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Lori Ann Fong, PT

Physical Therapist in Private Practice · Los Gatos

NPI 1538362140

Medicare standing
1 flag on the record
Listed below.
Plans that list them
14
5 carriers
Offices
2

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

2 locations · California Luna Care Physical Therapy PC · Richard P Carr Physical Therapy Inc

Looking this up.

Plans that list them

14 plans · 5 carriers

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

14 of 14 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

Original Medicare doctor bills

$28,625

Medicare paid this office $28,625 for 25 people.

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

Largest Original Medicare bills
Therapy procedure using functional activities23$14,192$29
Therapy procedure using manual technique, each 15 minutes23$4,207$18

Who their Medicare patients are

25 Original Medicare patients in 2024. Average age 72 · Health risk score 0.69. At or below the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

Conditions among them: High blood pressure 56%.

The office billed $81,368, Medicare allowed $37,525 and paid $28,625; for 1,201 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
2024251,201720.69$81,368$28,625
2023271,581730.80$100,874$38,684
2022241,709750.84$107,910$42,256
2021221,374760.69$91,165$32,774
2020221,063760.86$73,424$28,925
2019201,430750.83$92,883$37,679
201811393780.92$27,285$11,464

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: 4 services

Original Medicare services billed in 2023
Therapy procedure using functional activities27$25,322$31
Therapy procedure using manual technique, each 15 minutes25$7,457$19
Application of blood vessel compression device16$1,986$8
Evaluation for physical therapy, typically 20 minutes19$1,774$93

2022: 4 services

Original Medicare services billed in 2022
Therapy procedure using functional activities24$25,473$33
Therapy procedure using manual technique, each 15 minutes22$11,046$20
Application of blood vessel compression device14$2,438$8
Evaluation for physical therapy, typically 20 minutes16$1,793$100

2021: 4 services

Original Medicare services billed in 2021
Therapy procedure using functional activities19$12,053$30
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes17$11,223$23
Therapy procedure using manual technique, each 15 minutes21$4,980$19
Evaluation for physical therapy, typically 20 minutes15$1,330$89

2020: 2 services

Original Medicare services billed in 2020
Therapy procedure using functional activities20$20,916$30
Therapy procedure using manual technique, each 15 minutes16$3,728$20

2019: 2 services

Original Medicare services billed in 2019
Therapy procedure using functional activities20$21,897$31
Therapy procedure using manual technique, each 15 minutes19$5,330$20

2018: 1 service

Original Medicare services billed in 2018
Therapy procedure using functional activities11$8,370$31

Professional record

NPI
1538362140
Licence
CA PT 21485
Group
California Luna Care Physical Therapy PC · Richard P Carr Physical Therapy Inc
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
725 Welch Rd Fl 3, Palo Alto, CA, 94304
NPI first listed
2007-06-09
NPI last updated
2025-01-14
NPI record certified
2024-12-31

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