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Michelle M Gould, NP

Nurse Practitioner · Palo Alto

NPI 1649411489

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Offices
2

Offices

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

Looking this up.

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Michelle M Gould’s office 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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

Original Medicare doctor bills

$64,280

Medicare paid this office $64,280 for 397 people.

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

Largest Original Medicare bills
Return visit (30+ min)285$35,527$98
Programming of dual lead pacemaker system143$11,297$64
Programming of multiple lead implantable defibrillator system26$3,358$86
Short return visit (20+ min)37$2,765$69
Programming of dual lead implantable defibrillator system20$2,155$83
See all 10 services
Every Original Medicare service billed
Return visit (30+ min)285$35,527$98
Programming of dual lead pacemaker system143$11,297$64
Programming of multiple lead implantable defibrillator system26$3,358$86
Short return visit (20+ min)37$2,765$69
Programming of dual lead implantable defibrillator system20$2,155$83
New patient visit (45+ min)14$1,898$136
Long return visit (40+ min)12$1,768$147
Programming of single lead pacemaker system22$1,752$55
Programming of multiple lead pacemaker system16$1,374$72
Evaluation of cardiac rhythm monitor system12$478$40

Who their Medicare patients are

397 Original Medicare patients in 2024. Average age 80 · 85 and older 26% · Women 44% · Also on Medicaid 11% · Health risk score 1.38. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 75% · Atrial fibrillation 72% · Coronary heart disease 44% · Heart failure 42% · Chronic kidney disease 34% · Diabetes 26% · Cancer 20% · Depression 14% · COPD 12% · Stroke 9% · Dementia 8%.

The office billed $270,187, Medicare allowed $85,635 and paid $64,280; for 757 services of 19 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
2024397757801.38$270,187$64,280
2023355676801.43$214,732$51,706
2022370669801.50$219,368$56,415
2021305580801.59$174,064$45,722
2020291549801.61$140,339$30,983
2019347749791.78$189,879$39,931
2018343774791.68$192,602$38,609
2017311667791.67$159,116$32,994
2016169282791.58$70,203$14,736

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: 8 services

Original Medicare services billed in 2023
Return visit (30+ min)162$17,141$91
Programming of dual lead pacemaker system163$13,479$66
Short return visit (20+ min)112$9,129$74
Programming of dual lead implantable defibrillator system23$2,382$85
New patient visit (45+ min)17$2,249$132
Programming of single lead pacemaker system32$2,038$51
Programming of multiple lead implantable defibrillator system18$1,927$80
Evaluation of cardiac rhythm monitor system14$680$45

2022: 9 services

Original Medicare services billed in 2022
Return visit (30+ min)223$25,705$98
Programming of dual lead pacemaker system155$12,618$68
Programming of multiple lead implantable defibrillator system36$4,493$94
Long return visit (40+ min)19$2,632$139
Programming of dual lead implantable defibrillator system26$2,603$84
Programming of single lead pacemaker system30$2,184$59
New patient visit (45+ min)13$1,744$134
Programming of multiple lead pacemaker system15$1,413$71
Evaluation of cardiac rhythm monitor system14$650$46

2021: 9 services

Original Medicare services billed in 2021
Return visit (30+ min)168$20,092$102
Programming of dual lead pacemaker system150$11,640$65
Programming of multiple lead implantable defibrillator system27$2,666$89
Programming of single lead pacemaker system29$2,262$57
Short return visit (20+ min)39$2,154$54
Programming of dual lead implantable defibrillator system21$1,815$76
Long return visit (40+ min)11$1,611$146
Programming of multiple lead pacemaker system12$1,035$74
Evaluation of cardiac rhythm monitor system11$482$44

2020: 6 services

Original Medicare services billed in 2020
Short return visit (20+ min)176$10,790$53
Programming of dual lead pacemaker system138$9,800$56
Return visit (30+ min)32$2,581$78
Programming of multiple lead implantable defibrillator system25$2,082$77
Programming of dual lead implantable defibrillator system22$1,931$74
Programming of single lead pacemaker system28$1,472$47

2019: 5 services

Original Medicare services billed in 2019
Short return visit (20+ min)251$18,312$55
Programming of dual lead pacemaker system176$11,294$50
Programming of dual lead implantable defibrillator system34$3,005$63
Programming of multiple lead implantable defibrillator system28$2,260$68
Programming of single lead pacemaker system36$2,092$43

2018: 9 services

Original Medicare services billed in 2018
Short return visit (20+ min)219$16,057$53
Programming of dual lead pacemaker system166$10,826$45
Programming of dual lead implantable defibrillator system45$3,371$61
Programming of multiple lead implantable defibrillator system32$2,269$65
Programming of single lead pacemaker system36$1,765$35
Return visit (30+ min)13$1,110$85
Programming of single lead implantable defibrillator system12$743$50
Short return visit13$506$36
Evaluation of cardiac rhythm monitor system11$300$27

2017: 6 services

Original Medicare services billed in 2017
Short return visit (20+ min)186$12,481$54
Programming of dual lead pacemaker system158$9,726$45
Programming of dual lead implantable defibrillator system36$3,006$63
Programming of multiple lead implantable defibrillator system27$2,530$67
Short return visit57$2,050$33
Programming of single lead pacemaker system27$1,375$40

2016: 6 services

Original Medicare services billed in 2016
Short return visit (20+ min)75$4,745$56
Programming of dual lead pacemaker system82$4,425$46
Programming of dual lead implantable defibrillator system26$1,871$65
Programming of single lead pacemaker system24$1,014$39
Programming of multiple lead implantable defibrillator system11$921$71
Short return visit17$591$35

Drugs they prescribed that Part D paid

$158,872

Pharmacies billed $158,872 in 2024.

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

321 generic and 167 brand-name prescriptions · $158,872 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
Eliquis111$114,489$1,031
Xarelto20$17,530$876
Jardiance16$11,577$724
Flecainide Acetate37$1,516$41
Diltiazem 24hr Er (Cd)55$1,147$21
See all 13 drugs
Every Part D drug this clinician prescribed
Eliquis111$114,489$1,031
Xarelto20$17,530$876
Jardiance16$11,577$724
Flecainide Acetate37$1,516$41
Diltiazem 24hr Er (Cd)55$1,147$21
Metoprolol31$577$19
Amiodarone38$453$12
Digoxin14$369$26
Sotalol Af16$238$15
Sotalol12$230$19
Potassium Chloride12$210$18
Furosemide19$163$9
Losartan13$65$5

Year by year

Part D prescribing by year
2024488154None34%$158,872
2023312102None42%$137,255
2022331122None33%$92,478
2021324101None41%$92,143
2020371109None44%$108,041
2019389119None35%$84,378
2018345105None28%$58,861
201724285None38%$42,311
201612651None27%$21,037
201323None0% (0)0%$240

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
Eliquis105$109,253$1,041
Xarelto21$22,416$1,067
Amiodarone23$770$33
Sotalol Af11$615$56
Diltiazem 24hr Er (Cd)14$555$40
Metoprolol36$510$14
Sotalol12$402$33
Amlodipine Besylate13$92$7

2022: 9 drugs

Part D drugs prescribed in 2022
Eliquis84$75,120$894
Xarelto11$11,964$1,088
Metoprolol61$1,000$16
Sotalol Af13$582$45
Carvedilol15$449$30
Amiodarone13$329$25
Amlodipine Besylate19$198$10
Furosemide21$72$3
Losartan12$52$4

2021: 6 drugs

Part D drugs prescribed in 2021
Eliquis110$78,340$712
Diltiazem 24hr Er (Cd)23$1,471$64
Metoprolol41$1,114$27
Amiodarone12$405$34
Potassium Chloride17$216$13
Furosemide22$123$6

2020: 8 drugs

Part D drugs prescribed in 2020
Eliquis115$84,977$739
Multaq11$6,713$610
Diltiazem 24hr Er (Cd)33$2,226$67
Metoprolol34$1,105$32
Sotalol11$540$49
Potassium Chloride25$443$18
Furosemide32$230$7
Amiodarone13$147$11

2019: 11 drugs

Part D drugs prescribed in 2019
Eliquis92$56,764$617
Xarelto20$16,035$802
Metoprolol64$1,784$28
Flecainide Acetate12$884$74
Sotalol16$465$29
Diltiazem 24hr Er (Cd)13$388$30
Cartia Xt11$207$19
Amlodipine Besylate14$186$13
Atenolol11$134$12
Potassium Chloride11$124$11
Furosemide21$55$3

2018: 9 drugs

Part D drugs prescribed in 2018
Eliquis42$25,426$605
Xarelto15$13,827$922
Metoprolol66$1,585$24
Eplerenone14$268$19
Amiodarone21$214$10
Metoprolol13$110$8
Atenolol13$106$8
Carvedilol12$60$5
Furosemide12$42$4

2017: 7 drugs

Part D drugs prescribed in 2017
Eliquis39$18,061$463
Xarelto17$15,048$885
Metoprolol33$1,179$36
Amiodarone13$155$12
Metoprolol13$129$10
Cephalexin13$61$5
Furosemide11$49$4

2016: 4 drugs

Part D drugs prescribed in 2016
Xarelto12$11,811$984
Eliquis11$5,458$496
Enoxaparin11$1,262$115
Amiodarone12$183$15

Money from drug and device companies

$1,295 in 2025

Industry payments by year
2025315$140$1,295
202413$385$385
202349None$365

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
MedtronicAurora Ev-Icd Mri Surescan$1,243
13 payments
  • Education · 2025-09-25 · $50
  • Consulting · 2025-05-09 · $140
  • Meals for Affera Mapping System · 2025-05-02 · $34
  • Travel · 2025-04-25 · $34
  • Meals · 2025-04-24 · $37
  • Meals · 2025-04-24 · $65
  • Meals · 2025-04-24 · $73
  • Travel · 2025-04-24 · $41
  • Travel · 2025-04-23 · $389
  • Travel · 2025-04-23 · $57
  • Meals · 2025-04-23 · $19
  • Meals · 2025-04-23 · $135
  • Meals for Aurora Ev-Icd Mri Surescan · 2025-03-04 · $169
Boston ScientificFarapulse$33
1 payment
  • Meals for Farapulse · 2025-12-15 · $33
GuerbetLipiodol$19
1 payment
  • Meals for Lipiodol · 2025-11-06 · $19
See all 15 published payments
Every published payment
Boston ScientificMeals · 2025-12-15Farapulse$33
GuerbetMeals · 2025-11-06Lipiodol$19
MedtronicEducation · 2025-09-25None$50
MedtronicConsulting · 2025-05-09None$140
MedtronicMeals · 2025-05-02Affera Mapping System$34
MedtronicTravel · 2025-04-25None$34
MedtronicMeals · 2025-04-24None$37
MedtronicMeals · 2025-04-24None$65
MedtronicMeals · 2025-04-24None$73
MedtronicTravel · 2025-04-24None$41
MedtronicTravel · 2025-04-23None$389
MedtronicTravel · 2025-04-23None$57
MedtronicMeals · 2025-04-23None$19
MedtronicMeals · 2025-04-23None$135
MedtronicMeals · 2025-03-04Aurora Ev-Icd Mri Surescan$169
See earlier years (2024, 2023)

2024: $385

Payments by company in 2024
MedtronicNone$385
3 payments
  • Consulting · 2024-11-08 · $105
  • Consulting · 2024-06-28 · $140
  • Consulting · 2024-02-02 · $140

2023: $365

Payments by company in 2023
MedtronicLinq II$202
2 payments
  • Meals for Linq II · 2023-11-01 · $157
  • Education · 2023-08-29 · $45
Pharmacyclics LLC An AbbVieImbruvica$90
4 payments
  • Meals for Imbruvica · 2023-07-11 · $28
  • Meals for Imbruvica · 2023-06-05 · $15
  • Meals for Imbruvica · 2023-05-16 · $19
  • Meals for Imbruvica · 2023-04-07 · $28
AbbvieVenclexta$51
2 payments
  • Meals for Venclexta · 2023-11-01 · $33
  • Meals for Venclexta · 2023-10-30 · $19
Terumo MedicalGlidesheath Slender$22
1 payment
  • Meals for Glidesheath Slender · 2023-01-23 · $22

Professional record

NPI
1649411489
Licence
CA 497706, CA NP95003409
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Nurse practitioner (363L00000X); Federal specialty code 163WP2201X (163WP2201X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2009-03-06
NPI last updated
2020-05-29
NPI record certified
2020-05-29

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