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Julia B Caton, MD

Internal Medicine · New Hyde Park

NPI 1538572672

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
Since medical school
12 years
Columbia University College of Physicians and Surgeons, 2014

Offices

1 location · North Shore-Lij Medical PC · 6,374 clinicians in this group

Looking this up.

Hospitals listed: Long Island Jewish Medical Center. 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. Caton’s office at (718) 470-7000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A160858 · Delinquent

Licence status: Delinquent · since 2019 · expires 2023-02-28 · Columbia University College of Physicians and Surgeons.

License renewal fee has not been paid. No practice is permitted.

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

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
91.3 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

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.

  • Long Island Jewish Medical CenterNew Hyde Park, NYAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Northwell Health, which runs 19 hospitalsPatients rate it 3 of 5 · 68% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Postoperative hemorrhage or hematoma rate: 3.63 (2.53 to 4.72) · 4,276 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.5 to 15.8) · 1,338 cases, Jan 2024 – Dec 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.417, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.172, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.178, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.411, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.227, Oct 2024 – Sep 2025Better than the national rate — Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy: 3.9 (3.1 to 4.8) · 1,338 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Long Island Jewish Medical Center

Behind the star rating — Deaths: 4 better, 3 the same, 0 worse of 7 measures. Safety: 5 better, 3 the same, 0 worse of 8 measures. Readmissions: 1 better, 6 the same, 3 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 Long Island Jewish Medical Center
Postoperative hemorrhage or hematoma rateComplications and deaths3.63 (2.53 to 4.72) · 4,276 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.5 to 15.8) · 1,338 casesWorseJan 2024 – Dec 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.417BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.172BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.178BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.411BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.227BetterOct 2024 – Sep 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits3.9 (3.1 to 4.8) · 1,338 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.7 (0 to 1.41) · 4,099 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.03 (0.82 to 1.24)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths182.4 (139.49 to 225.31) · 175 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths6.6 · 297 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.1 · 197 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.4 · 959 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.3 · 1,465 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths6.5 · 888 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.5 · 12,893 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.11 (0 to 0.26) · 21,516 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.09 to 0.4) · 22,438 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.63 (3.19 to 6.08) · 4,287 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.72 (0.31 to 3.12) · 1,756 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.16 (4.97 to 15.35) · 1,364 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.15 (2.68 to 7.61) · 1,730 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.27 (0 to 2.57) · 1,141 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.57 (0.25 to 0.9) · 19,622 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths2.7 · 1,207 casesNoneApr 2023 – Mar 2025
SSI - Abdominal HysterectomyInfections0.569No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14 · 292 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.4 · 2,088 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-0.8 · 158 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits20.2 · 1,066 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits19.6 · 1,421 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.7 · 2,201 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits4.6 · 1,311 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.1 · 518 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.2 (9.4 to 15.9) · 964 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.2) · 1,048 casesNo differentJan 2024 – Dec 2024

What patients said (681 patients answered, 13% of those asked)

Patient survey stars by topic at Long Island Jewish Medical Center
Cleanliness3
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness3
Recommend hospital3
Share of patients giving the best answer at Long Island Jewish Medical Center
Room was "always" clean68%
Nurses "always" communicated well75%
Doctors "always" communicated well75%
Staff "always" explained54%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)66%
Staff "always" explained new medications68%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully71%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night52%
"YES", patients would definitely recommend the hospital68%
Staff "always" explained possible side effects41%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$21,648

Medicare paid this office $21,648 for 81 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 35 minutes59$10,846$69
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes37$5,020$102
Hospital discharge day management, more than 30 minutes33$3,263$99
Initial hospital care with moderate level of medical decision making at least 75 minutes11$1,686$153

Who their Medicare patients are

81 Original Medicare patients in 2024. Average age 73 · Under 65 21% · 85 and older 16% · Women 46% · Also on Medicaid 40% · Health risk score 2.91. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Coronary heart disease 52% · Diabetes 51% · Chronic kidney disease 46% · Dementia 40% · Depression 38% · Heart failure 37% · COPD 31% · Atrial fibrillation 31% · Stroke 27% · Cancer 19%.

The office billed $103,321, Medicare allowed $27,481 and paid $21,648; for 258 services of 6 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
202481258732.91$103,321$21,648
202392301762.63$129,287$27,900
2022161486753.00$226,885$51,750
2021175554742.75$242,924$59,469
2020274766753.02$349,090$89,811
2019225552753.12$217,813$55,450
2018155206723.17$98,356$22,980
20176785733.46$51,318$11,304

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
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes62$10,858$72
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes39$8,447$106
Hospital discharge day management, more than 30 minutes40$4,272$107
Initial hospital care with moderate level of medical decision making at least 75 minutes25$3,857$154

2022: 5 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes102$28,985$94
Initial hospital care with moderate level of medical decision making at least 75 minutes55$10,034$179
Hospital discharge day management, more than 30 minutes47$4,629$98
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes13$2,405$185
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes19$1,987$66

2021: 6 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes113$30,311$93
Initial hospital care with moderate level of medical decision making at least 75 minutes74$13,675$182
Hospital discharge day management, more than 30 minutes77$7,650$98
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes11$2,152$196
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,905$66
Hospital observation care on day of discharge11$807$73

2020: 6 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes146$36,739$96
Initial hospital care with moderate level of medical decision making at least 75 minutes124$24,032$189
Hospital discharge day management, more than 30 minutes123$12,384$98
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes40$8,271$207
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes36$3,152$64
Initial hospital observation care per day, typically 70 minutes15$2,740$183

2019: 5 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes68$14,558$93
Initial hospital care with moderate level of medical decision making at least 75 minutes74$12,981$171
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes92$11,711$64
Hospital discharge day management, more than 30 minutes61$5,871$96
Initial hospital observation care per day, typically 70 minutes31$5,030$162

2018: 5 services

Original Medicare services billed in 2018
Initial hospital care with moderate level of medical decision making at least 75 minutes65$10,488$159
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes42$5,099$86
Initial hospital observation care per day, typically 70 minutes14$2,238$160
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,749$62
Hospital discharge day management, 30 minutes or less11$696$63

2017: 2 services

Original Medicare services billed in 2017
Initial hospital care with moderate level of medical decision making at least 75 minutes36$6,128$170
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$1,841$88

Medicaid work

$1,508 in 2023

Medicaid paid $1,508 for 50 billed services this clinician did in 2023, up to 14 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 2023
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter24$994
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES26$513
Medicaid work by year
202350214$1,508
2022116217$2,257
2021322321$9,347
2020434324$16,432
201937213$1,274
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES103$1,616
1ST HOSP IP/OBS HIGH 7513$641

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES267$7,432
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter36$1,013
1ST HOSP IP/OBS HIGH 7519$901

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES294$9,716
1ST HOSP IP/OBS HIGH 7572$4,327
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter68$2,389

2019

Largest Medicaid services in 2019
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter13$753
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES24$521

Drugs they prescribed that Part D paid

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

Opioids were 2% of their 540 Part D prescriptions in 2017.

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

Year by year

Part D prescribing by year
20228927NoneNone$5,924
202111141None10%$5,003
202019880NoneNone$19,992
20196830NoneNone$10,682
20187726None36%$5,433
2017540472% (11)22%$28,084
2016578484% (24)None$21,679
201541243None20%$21,206
20143012NoneNone$628

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

See the drugs prescribed each year

2021: 1 drug

Part D drugs prescribed in 2021
Azithromycin11$125$11

2020: 1 drug

Part D drugs prescribed in 2020
Pantoprazole12$178$15

2017: 13 drugs

Part D drugs prescribed in 2017
Advair Diskus12$3,982$332
Proair Hfa15$1,116$74
Atorvastatin45$854$19
Metoprolol26$385$15
Fluticasone Propionate18$374$21
Losartan37$223$6
Montelukast17$219$13
Hydrochlorothiazide24$136$6
Omeprazole15$133$9
Ibuprofen24$120$5
Amlodipine Besylate28$96$3
Lisinopril15$83$6
Ranitidine13$74$6

2016: 16 drugs

Part D drugs prescribed in 2016
Metoprolol28$626$22
Atorvastatin37$371$10
Fluoxetine11$300$27
Oxycodone18$276$15
Losartan39$180$5
Ibuprofen36$176$5
Omeprazole19$173$9
Fluticasone Propionate19$154$8
Amlodipine Besylate33$134$4
Lisinopril32$116$4
Hydrochlorothiazide30$111$4
Glipizide Xl14$110$8
Allopurinol13$103$8
Gabapentin17$86$5
Montelukast14$81$6
Metformin14$31$2

2015: 8 drugs

Part D drugs prescribed in 2015
Atorvastatin36$956$27
Metoprolol23$599$26
Losartan26$211$8
Ibuprofen27$159$6
Fluticasone Propionate14$140$10
Lisinopril27$119$4
Hydrochlorothiazide19$93$5
Amlodipine Besylate16$89$6

Money from drug and device companies

$27 in 2025

A payment is not proof that care is biased.

Payments by company
Esperion TherapeuticsNexletol$27
1 payment
  • Meals for Nexletol · 2025-11-03 · $27
See the published payment
Every published payment
Esperion TherapeuticsMeals · 2025-11-03Nexletol$27

Professional record

NPI
1538572672
Licence
CA A160858, MA 259305, MA 269290California A160858: Delinquent · expires 2023-02-28
Trained
Columbia University College of Physicians and Surgeons, 2014 · 12 years ago
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X); Hospitalist (208M00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2014-06-06
NPI last updated
2019-07-02

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

Extra NPI addresses: 75 Francis St, Boston, MA, 02115