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Michael Albert Gisondi, MD

Emergency Medicine · Stanford

NPI 1659317121

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

Offices

1 location · Stanford Health Care · 3,152 clinicians in this group

Looking this up.

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. Gisondi’s office at (650) 723-4000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A73214 · Current

Licensed to practise in California · since 2016 · expires 2028-10-31 · Loyola University of Chicago Stritch School of Medicine.

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

State licence records

1 licence

  • Illinois 036109877Licensed Physician And Surgeon · since 2003 · expires 2017-07-31
    Not RenewedNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Original Medicare doctor bills

$39,430

Medicare paid this office $39,430 for 266 people.

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

Largest Original Medicare bills
Emergency department visit with high level of medical decision making148$21,108$139
Critical care, first 30-74 minutes57$10,341$181
Initial hospital care with moderate level of medical decision making at least 75 minutes16$2,484$155
Emergency department visit with moderate level of medical decision making27$2,418$90
Ultrasound of heart, follow-up14$311$22

Who their Medicare patients are

266 Original Medicare patients in 2024. Average age 74 · Under 65 12% · 85 and older 20% · Women 55% · Also on Medicaid 34% · Health risk score 2.22. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Coronary heart disease 41% · Chronic kidney disease 39% · Diabetes 38% · Atrial fibrillation 30% · Depression 30% · Heart failure 27% · Cancer 22% · COPD 19% · Stroke 18% · Dementia 17%.

The office billed $282,853, Medicare allowed $52,011 and paid $39,430; for 310 services of 28 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
2024266310742.22$282,853$39,430
2023201234772.08$188,186$29,057
2022181206742.35$130,524$24,353
2021283314732.34$223,567$40,897
2020173212732.16$167,814$28,486
2019196221762.17$171,169$28,811
2018294317752.44$222,270$42,461
2017282306732.45$211,015$40,117
2016178198701.99$95,763$24,486
2015199218702.18$111,022$27,837
2014320348692.26$167,691$43,162
2013323353682.24$168,453$39,154

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: 3 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making74$11,274$152
Emergency department visit with moderate level of medical decision making70$6,939$98
Critical care, first 30-74 minutes33$6,188$188

2022: 3 services

Original Medicare services billed in 2022
Emergency department visit with moderate level of medical decision making76$8,616$112
Emergency department visit with high level of medical decision making54$8,469$157
Critical care, first 30-74 minutes16$3,038$190

2021: 6 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making81$13,853$169
Emergency department visit with moderate level of medical decision making114$13,272$114
Critical care, first 30-74 minutes29$6,280$217
Initial hospital observation care per day, typically 70 minutes13$2,495$192
Hospital observation care on day of discharge13$1,019$78
Emergency department visit with straightforward medical decision making13$550$42

2020: 4 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making87$13,995$161
Critical care, first 30-74 minutes40$8,654$211
Emergency department visit with moderate level of medical decision making26$2,713$104
Ultrasound of heart, follow-up11$266$24

2019: 4 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making87$12,790$147
Critical care, first 30-74 minutes45$8,524$189
Emergency department visit with moderate level of medical decision making24$2,358$98
Initial hospital observation care per day, typically 70 minutes13$2,190$168

2018: 4 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making145$20,879$144
Critical care, first 30-74 minutes58$11,367$196
Emergency department visit with moderate level of medical decision making43$4,133$96
Initial hospital observation care per day, typically 70 minutes13$2,175$167

2017: 4 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making154$21,879$141
Critical care, first 30-74 minutes53$10,249$193
Emergency department visit with moderate level of medical decision making41$3,876$95
Emergency department visit with low level of medical decision making15$798$53

2016: 2 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making114$16,899$147
Emergency department visit with moderate level of medical decision making45$4,363$97

2015: 4 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making111$16,618$148
Emergency department visit with moderate level of medical decision making51$4,846$95
Critical care, first 30-74 minutes18$3,386$188
Emergency department visit with low level of medical decision making19$777$41

2014: 4 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making167$24,274$144
Emergency department visit with moderate level of medical decision making101$9,838$96
Critical care, first 30-74 minutes31$5,790$187
Emergency department visit with low level of medical decision making21$1,213$53

2013: 4 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making169$22,062$130
Emergency department visit with moderate level of medical decision making106$9,786$91
Critical care, first 30-74 minutes25$4,383$175
Emergency department visit with low level of medical decision making22$972$44

Medicaid work

$21,524 in 2024

Medicaid paid $21,524 for 205 billed services this clinician did in 2024, up to 22 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
EMERGENCY DEPARTMENT VISIT HIGH MDM158$17,519
EMERGENCY DEPT VISIT MOD MDM47$4,005
Medicaid work by year
2024205222$21,524
202388217$7,881
202260118$3,823
2021116126$7,371
202059221$4,105
201913112$1,102
201890318$6,031
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM73$6,029
EMERGENCY DEPARTMENT VISIT HIGH MDM15$1,853

2022

Largest Medicaid services in 2022
EMERGENCY DEPT VISIT MOD MDM60$3,823

2021

Largest Medicaid services in 2021
EMERGENCY DEPT VISIT MOD MDM116$7,371

2020

Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT HIGH MDM46$3,668
EMERGENCY DEPT VISIT LOW MDM13$436

2019

Largest Medicaid services in 2019
EMERGENCY DEPARTMENT VISIT HIGH MDM13$1,102

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT MOD MDM35$2,410
EMERGENCY DEPARTMENT VISIT HIGH MDM25$2,088
EMERGENCY DEPT VISIT LOW MDM30$1,532

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.

Professional record

NPI
1659317121
Licence
CA A73214, IL 036109877California A73214: Current · expires 2028-10-31Illinois 036109877: Not Renewed
Trained
Loyola University of Chicago, Stritch School of Medicine, 1999
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2006-06-21
NPI last updated
2024-03-20
NPI record certified
2024-03-20

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