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Lee Shoa Long Clarke, MD

Internal Medicine · Stanford

NPI 1639517030

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
18
4 carriers
Offices
2

Offices

2 locations · Stanford Health Care · 3,152 clinicians in this group

Looking this up.

Hospitals listed: Stanford Health Care. That is not proof they admit you there this week.

Plans that list them

18 plans · 4 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Clarke’s office at (650) 723-4000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

18 of 18 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A149702 · Current

Licensed to practise in California · since 2017 · expires 2028-11-30 · Stanford University School of Medicine.

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
76.5 / 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.

  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
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 understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$17,904

Medicare paid this office $17,904 for 287 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 minutes25$3,686$67
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes21$2,455$117
Return visit (30+ min)20$1,891$86
Hospital discharge day management, more than 30 minutes18$1,889$105
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes25$1,834$73
See all 8 services
Every Original Medicare service billed
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$3,686$67
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes21$2,455$117
Return visit (30+ min)20$1,891$86
Hospital discharge day management, more than 30 minutes18$1,889$105
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes25$1,834$73
Return visit (30+ min)13$1,617$116
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only163$1,220$7
Heart rhythm review and interpretation of continous external ekg over 8-15 days21$479$23

Who their Medicare patients are

287 Original Medicare patients in 2024. Average age 75 · Under 65 9% · 85 and older 20% · Women 45% · Also on Medicaid 31% · Health risk score 2.40. 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 55% · Atrial fibrillation 49% · Heart failure 45% · Chronic kidney disease 44% · Diabetes 36% · Depression 32% · Cancer 22% · COPD 20% · Stroke 20% · Dementia 19%.

The office billed $86,352, Medicare allowed $22,860 and paid $17,904; for 381 services of 15 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
2024287381752.40$86,352$17,904
2023188252752.16$66,875$14,193
2022125232732.10$87,908$20,107
2021126230752.25$80,522$18,107
20202542761.59$19,884$4,277

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: 6 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes26$3,137$71
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes21$2,511$120
Return visit (30+ min)28$2,502$83
Hospital discharge day management, more than 30 minutes21$2,249$107
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only90$688$7
Heart rhythm review and interpretation of continous external ekg over 8-15 days17$383$23

2022: 6 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes29$4,498$64
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes27$3,201$119
Return visit (30+ min)28$2,861$87
Hospital discharge day management, more than 30 minutes24$2,417$97
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes25$2,257$87
Hospital observation care on day of discharge11$719$65

2021: 5 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes67$7,088$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$2,232$124
Long return visit (40+ min)11$1,800$129
Return visit (30+ min)20$1,667$79
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes18$700$35

Medicaid work

$1,467 in 2024

Medicaid paid $1,467 for 141 billed services this clinician did in 2024, up to 126 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
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only141$1,467
Medicaid work by year
20241411126$1,467
202393276$1,233
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only80$782
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter13$451

Drugs they prescribed that Part D paid

$84,648

Pharmacies billed $84,648 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 363) in 2024. At or below the middle of the specialty; the typical internal medicine clinician is at 1%.

285 generic and 78 brand-name prescriptions · $84,648 in drug cost.

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
Repatha Sureclick19$13,470$709
Praluent12$12,522$1,044
Rosuvastatin46$797$17
Ezetimibe28$713$25
Metoprolol35$592$17
See all 10 drugs
Every Part D drug this clinician prescribed
Repatha Sureclick19$13,470$709
Praluent12$12,522$1,044
Rosuvastatin46$797$17
Ezetimibe28$713$25
Metoprolol35$592$17
Atorvastatin35$290$8
Clopidogrel15$225$15
Losartan27$187$7
Amlodipine Besylate15$21$1
Metoprolol12$8$1

Year by year

Part D prescribing by year
2024363590% (0)21%$84,648
2023315530% (0)17%$63,153
2022271500% (0)None$46,060
2021177370% (0)17%$30,797
202022None0% (0)None$3,121
201815None0% (0)None$352
201710016NoneNone$15,372
2016202290% (0)None$25,834
2015214230% (0)27%$31,842
2014170317% (11)26%$15,011
20137418NoneNone$3,124

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

See the drugs prescribed each year

2023: 8 drugs

Part D drugs prescribed in 2023
Repatha Sureclick20$12,013$601
Rosuvastatin48$1,897$40
Metoprolol31$696$22
Ezetimibe15$674$45
Atorvastatin39$518$13
Losartan21$420$20
Clopidogrel15$198$13
Hydrochlorothiazide11$22$2

2022: 8 drugs

Part D drugs prescribed in 2022
Repatha Sureclick21$11,505$548
Rosuvastatin43$1,585$37
Ezetimibe20$710$35
Atorvastatin34$506$15
Metoprolol26$429$17
Losartan18$241$13
Amlodipine Besylate12$200$17
Clopidogrel14$79$6

2021: 4 drugs

Part D drugs prescribed in 2021
Ezetimibe20$654$33
Rosuvastatin25$560$22
Metoprolol26$456$18
Atorvastatin17$304$18

2017: 1 drug

Part D drugs prescribed in 2017
Atorvastatin11$223$20

2016: 5 drugs

Part D drugs prescribed in 2016
Atorvastatin11$235$21
Metoprolol11$223$20
Metformin18$183$10
Amlodipine Besylate13$108$8
Lisinopril11$86$8

2015: 6 drugs

Part D drugs prescribed in 2015
Xarelto13$4,881$375
Omeprazole18$148$8
Lisinopril14$108$8
Metformin12$77$6
Metoprolol11$68$6
Gabapentin11$67$6

2014: 2 drugs

Part D drugs prescribed in 2014
Omeprazole12$103$9
Metformin13$79$6

Money from drug and device companies

$26 in 2025

Industry payments by year
202511None$26
202411None$27
202311None$120

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
Merck Sharp & DohmeNone$26
1 payment
  • Education · 2025-11-10 · $26
See the published payment
Every published payment
Merck Sharp & DohmeEducation · 2025-11-10None$26
See earlier years (2024, 2023)

2024: $27

Payments by company in 2024
AmgenOtezla$27
1 payment
  • Meals for Otezla · 2024-07-30 · $27

2023: $120

Payments by company in 2023
AmgenOtezla$120
1 payment
  • Meals for Otezla · 2023-12-07 · $120

Professional record

NPI
1639517030
Licence
CA A149702, MA 255588California A149702: Current · expires 2028-11-30
Trained
Stanford University School of Medicine, 2013
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Cardiology (207RC0000X); Internal medicine (207R00000X); Pediatrics (208000000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2013-06-06
NPI last updated
2024-04-20
NPI record certified
2024-04-20

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

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