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Kusum Regmi, NP

Nurse Practitioner · Sunnyvale

NPI 1538705611

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
4
1 carrier
Office
1

Offices

1 location · Quality Care Solution Inc · 12 clinicians in this group

Looking this up.

Plans that list them

4 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Kusum Regmi’s office at (832) 618-8479 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
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Dual Complete North P23 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Basic Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026

Original Medicare doctor bills

$20,926

Medicare paid this office $20,926 for 106 people.

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

Largest Original Medicare bills
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes76$12,608$88
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more61$7,098$61

Who their Medicare patients are

106 Original Medicare patients in 2024. Average age 83 · 85 and older 49% · Women 49% · Also on Medicaid 31% · Health risk score 2.01. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 75% · Depression 60% · Dementia 54% · Diabetes 50% · Chronic kidney disease 48% · Coronary heart disease 47% · Heart failure 46% · Atrial fibrillation 45% · Stroke 30% · Cancer 26% · COPD 22%.

The office billed $49,734, Medicare allowed $26,307 and paid $20,926; for 273 services of 7 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
2024106273832.01$49,734$20,926
20236699761.28$28,800$4,810
20226698750.81$22,817$5,861
20213662740.74$3,216$2,067
20201551,153782.12$101,257$67,545

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: 1 service

Original Medicare services billed in 2023
New patient visit (30+ min)50$3,187$64

2022: 3 services

Original Medicare services billed in 2022
New patient visit (30+ min)38$3,356$88
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 50 mcg/0.25ml dosage, booster dose16$679$42
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen13$654$50

2021: 2 services

Original Medicare services billed in 2021
Influenza vaccine split virus, preservative free16$768$48
Administration of influenza virus vaccine17$312$18

2020: 4 services

Original Medicare services billed in 2020
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more114$33,259$53
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes121$32,240$70
Influenza vaccine split virus, preservative free25$1,100$44
Administration of influenza virus vaccine27$565$21

Medicaid work

$23,703 in 2024

Medicaid paid $23,703 for 307 billed services this clinician did in 2024, up to 30 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
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES216$16,470
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES91$7,233
Medicaid work by year
2024307230$23,703
2023124227$104
2020297228$752
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES81$104
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES43$0

2020

Largest Medicaid services in 2020
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES137$752
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES160$0

Drugs they prescribed that Part D paid

$112,527

Pharmacies billed $112,527 in 2024.

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

Opioids were 3% of their Part D prescriptions (38 of 1,359) in 2024. Above the middle of the specialty; the typical nurse practitioner clinician is at 0%.

1,178 generic and 164 brand-name prescriptions · $112,527 in drug cost · 17 antibiotic prescriptions to 17 people · 14 antipsychotic prescriptions to people over 65.

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
Eliquis20$26,738$1,337
Jardiance13$5,952$458
Pradaxa12$2,798$233
Alvesco14$1,485$106
Atorvastatin97$1,200$12
See all 38 drugs
Every Part D drug this clinician prescribed
Eliquis20$26,738$1,337
Jardiance13$5,952$458
Pradaxa12$2,798$233
Alvesco14$1,485$106
Atorvastatin97$1,200$12
Gabapentin47$1,198$25
Levothyroxine47$866$18
Lactulose16$809$51
Potassium Chloride20$701$35
Carbidopa-Levodopa14$670$48
Amlodipine Besylate58$639$11
Albuterol Sulfate Hfa34$597$18
Pantoprazole14$496$35
Furosemide42$473$11
Tamsulosin33$466$14
Fluticasone Propionate20$407$20
Amiodarone12$372$31
Losartan28$369$13
Famotidine31$359$12
Lisinopril29$350$12
Donepezil16$348$22
Trazodone21$332$16
Latanoprost21$286$14
Metoprolol27$280$10
Mirtazapine13$251$19
Sertraline15$251$17
Quetiapine18$244$14
Hydralazine15$233$16
Omeprazole24$224$9
Oxycodone15$190$13
Simvastatin15$181$12
Finasteride12$170$14
Metformin14$155$11
Lovastatin13$139$11
Carvedilol12$132$11
Triamcinolone Acetonide15$132$9
Alendronate13$124$10
Glipizide13$118$9

Year by year

Part D prescribing by year
20241,3593413% (38)12%$112,527
20238142113% (23)12%$46,579
202234290% (0)None$1,299
202128None0% (0)43%$3,765
2020913145% (41)21%$6,427

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

See the drugs prescribed each year

2023: 17 drugs

Part D drugs prescribed in 2023
Atorvastatin50$550$11
Potassium Chloride17$416$24
Lactulose11$363$33
Albuterol Sulfate Hfa17$353$21
Levothyroxine26$310$12
Amlodipine Besylate29$255$9
Losartan27$247$9
Gabapentin20$241$12
Pantoprazole19$189$10
Hydralazine15$182$12
Tamsulosin16$151$9
Furosemide19$137$7
Metoprolol19$132$7
Famotidine16$116$7
Oxycodone11$104$9
Trazodone13$92$7
Simvastatin12$85$7

2020: 3 drugs

Part D drugs prescribed in 2020
Hydrocodone-Acetaminophen20$678$34
Lorazepam14$148$11
Tramadol12$72$6

Money from drug and device companies

$164 in 2025

Industry payments by year
202522None$164
202411None$48

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
Neurocrine BioSciencesIngrezza$124
1 payment
  • Meals for Ingrezza · 2025-03-13 · $124
PfizerNurtec Odt$40
1 payment
  • Meals for Nurtec Odt · 2025-06-20 · $40
See all 2 published payments
Every published payment
PfizerMeals · 2025-06-20Nurtec Odt$40
Neurocrine BioSciencesMeals · 2025-03-13Ingrezza$124
See earlier years (2024)

2024: $48

Payments by company in 2024
Mylan Specialty L.P.Yupelri$48
1 payment
  • Meals for Yupelri · 2024-09-20 · $48

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
83.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1538705611
Licence
CA 95013274
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 363LF0000X (363LF0000X)
Mailing address
1720 S Bascom Ave, Campbell, CA, 95008
NPI first listed
2019-11-22
NPI last updated
2022-07-15
NPI record certified
2022-07-15

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