Skip to main content
UniHealth

Doctor search

Michael Northcutt, MD

Gastroenterology · San Jose

NPI 1700204443

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
12
4 carriers
Office
1

Offices

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

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

12 plans · 4 carriers

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

12 of 12 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
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 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 A167883 · Current

Licensed to practise in California · since 2020 · expires 2028-02-29 · Marshall University Joan C Edwards School of Medicine.

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

State licence records

1 licence

  • Illinois 036143497Licensed Physician And Surgeon · since 2017 · expires 2020-09-30
    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.

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.

  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 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 Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$12,761

Medicare paid this office $12,761 for 63 people.

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

Largest Original Medicare bills
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes18$2,116$118
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,490$71
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope14$1,436$103
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes17$1,175$69

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy39More than 59% of doctors who do this
Upper gastrointestinal (GI) endoscopy for acid reflux33More than 57% of doctors who do this

Who their Medicare patients are

63 Original Medicare patients in 2024. Average age 74 · Under 65 22% · 85 and older 22% · Women 48% · Health risk score 3.21. Sicker patients than 9 in 10 peers; the typical gastroenterology clinician is at 1.42.

Conditions among them: High blood pressure 75% · Chronic kidney disease 51% · Diabetes 49% · Heart failure 49% · Depression 40% · Coronary heart disease 37% · COPD 30% · Atrial fibrillation 30% · Dementia 25% · Stroke 24%.

The office billed $157,453, Medicare allowed $16,079 and paid $12,761; for 131 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
202463131743.21$157,453$12,761
202396238742.76$221,210$21,660
202254134792.62$121,193$12,711
2021233480751.25$394,471$54,818
202054103751.35$78,171$11,872

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 minutes35$3,630$74
Initial hospital care with moderate level of medical decision making at least 75 minutes14$2,519$180
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes32$2,412$75
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope21$2,196$95
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope14$1,302$93
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito34$166$5

2022: 4 services

Original Medicare services billed in 2022
Initial hospital care with moderate level of medical decision making at least 75 minutes14$2,968$212
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope16$1,818$114
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$1,652$69
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito25$129$5

2021: 12 services

Original Medicare services billed in 2021
Removal of polyps or growths of large bowel using an endoscope with mechanical snare42$9,314$222
New patient visit (45+ min)74$9,293$126
Return visit (30+ min)41$5,262$120
Colorectal cancer screening; colonoscopy on individual at high risk15$3,139$209
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope35$3,053$83
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes30$2,928$64
Biopsy of large bowel using a flexible endoscope29$2,871$99
Short return visit (20+ min)23$2,342$81
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes19$2,182$115
New patient visit (30+ min)21$2,121$101
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope13$1,446$111
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito17$94$5

2020: 2 services

Original Medicare services billed in 2020
New patient visit (45+ min)21$3,098$148
Return visit (30+ min)14$1,521$101

Medicaid work

$1,416 in 2024

Medicaid paid $1,416 for 102 billed services this clinician did in 2024, up to 16 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
Service27$892
Upper gastrointestinal endoscopy with biopsy14$355
TISSUE EXAM BY PATHOLOGIST47$169
Medication list documented in medical record (COA)14$0
Medicaid work by year
2024102416$1,416
202357313$678
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES32$357
Upper gastrointestinal endoscopy with biopsy13$274
Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older12$47

Drugs they prescribed that Part D paid

$6,026

Pharmacies billed $6,026 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 54) in 2024. At or below the middle of the specialty; the typical gastroenterology clinician is at 0%.

42 generic and 12 brand-name prescriptions · $6,026 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
Famotidine15$103$7
Pantoprazole11$58$5

Year by year

Part D prescribing by year
202454180% (0)22%$6,026
202353220% (0)21%$7,361
202226170% (0)None$2,279
2021268155None47%$29,307
202048360% (0)48%$5,944
201917None0% (0)None$10,168
201850170% (0)None$3,692
201715733None25%$10,376
2016803734% (35)23%$59,529
201514949NoneNone$7,211
20144014None33%$5,574

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

See the drugs prescribed each year

2021: 3 drugs

Part D drugs prescribed in 2021
Suprep108$11,927$110
Cholestyramine12$1,254$105
Omeprazole34$483$14

2020: 1 drug

Part D drugs prescribed in 2020
Suprep20$2,116$106

2018: 2 drugs

Part D drugs prescribed in 2018
Omeprazole13$155$12
Pantoprazole11$104$9

2017: 3 drugs

Part D drugs prescribed in 2017
Atorvastatin15$147$10
Lisinopril16$63$4
Furosemide15$35$2

2016: 23 drugs

Part D drugs prescribed in 2016
Ventolin Hfa22$1,149$52
Oxycodone-Acetaminophen23$788$34
Bd Ultra-Fine Pen Needle19$772$41
Proair Hfa13$693$53
Atorvastatin64$545$9
Metoprolol22$307$14
Trazodone11$291$26
Polyethylene Glycol 335014$235$17
Warfarin20$146$7
Lisinopril55$133$2
Omeprazole18$114$6
Pioglitazone15$105$7
Gabapentin13$90$7
Amlodipine Besylate28$77$3
Metformin28$74$3
Ranitidine11$71$6
Hydrochlorothiazide25$68$3
Pantoprazole16$61$4
Clopidogrel11$60$5
Furosemide18$52$3
Famotidine17$46$3
Losartan12$36$3
Glipizide17$32$2

2015: 1 drug

Part D drugs prescribed in 2015
Warfarin12$96$8

Money from drug and device companies

$22 in 2024

Industry payments by year
202411None$22
202211None$29
2021420None$532
202012None$57
201911None$65

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
Echosens North AmericaFibroscan$22
1 payment
  • Meals for Fibroscan · 2024-05-15 · $22
See the published payment
Every published payment
Echosens North AmericaMeals · 2024-05-15Fibroscan$22
See earlier years (2022, 2021, 2020, 2019)

2022: $29

Payments by company in 2022
AbbvieRinvoq$29
1 payment
  • Meals for Rinvoq · 2022-04-25 · $29

2021: $532

Payments by company in 2021
AbbVieHumira$443
15 payments
  • Meals for Creon · 2021-11-11 · $6
  • Meals for Humira · 2021-10-21 · $25
  • Meals for Linzess · 2021-10-13 · $24
  • Meals · 2021-09-28 · $25
  • Meals · 2021-09-02 · $125
  • Meals for Humira · 2021-07-21 · $29
  • Meals for Humira · 2021-06-24 · $30
  • Meals for Humira · 2021-06-03 · $26
  • Meals for Humira · 2021-05-13 · $29
  • Meals for Humira · 2021-04-22 · $22
  • Meals for Humira · 2021-03-25 · $22
  • Meals for Humira · 2021-03-10 · $29
  • Meals for Humira · 2021-01-27 · $28
  • Meals for Humira · 2021-01-27 · $0
  • Meals for Humira · 2021-01-13 · $21
Nestle HealthCare NutritionZenpep$39
2 payments
  • Meals for Zenpep · 2021-08-25 · $19
  • Meals for Zenpep · 2021-04-03 · $20
Takeda Pharmaceuticals U.S.A.Entyvio$31
2 payments
  • Meals for Entyvio · 2021-07-15 · $14
  • Meals for Entyvio · 2021-04-29 · $17
Braintree LaboratoriesSutab$19
1 payment
  • Meals for Sutab · 2021-01-11 · $19

2020: $57

Payments by company in 2020
AbbVieHumira$57
2 payments
  • Meals for Humira · 2020-10-29 · $29
  • Meals for Humira · 2020-10-08 · $28

2019: $65

Payments by company in 2019
Covidien LPNone$65
1 payment
  • Education · 2019-01-19 · $65

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1700204443
Licence
CA A167883, IL 036.143497, OH 57.024637California A167883: Current · expires 2028-02-29Illinois 036143497: Not Renewed
Trained
Jc Edwards School of Medicine, Marshall University, 2014
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RG0100X (207RG0100X); Internal medicine (207R00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2014-03-31
NPI last updated
2020-08-27
NPI record certified
2020-08-26

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

Extra NPI addresses: 234 Goodman St, Cincinnati, OH, 45219 · 2650 Ridge Ave Ste 1304, Evanston, IL, 60201