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Alexander Philip Gamble, MD

Internal Medicine · Stanford

NPI 1528389681

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Office
1
Since medical school
16 years
Saint Louis University School of Medicine, 2010

Offices

1 location · 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

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. Gamble’s office at (650) 723-4000 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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence C184081 · Current

Licensed to practise in California · since 2023 · expires 2027-04-30 · Saint Louis University School of Medicine.

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

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Internal Medicine - Hospice and Palliative Medicine
  • American Board of Internal Medicine - Internal Medicine
  • American Board of Psychiatry and Neurology - Psychiatry

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

$55,097

Medicare paid this office $55,097 for 141 people. Most of that is long return visits and Botox.

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

Largest Original Medicare bills
Long return visit (40+ min)66$27,389$173
New patient visit (60+ min)35$7,153$204
Return visit (30+ min)24$5,037$126
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes25$4,761$111
Initial hospital care with moderate level of medical decision making at least 75 minutes24$3,554$148
See all 8 services
Every Original Medicare service billed
Long return visit (40+ min)66$27,389$173
New patient visit (60+ min)35$7,153$204
Return visit (30+ min)24$5,037$126
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes25$4,761$111
Initial hospital care with moderate level of medical decision making at least 75 minutes24$3,554$148
Short return visit (20+ min)18$1,836$83
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$1,619$74
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes14$963$46

Who their Medicare patients are

141 Original Medicare patients in 2024. Average age 72 · Under 65 17% · 85 and older 14% · Women 63% · Also on Medicaid 34% · Health risk score 3.18. Sicker patients than 9 in 10 peers; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 74% · Cancer 46% · Chronic kidney disease 38% · Coronary heart disease 36% · Depression 35% · Diabetes 34% · Heart failure 30% · Atrial fibrillation 29% · Dementia 26% · COPD 22% · Stroke 16%.

The office billed $279,586, Medicare allowed $70,848 and paid $55,097; for 385 services of 11 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
2024141385723.18$279,586$55,097
202381150732.58$104,186$18,419
202280166783.11$36,417$16,188
2021189272772.79$71,850$33,328
2020140285782.83$71,917$31,941
2019128524783.00$118,400$44,235
2018145491782.95$98,757$37,181
2017159412662.57$82,960$29,055
201633114622.94$18,007$6,585

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
New patient visit (60+ min)20$3,340$167
Long return visit (40+ min)14$3,059$133
New patient visit (60+ min)17$2,839$167
Long return visit (40+ min)14$2,394$133
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,975$110

2022: 4 services

Original Medicare services billed in 2022
Initial hospital care with moderate level of medical decision making at least 75 minutes62$9,604$155
Advance care planning, first 30 minutes33$2,411$60
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes16$1,949$78
Advance care planning, each additional 30 minutes17$1,109$58

2021: 4 services

Original Medicare services billed in 2021
Initial hospital care with moderate level of medical decision making at least 75 minutes157$24,870$156
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes30$2,872$82
Advance care planning, first 30 minutes42$2,863$62
Advance care planning, each additional 30 minutes15$994$58

2020: 4 services

Original Medicare services billed in 2020
Initial hospital care with moderate level of medical decision making at least 75 minutes115$19,306$164
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes44$5,250$83
Advance care planning, first 30 minutes34$2,312$62
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$1,132$57

2019: 6 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes83$16,218$81
Initial hospital care with moderate level of medical decision making at least 75 minutes64$10,562$158
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes54$6,009$57
Extended inpatient or observation hospital service, first hour41$4,227$72
Advance care planning, first 30 minutes33$2,587$62
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,282$107

2018: 8 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes70$9,786$80
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes78$8,612$56
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes42$4,415$105
Initial hospital care with moderate level of medical decision making at least 75 minutes24$3,758$150
Extended inpatient or observation hospital service, first hour23$1,835$71
Advance care planning, first 30 minutes13$1,458$61
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes11$1,251$69
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes16$1,248$78

2017: 8 services

Original Medicare services billed in 2017
Initial hospital care with moderate level of medical decision making at least 75 minutes47$7,912$147
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes44$5,174$80
Advance care planning, first 30 minutes50$3,400$59
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes35$2,382$29
Advance care planning, each additional 30 minutes33$2,183$55
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$2,174$53
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$1,776$104
Hospital discharge day management, 30 minutes or less15$987$55

2016: 3 services

Original Medicare services billed in 2016
Advance care planning, each additional 30 minutes15$1,803$55
Advance care planning, first 30 minutes18$1,167$58
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes11$848$29

Drugs they prescribed that Part D paid

$7,312

Pharmacies billed $7,312 in 2024.

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

Opioids were 56% of their Part D prescriptions (103 of 183) in 2024. A higher opioid share than 9 in 10 peers; the typical internal medicine clinician is at 1%. Long-acting opioids: 36% of their opioid prescriptions.

178 generic and fewer than 11 brand-name prescriptions · $7,312 in drug cost.

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
Buprenorphine13$2,152$166
Oxycodone47$930$20
Morphine Sulfate Er15$465$31
Gabapentin12$191$16
Hydrocodone-Acetaminophen13$117$9
See all 7 drugs
Every Part D drug this clinician prescribed
Buprenorphine13$2,152$166
Oxycodone47$930$20
Morphine Sulfate Er15$465$31
Gabapentin12$191$16
Hydrocodone-Acetaminophen13$117$9
Escitalopram13$107$8
Sertraline12$14$1

Year by year

Part D prescribing by year
20241835456% (103)None$7,312
2023391939% (15)None$1,416
20175021NoneNone$4,211
20163813NoneNone$1,520
201517419None13%$10,174
201425543NoneNone$18,253
2013789570% (0)7%$37,963

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

See the drugs prescribed each year

2015: 1 drug

Part D drugs prescribed in 2015
Trazodone24$103$4

2014: 4 drugs

Part D drugs prescribed in 2014
Venlafaxine Hcl Er12$259$22
Lisinopril18$154$9
Atorvastatin12$150$13
Trazodone23$111$5

2013: 21 drugs

Part D drugs prescribed in 2013
Clozapine40$6,836$171
Divalproex Sodium Er18$3,009$167
Ziprasidone23$2,426$105
Escitalopram28$1,625$58
Quetiapine46$1,558$34
Bupropion Hcl Sr40$1,517$38
Risperidone43$1,094$25
Venlafaxine Hcl Er41$832$20
Trazodone82$579$7
Mirtazapine35$414$12
Buspirone19$400$21
Sertraline39$371$10
Prazosin12$348$29
Hydroxyzine Pamoate23$227$10
Lithium Carbonate20$190$10
Citalopram Hbr34$177$5
Lorazepam19$141$7
Benztropine Mesylate23$137$6
Lamotrigine16$95$6
Clonazepam17$70$4
Fluoxetine12$68$6

Money from drug and device companies

$35 in 2023

Industry payments by year
202311None$35
202111None$17
201933None$66

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
AbbvieBotox$35
1 payment
  • Meals for Botox · 2023-09-02 · $35
See the published payment
Every published payment
AbbvieMeals · 2023-09-02Botox$35
See earlier years (2021, 2019)

2021: $17

Payments by company in 2021
IncytePemazyre$17
1 payment
  • Meals for Pemazyre · 2021-05-10 · $17

2019: $66

Payments by company in 2019
DePuy Synthes SalesVivigen$42
1 payment
  • Meals for Vivigen · 2019-01-16 · $42
AstraZeneca Pharmaceuticals LPCalquence$12
1 payment
  • Meals for Calquence · 2019-03-07 · $12
GenzymeLibtayo$11
1 payment
  • Meals for Libtayo · 2019-07-29 · $11

Professional record

NPI
1528389681
Licence
CA C184081, MO 2015015501California C184081: Current · expires 2027-04-30
Trained
Saint Louis University School of Medicine, 2010 · 16 years ago
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RH0002X (207RH0002X); Internal medicine (207R00000X); Psychiatry (2084P0800X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2010-06-11
NPI last updated
2023-07-05
NPI record certified
2023-07-05

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

Extra NPI addresses: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO, 64116