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Karolina Harger, NP

Nurse Practitioner · Palo Alto

NPI 1538455605

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

Looking this up.

Hospitals listed: California Pacific Medical Center - Mission Bernal · California Pacific Medical Center- Van Ness Campus · Novato Community Hospital. 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 Karolina Harger’s office at (415) 600-1020 to ask if they take your plan before you enroll.

Hospitals they work in

3 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • California Pacific Medical Center - Mission BernalSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Church · Has an emergency departmentPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 3 of 5 · 76% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.322, Oct 2024 – Sep 2025
  • California Pacific Medical Center- Van Ness CampusSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 78% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.224, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.325, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.373, Oct 2024 – Sep 2025
  • Novato Community HospitalNovato, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 84% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0, Oct 2024 – Sep 2025
See every measure and the patient survey for California Pacific Medical Center - Mission Bernal

Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 0 better, 3 the same, 3 worse of 6 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at California Pacific Medical Center - Mission Bernal
Clostridium Difficile (C.Diff)Infections0.322BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.24 (0.19 to 2.28) · 336 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.87 (0.47 to 1.27)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths163.19 (101.27 to 225.11) · 28 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths8.5 · 44 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.6 · 155 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.4 · 177 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.6 · 32 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.2 · 1,281 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.42) · 2,912 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.24 (0.04 to 0.45) · 2,681 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.07 (1.81 to 6.33) · 787 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.61 (0 to 3.31) · 425 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.46 (0.79 to 4.12) · 755 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.36 (0 to 16.38) · 431 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.47 (1.38 to 9.55) · 401 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.7 (0.2 to 3.2) · 105 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.27 (0 to 1.16) · 2,291 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths2.4 · 369 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.602No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.618No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22 · 242 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits20.9 · 197 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits39.6 · 203 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.1 · 292 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits4.9 · 353 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.9 · 74 casesNoneJul 2023 – Jun 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 110 casesNo differentJan 2024 – Dec 2024

What patients said (406 patients answered, 18% of those asked)

Patient survey stars by topic at California Pacific Medical Center - Mission Bernal
Cleanliness4
Nurse communication3
Doctor communication4
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital4
Share of patients giving the best answer at California Pacific Medical Center - Mission Bernal
Room was "always" clean76%
Nurses "always" communicated well78%
Doctors "always" communicated well81%
Staff "always" explained60%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand78%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)74%
Staff "always" explained new medications74%
Nurses "always" explained things so they could understand76%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital76%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms87%
See every measure and the patient survey for California Pacific Medical Center- Van Ness Campus

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 0 better, 8 the same, 2 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at California Pacific Medical Center- Van Ness Campus
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.224BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.325BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.373BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.14 (0.3 to 1.97) · 2,271 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.05 (0.81 to 1.28)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths192.86 (151.51 to 234.22) · 140 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.6 · 55 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths10.3 · 60 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.5 · 143 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.8 · 356 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.3 · 259 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 173 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.1 · 2,316 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.31 (0.12 to 0.49) · 6,430 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.09 to 0.47) · 7,168 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.3 (1.5 to 5.09) · 2,196 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.47 (1.21 to 3.74) · 925 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.63 (1.37 to 3.88) · 1,954 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.13 (6.06 to 14.2) · 1,112 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.26 (4.67 to 9.85) · 1,084 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.67 (0.31 to 3.03) · 832 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.33 (0 to 0.85) · 5,406 casesNo differentJul 2022 – Jun 2024
MRSA BacteremiaInfections0.443No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.717No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.3 · 200 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.3 · 449 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits18.2 · 187 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits8.7 · 418 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits7.1 · 260 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19.2 · 293 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (3.6 to 7.6) · 157 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.2 (7.7 to 13.5) · 157 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits11 · 33 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.2 · 66 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.5 (9.4 to 16.7) · 551 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.3) · 219 casesNo differentJan 2024 – Dec 2024

What patients said (478 patients answered, 20% of those asked)

Patient survey stars by topic at California Pacific Medical Center- Van Ness Campus
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at California Pacific Medical Center- Van Ness Campus
Room was "always" clean75%
Nurses "always" communicated well74%
Doctors "always" communicated well77%
Staff "always" explained59%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)75%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand70%
Nurses "always" listened carefully71%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Novato Community Hospital

Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 0 better, 3 the same, 0 worse of 3 measures. Readmissions: 0 better, 7 the same, 0 worse of 7 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Novato Community Hospital
Clostridium Difficile (C.Diff)Infections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1 (0 to 2.06) · 213 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.85 (0.4 to 1.3)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths8.2 · 25 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10 · 111 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.1 · 140 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.3 · 42 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 627 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.43) · 1,872 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.04 to 0.46) · 1,796 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.92 (0.5 to 5.33) · 505 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.64 (0 to 3.36) · 317 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.2 (0.51 to 3.88) · 495 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.93 (0 to 17.29) · 323 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.88 (0.69 to 9.07) · 311 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.75 (0.22 to 3.27) · 96 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.41 (0 to 1.49) · 1,320 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.2 · 143 casesNoneApr 2023 – Mar 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.6 · 108 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-31.9 · 121 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.1 · 150 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.6 · 143 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 118 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 27 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.5 (9.5 to 16.5) · 930 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.3) · 184 casesNo differentJan 2024 – Dec 2024

What patients said (334 patients answered, 30% of those asked)

Patient survey stars by topic at Novato Community Hospital
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Novato Community Hospital
Room was "always" clean78%
Nurses "always" communicated well81%
Doctors "always" communicated well83%
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 understand78%
Doctors "always" listened carefully84%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)82%
Staff "always" explained new medications77%
Nurses "always" explained things so they could understand76%
Nurses "always" listened carefully82%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital84%
Staff "always" explained possible side effects49%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$26,618

Medicare paid this office $26,618 for 76 people.

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

Largest Original Medicare bills
Return visit (30+ min)45$19,019$99
Long return visit (40+ min)15$2,995$136
Short return visit (20+ min)39$2,440$55

Who their Medicare patients are

76 Original Medicare patients in 2024. Average age 74 · Women 100% · Health risk score 1.44. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: Cancer 68% · High blood pressure 66% · Chronic kidney disease 20% · Diabetes 17% · Coronary heart disease 14% · Depression 14%.

The office billed $103,907, Medicare allowed $35,919 and paid $26,618; for 282 services of 13 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
202476282741.44$103,907$26,618
202392297731.32$105,580$27,205
202292272741.48$81,946$24,067
202191257741.41$72,344$22,817
202066138721.55$35,926$10,393
20144757721.54$8,895$4,218

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: 3 services

Original Medicare services billed in 2023
Return visit (30+ min)68$17,420$95
Long return visit (40+ min)22$3,420$143
Short return visit (20+ min)35$2,828$60

2022: 4 services

Original Medicare services billed in 2022
Return visit (30+ min)54$12,988$98
Short return visit (20+ min)50$4,174$60
Telephone medical discussion with physician, 21-30 minutes14$3,117$97
Long return visit (40+ min)17$2,470$137

2021: 4 services

Original Medicare services billed in 2021
Return visit (30+ min)58$10,313$94
Telephone medical discussion with physician, 21-30 minutes20$5,164$99
Long return visit (40+ min)23$3,869$143
Short return visit (20+ min)36$2,227$49

2020: 2 services

Original Medicare services billed in 2020
Return visit (30+ min)50$6,400$85
Short return visit (20+ min)16$1,093$61

2014: 1 service

Original Medicare services billed in 2014
Return visit (30+ min)44$3,957$75

Drugs they prescribed that Part D paid

$557,819

Pharmacies billed $557,819 in 2024.

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

246 generic and 50 brand-name prescriptions · $557,819 in drug cost · 18 antibiotic prescriptions to 13 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
Zejula19$357,321$18,806
Lynparza14$118,832$8,488
Ondansetron53$564$11
Prochlorperazine Maleate37$348$9
Dexamethasone21$328$16
See all 8 drugs
Every Part D drug this clinician prescribed
Zejula19$357,321$18,806
Lynparza14$118,832$8,488
Ondansetron53$564$11
Prochlorperazine Maleate37$348$9
Dexamethasone21$328$16
Lidocaine-Prilocaine19$241$13
Gabapentin19$219$12
Sulfamethoxazole-Trimethoprim11$23$2

Year by year

Part D prescribing by year
202429677None17%$557,819
2023290746% (18)21%$648,677
2022306787% (21)16%$628,165
2021323794% (13)24%$722,280
20202998812% (36)15%$570,815
201926140% (0)None$1,972
20178529NoneNone$5,861
20163658811% (40)11%$10,065
20154287512% (53)10%$29,372
2014295697% (21)None$14,260
20132716710% (27)None$8,973

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

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Zejula17$291,269$17,133
Lynparza20$100,665$5,033
Ondansetron36$483$13
Lidocaine-Prilocaine24$389$16
Prochlorperazine Maleate37$380$10
Gabapentin20$318$16
Hydrocodone-Acetaminophen14$75$5

2022: 7 drugs

Part D drugs prescribed in 2022
Zejula23$370,815$16,122
Ondansetron42$745$18
Prochlorperazine Maleate35$355$10
Dexamethasone18$271$15
Gabapentin15$247$16
Lidocaine-Prilocaine13$237$18
Amlodipine Besylate18$120$7

2021: 9 drugs

Part D drugs prescribed in 2021
Zejula20$308,914$15,446
Lynparza22$302,680$13,758
Ondansetron39$477$12
Prochlorperazine Maleate37$365$10
Dexamethasone25$286$11
Lidocaine-Prilocaine11$212$19
Amlodipine Besylate24$98$4
Cephalexin11$79$7
Lorazepam14$56$4

2020: 7 drugs

Part D drugs prescribed in 2020
Zejula15$252,124$16,808
Lynparza15$219,937$14,662
Ondansetron49$716$15
Prochlorperazine Maleate42$451$11
Lidocaine-Prilocaine17$296$17
Hydrocodone-Acetaminophen19$277$15
Lorazepam11$73$7

2017: 1 drug

Part D drugs prescribed in 2017
Ondansetron Odt14$228$16

2016: 11 drugs

Part D drugs prescribed in 2016
Ondansetron Odt44$885$20
Lidocaine-Prilocaine23$684$30
Hydrocodone-Acetaminophen21$436$21
Diphenoxylate-Atropine16$404$25
Synthroid11$389$35
Prochlorperazine Maleate36$237$7
Ondansetron11$200$18
Dexamethasone15$183$12
Citalopram Hbr11$130$12
Lorazepam31$123$4
Metformin20$38$2

2015: 12 drugs

Part D drugs prescribed in 2015
Ondansetron Odt42$1,720$41
Lidocaine-Prilocaine25$868$35
Diphenoxylate-Atropine20$669$33
Hydrocodone-Acetaminophen30$379$13
Oxycodone-Acetaminophen16$295$18
Lorazepam23$165$7
Prochlorperazine Maleate30$151$5
Citalopram Hbr13$97$7
Alprazolam18$88$5
Zolpidem14$71$5
Acyclovir11$52$5
Metformin18$43$2

2014: 5 drugs

Part D drugs prescribed in 2014
Ondansetron Odt35$1,295$37
Lidocaine-Prilocaine20$483$24
Prochlorperazine Maleate30$179$6
Lorazepam27$139$5
Citalopram Hbr13$75$6

2013: 6 drugs

Part D drugs prescribed in 2013
Ondansetron Odt39$832$21
Lidocaine-Prilocaine17$385$23
Prochlorperazine Maleate32$214$7
Hydrocodone-Acetaminophen12$130$11
Lorazepam22$112$5
Dexamethasone11$97$9

Money from drug and device companies

$1,175 in 2025

Industry payments by year
202546$563$1,175
202412None$54
2023314$1,000$1,392
2022526$5,163$7,192
202157$600$985

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
AbbvieElahere$708
2 payments
  • Consulting for Elahere · 2025-10-31 · $563
  • Meals for Elahere · 2025-10-11 · $145
GlaxoSmithKlineJemperli$248
2 payments
  • Meals for Jemperli · 2025-10-08 · $122
  • Meals for Jemperli · 2025-07-08 · $126
PfizerElrexfio$118
1 payment
  • Meals for Elrexfio · 2025-10-11 · $118
Merck Sharp & DohmeKeytruda$102
1 payment
  • Meals for Keytruda · 2025-10-10 · $102
See all 6 published payments
Every published payment
AbbvieConsulting · 2025-10-31Elahere$563
AbbvieMeals · 2025-10-11Elahere$145
PfizerMeals · 2025-10-11Elrexfio$118
Merck Sharp & DohmeMeals · 2025-10-10Keytruda$102
GlaxoSmithKlineMeals · 2025-10-08Jemperli$122
GlaxoSmithKlineMeals · 2025-07-08Jemperli$126
See earlier years (2024, 2023, 2022, 2021)

2024: $54

Payments by company in 2024
Myriad Genetic LaboratoriesPrecisetumor$54
2 payments
  • Meals for Precisetumor · 2024-08-28 · $30
  • Meals for Precisetumor · 2024-05-17 · $24

2023: $1,392

Payments by company in 2023
AstraZeneca Pharmaceuticals LPLynparza$1,000
1 payment
  • Consulting for Lynparza · 2023-03-02 · $1,000
Myriad Genetic LaboratoriesPrecisetumor$311
10 payments
  • Meals for Precisetumor · 2023-12-13 · $18
  • Meals for Precisetumor · 2023-12-13 · $132
  • Meals for Precisetumor · 2023-07-12 · $19
  • Meals for Precisetumor · 2023-04-26 · $26
  • Meals for Precisetumor · 2023-03-21 · $43
  • Meals for Precisetumor · 2023-03-06 · $2
  • Meals for Precisetumor · 2023-03-06 · $12
  • Meals for Precisetumor · 2023-02-15 · $26
  • Meals for Precisetumor · 2023-02-15 · $6
  • Meals for Precisetumor · 2023-01-30 · $29
GlaxoSmithKlineZejula$81
3 payments
  • Meals for Jemperli · 2023-12-05 · $31
  • Meals for Zejula · 2023-07-27 · $28
  • Meals for Zejula · 2023-01-25 · $22

2022: $7,192

Payments by company in 2022
SeagenTivdak$3,538
9 payments
  • Meals for Tivdak · 2022-10-15 · $91
  • Meals for Tivdak · 2022-07-17 · $47
  • Travel for Tivdak · 2022-07-17 · $84
  • Consulting for Tivdak · 2022-06-30 · $2,113
  • Meals for Tivdak · 2022-06-22 · $136
  • Meals for Tivdak · 2022-06-02 · $77
  • Meals for Tivdak · 2022-06-02 · $65
  • Travel for Tivdak · 2022-06-01 · $721
  • Travel for Tivdak · 2022-06-01 · $204
AstraZeneca Pharmaceuticals LPLynparza$3,050
1 payment
  • Consulting for Lynparza · 2022-08-30 · $3,050
GlaxoSmithKlineZejula$372
8 payments
  • Meals for Zejula · 2022-11-27 · $5
  • Meals · 2022-10-14 · $104
  • Meals for Zejula · 2022-09-14 · $114
  • Meals for Zejula · 2022-07-21 · $6
  • Meals for Zejula · 2022-05-17 · $115
  • Meals for Zejula · 2022-05-09 · $6
  • Meals for Zejula · 2022-03-15 · $10
  • Meals for Zejula · 2022-02-09 · $11
Myriad Genetic LaboratoriesPrecisetumor$159
7 payments
  • Meals for Precisetumor · 2022-08-09 · $29
  • Meals for Precisetumor · 2022-06-15 · $20
  • Meals for Precisetumor · 2022-05-18 · $14
  • Meals for Precisetumor · 2022-04-18 · $23
  • Meals for Precisetumor · 2022-03-13 · $26
  • Meals for Precisetumor · 2022-03-07 · $20
  • Meals for Precisetumor · 2022-02-09 · $27
Merck Sharp & DohmeKeytruda$74
1 payment
  • Meals for Keytruda · 2022-10-16 · $74

2021: $985

Payments by company in 2021
AstraZeneca Pharmaceuticals LPLynparza$694
2 payments
  • Consulting for Lynparza · 2021-12-15 · $600
  • Education for Lynparza · 2021-07-26 · $94
EisaiLenvima$125
1 payment
  • Meals for Lenvima · 2021-09-30 · $125
GlaxoSmithKlineZejula$112
1 payment
  • Meals for Zejula · 2021-05-17 · $112
Myriad Genetic LaboratoriesMychoice Cdx$49
2 payments
  • Meals for Mychoice Cdx · 2021-12-17 · $25
  • Meals for Mychoice Cdx · 2021-04-05 · $24
Clovis OncologyRubraca$5
1 payment
  • Meals for Rubraca · 2021-05-26 · $5

Professional record

NPI
1538455605
Licence
CA NP20812
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Nurse practitioner (363L00000X); Federal specialty code 363LX0001X (363LX0001X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2011-06-27
NPI last updated
2022-01-21
NPI record certified
2022-01-21

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

Extra NPI addresses: 3390 Carmel Mountain Rd, San Diego, CA, 92121