$14,808
20191554124.67$52,726$13,592
20181238135.31$27,587$7,438
20171745127.55$35,372$10,171
201627100155.96$55,047$17,085
20152274146.42$35,982$12,340
20141468126.19$44,267$13,800
20131352125.16$45,651$11,399

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

2016: 1 service

Original Medicare services billed in 2016
Long return visit (40+ min)14$3,675$111

2015: 1 service

Original Medicare services billed in 2015
Long return visit (40+ min)14$3,021$126

Medicaid work

$15,874 in 2024

Medicaid paid $15,874 for 111 billed services this clinician did in 2024, up to 23 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
Long return visit (40+ min)62$11,536
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES49$4,339
Medicaid work by year
2024111223$15,874
2023195223$20,099
202279221$9,018
202177222$8,133
202045114$3,946
2019160215$14,043
2018128215$9,218
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Long return visit (40+ min)98$13,144
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES97$6,955

2022

Largest Medicaid services in 2022
Long return visit (40+ min)51$7,061
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES28$1,957

2021

Largest Medicaid services in 2021
Long return visit (40+ min)50$6,331
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES27$1,803

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES45$3,946

2019

Largest Medicaid services in 2019
Long return visit (40+ min)70$7,693
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES90$6,350

2018

Largest Medicaid services in 2018
Long return visit (40+ min)52$5,375
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES76$3,843

Money from drug and device companies

$5,000 in 2023

Industry payments by year
202311$5,000$5,000
202011$600$600

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
MedtronicCarpediem$5,000
1 payment
  • Paid to speak or teach for Carpediem · 2023-05-22 · $5,000
See the published payment
Every published payment
MedtronicPaid to speak or teach · 2023-05-22Carpediem$5,000
See earlier years (2020)

2020: $600

Payments by company in 2020
CHF SolutionsAquadex$600
1 payment
  • Honoraria for Aquadex · 2020-12-15 · $600

Research money

Money a company paid to run a study. Where it went to their institution, the clinician is named as an investigator and did not receive it; the amount covers the whole study, often across many sites.

Research payments by company and study
Hoffmann-La Roche Limited · Efficacy Safety of Obinutuzumab Vs Mmf in Patients With Idiopathic Nephrotic Syndrome · 2025Their institution$64,675
ABBVIE INC. · A Study To Evaluate Safety Efficacy and Pharmacokinetics of Paricalcitol for Treatment of Secondary Hyperparathyroidism (Shpt) in Pediatric Participants With Stage 5 Chronic Kidney Disease (Ckd) · 2025Their institution$54,714
Bayer Healthcare Pharmaceuticals Inc. · Bay 948862, A 6-Month Multicenter, Randomized, Double-Blind, Placebo-Controlled Study To Evaluate the Efficacy, Safety and Pk/Pd of An Age-and Body Weight-Adjusted Oral Finerenone Regimen, in Addition To An Acei Or Arb, for the Treatment of Children, 6 Mo · 2024Their institution$45,657
Bayer Healthcare Pharmaceuticals Inc. · Finerenone Paediatric Ckd Trial · 2023Their institution$42,816
ABBVIE INC. · A Study To Evaluate Safety Efficacy and Pharmacokinetics of Paricalcitol for Treatment of Secondary Hyperparathyroidism (Shpt) in Pediatric Participants With Stage 5 Chronic Kidney Disease (Ckd) · 2024Their institution$42,031
BAXTER HEALTHCARE · Clinical Evaluation of the Prismaflex Hf20 Set and Prismaflex System 7.10 for Acute Crrt in Children · 2019Their institution$41,723
Hoffmann-La Roche Limited · Efficacy Safety of Obinutuzumab Vs Mmf in Patients With Idiopathic Nephrotic Syndrome · 2024Their institution$31,222
Hoffmann-La Roche Limited · Efficacy Safety of Obinutuzumab Vs Mmf in Patients With Idiopathic Nephrotic Syndrome · 2023Their institution$24,115
AKEBIA THERAPEUTICS INC · A Multicenter, Open-Label Study To Evaluate the Safety and Efficacy of Once Daily Oral Vadadustat for the Treatment of Pediatric Subjects With Anemia of Chronic Kidney Disease After Conversion From An Erythropoiesis-Stimulating Agent · 2022Their institution$4,039
AKEBIA THERAPEUTICS INC · A Multicenter, Open-Label Study To Evaluate the Safety and Efficacy of Once Daily Oral Vadadustat for the Treatment of Pediatric Subjects With Anemia of Chronic Kidney Disease Naive To Erythropoiesis-Stimulating Agents · 2022Their institution$4,038
ABBVIE INC. · M11-617 - A Study To Evaluate Safety Efficacy and Pharmacokinetics of Paricalcitol for Treatment of Secondary Hyperparathyroidism (Shpt) in Pediatric Participants With Stage 5 Chronic Kidney Disease (Ckd) · 2025Their institution$3,388

Professional record

NPI
1518027291
Licence
CA A83954California A83954: Current · expires 2027-04-30
Trained
Yale University School of Medicine, 2002
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00A839540
Taxonomy
Federal specialty code 2080P0210X (2080P0210X); Pediatrics (208000000X)
Mailing address
725 Welch Rd, Palo Alto, CA, 94304
NPI first listed
2006-12-11
NPI last updated
2024-07-01
NPI record certified
2024-07-01

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

Extra NPI addresses: 300 Pasteur Dr, Stanford, CA, 94305