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Iris Colon, MD

Obstetrics/Gynecology · San Jose

NPI 1598734998

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
6
2 carriers
Office
1

Offices

1 location · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

Plans that list them

6 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Colon’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

6 of 6 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
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

California Medical Board record

Licence A79759 · Current

Licensed to practise in California · since 2002 · expires 2028-05-31 · University of Puerto Rico School of Medicine.

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

Medicaid work

$983,284 in 2024

Medicaid paid $983,284 for 15,430 billed services this clinician did in 2024, up to 104 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
Clinic visit/encounter, all-inclusive1,848$949,179
Return visit (30+ min)2,496$16,257
Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus602$4,159
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation369$4,088
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses290$3,031
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation64$2,060
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation110$1,185
Short return visit (20+ min)343$1,134
FETAL NON-STRESS TEST273$1,128
Hemoglobin A1C level153$369
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique18$270
Long return visit (40+ min)38$204
Medicaid work by year
202415,43024104$983,284
20237,47817111$1,234,608
20228,48514144$1,329,999
20212,8841159$386,286
20203,9921196$829,651
20195,4369187$1,183,454
20184,28212158$981,642
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive2,364$1,207,424
Return visit (30+ min)2,390$12,260
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation352$4,153
Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus460$2,834
Short return visit (20+ min)689$2,100
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses270$2,046
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation58$1,397
FETAL NON-STRESS TEST347$1,078
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation47$557
Long return visit (40+ min)97$432
Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use17$225
Hemoglobin A1C level26$52

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive2,606$1,291,222
Return visit (30+ min)1,926$14,701
Short return visit (20+ min)1,550$7,263
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation392$5,659
Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus469$4,555
Long return visit (40+ min)474$3,245
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses177$1,578
FETAL NON-STRESS TEST307$1,419
Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation12$223
Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use98$61
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use17$40
Short return visit29$22

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive765$363,732
Return visit (30+ min)485$7,380
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation319$4,363
Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus394$3,294
Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation132$2,025
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses187$1,744
Short return visit (20+ min)239$1,730
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation25$837
FETAL NON-STRESS TEST215$796
Short return visit75$385
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)48$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive1,987$810,669
Return visit (30+ min)845$6,382
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only225$3,941
Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus255$2,292
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation183$2,165
Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation77$1,631
Short return visit (20+ min)266$1,325
FETAL NON-STRESS TEST90$442
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation13$418
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses38$387
Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion13$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive2,749$1,164,767
Return visit (30+ min)728$5,816
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation241$3,219
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses327$2,457
Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation121$2,337
Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus358$2,240
OFF/OP EST MAY X REQ PHY/QHP553$1,490
FETAL NON-STRESS TEST347$1,001
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation12$128

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive2,391$967,051
Return visit (30+ min)500$5,122
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation232$2,217
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses179$1,509
Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation92$1,436
Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus255$1,399
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation47$1,319
OFF/OP EST MAY X REQ PHY/QHP372$957
FETAL NON-STRESS TEST166$585
Short return visit14$40
Blood glucose (sugar) level16$6
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation18$0

Professional record

NPI
1598734998
Licence
CA A79759California A79759: Current · expires 2028-05-31
Trained
University of Puerto Rico School of Medicine, 1998
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
CA 00A797590
Taxonomy
Federal specialty code 207V00000X (207V00000X); Federal specialty code 207VM0101X (207VM0101X)
Mailing address
751 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2006-03-16
NPI last updated
2007-09-11

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