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Tripty M Gandhi, MD

Family Practice · Santa Clara

NPI 1700829512

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
31
8 carriers
Office
1

Offices

1 location

Looking this up.

Plans that list them

31 plans · 8 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Gandhi’s office at (408) 247-8100 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

31 of 31 plans

Plans whose provider directory lists this clinician
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
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
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 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 Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 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 A60781 · Current

Licensed to practise in California · since 1996 · expires 2028-04-30 · University of Bombay, Seth G. S. Medical College.

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

Checkups this office reported

2023

Medicare did not publish checkup rates for this clinician.

What the office says it does

Boxes the office ticked on its Medicare worksheet for 2023. Nobody checks these.

  • Implementation of medication management practice improvements
  • Improved the patient portal
  • Lets patients read their visit notes
  • Uses standard treatment protocols

Original Medicare doctor bills

$3,939

Medicare paid this office $3,939 for 20 people.

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

Largest Original Medicare bills
Return visit (30+ min)16$2,126$101

Who their Medicare patients are

20 Original Medicare patients in 2024. Average age 73 · Health risk score 1.01. At or below the middle of the specialty; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 75%.

The office billed $8,175, Medicare allowed $6,249 and paid $3,939; for 38 services of 5 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
20242038731.01$8,175$3,939
20232131740.98$6,860$3,306
20221825681.13$4,455$1,948
20218196651.23$10,370$5,667
20202023650.90$3,165$1,409
20191330751.05$5,660$2,444
20161230720.59$4,860$1,663
20141237740.66$5,920$2,352
20131644730.76$6,850$2,674

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

2021: 4 services

Original Medicare services billed in 2021
Return visit (30+ min)22$1,662$64
New patient visit (45+ min)25$950$38
Short return visit (20+ min)17$902$53
New patient visit (30+ min)15$836$56

2019: 1 service

Original Medicare services billed in 2019
Return visit (30+ min)11$1,603$84

2013: 1 service

Original Medicare services billed in 2013
Return visit (30+ min)12$1,490$75

Medicaid work

$686 in 2024

Medicaid paid $686 for 209 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
Long return visit (40+ min)83$541
Return visit (30+ min)62$125
New patient visit (45+ min)33$20
New patient visit (60+ min)31$0
Medicaid work by year
2024209422$686
202384218$322
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Long return visit (40+ min)71$322
New patient visit (60+ min)13$0

Drugs they prescribed that Part D paid

$29,764

Pharmacies billed $29,764 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 988) in 2024. At or below the middle of the specialty; the typical family practice clinician is at 2%.

933 generic and fewer than 11 brand-name prescriptions · $29,764 in drug cost · 16 antibiotic prescriptions to 14 people.

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
Trelegy Ellipta12$7,765$647
Atorvastatin113$1,352$12
Levothyroxine67$1,234$18
Lisinopril79$851$11
Rosuvastatin58$661$11
See all 20 drugs
Every Part D drug this clinician prescribed
Trelegy Ellipta12$7,765$647
Atorvastatin113$1,352$12
Levothyroxine67$1,234$18
Lisinopril79$851$11
Rosuvastatin58$661$11
Losartan43$632$15
Metformin Hcl Er34$513$15
Metformin51$496$10
Metoprolol25$433$17
Pantoprazole17$344$20
Amlodipine Besylate71$341$5
Hydrochlorothiazide40$192$5
Simvastatin26$190$7
Alendronate17$166$10
Omeprazole17$147$9
Tamsulosin16$133$8
Allopurinol15$129$9
Sertraline21$71$3
Metoprolol15$69$5
Trazodone13$52$4

Year by year

Part D prescribing by year
20249881140% (0)None$29,764
2023704910% (0)None$20,212
2022554650% (0)None$15,957
20214361010% (0)7%$10,787
2020333480% (0)11%$6,424
201931945None13%$7,604
201826736NoneNone$6,466
2017371340% (0)None$14,193
2016406420% (0)None$16,568
2015441330% (0)20%$28,622
201450137NoneNone$27,449
201354033NoneNone$30,797

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

See the drugs prescribed each year

2023: 15 drugs

Part D drugs prescribed in 2023
Levothyroxine65$1,294$20
Atorvastatin68$1,163$17
Rosuvastatin36$942$26
Lisinopril63$846$13
Metformin37$666$18
Amlodipine Besylate46$540$12
Metoprolol18$500$28
Losartan33$476$14
Pantoprazole21$367$17
Famotidine13$348$27
Alendronate16$235$15
Metformin Hcl Er13$184$14
Hydrochlorothiazide25$181$7
Simvastatin16$177$11
Tamsulosin13$158$12

2022: 13 drugs

Part D drugs prescribed in 2022
Levothyroxine59$1,237$21
Atorvastatin59$828$14
Rosuvastatin16$581$36
Lisinopril41$297$7
Metformin40$293$7
Alendronate18$227$13
Amlodipine Besylate29$189$7
Pantoprazole13$177$14
Metoprolol12$171$14
Paroxetine13$163$13
Simvastatin16$162$10
Losartan24$147$6
Hydrochlorothiazide15$56$4

2021: 12 drugs

Part D drugs prescribed in 2021
Levothyroxine35$672$19
Atorvastatin35$447$13
Lisinopril40$329$8
Losartan16$242$15
Metformin Hcl Er11$238$22
Nitrofurantoin Mono-Macro15$212$14
Alendronate21$189$9
Simvastatin13$128$10
Furosemide13$119$9
Amoxicillin-Clavulanate Potass12$106$9
Hydrochlorothiazide21$104$5
Amlodipine Besylate13$71$5

2020: 9 drugs

Part D drugs prescribed in 2020
Levothyroxine41$904$22
Atorvastatin25$397$16
Alendronate26$323$12
Lisinopril30$279$9
Losartan13$224$17
Amlodipine Besylate16$168$10
Simvastatin18$135$8
Omeprazole11$132$12
Furosemide12$46$4

2019: 6 drugs

Part D drugs prescribed in 2019
Levothyroxine47$952$20
Atorvastatin34$658$19
Lisinopril31$412$13
Amlodipine Besylate18$210$12
Alendronate12$138$11
Simvastatin17$128$8

2018: 8 drugs

Part D drugs prescribed in 2018
Levothyroxine24$589$25
Atorvastatin15$390$26
Lisinopril22$296$13
Omeprazole11$238$22
Simvastatin21$216$10
Amlodipine Besylate14$187$13
Alendronate11$137$12
Metformin18$125$7

2017: 8 drugs

Part D drugs prescribed in 2017
Levothyroxine29$682$24
Simvastatin42$422$10
Lisinopril28$214$8
Omeprazole21$210$10
Amlodipine Besylate25$192$8
Atorvastatin13$166$13
Metformin26$108$4
Carvedilol17$101$6

2016: 9 drugs

Part D drugs prescribed in 2016
Levothyroxine35$617$18
Simvastatin34$322$9
Lisinopril38$290$8
Amlodipine Besylate36$237$7
Atorvastatin14$234$17
Carvedilol23$231$10
Omeprazole11$146$13
Metformin19$144$8
Furosemide14$105$8

2015: 12 drugs

Part D drugs prescribed in 2015
Pristiq Er11$2,816$256
Proair Hfa11$1,370$125
Levothyroxine19$530$28
Atorvastatin22$519$24
Lisinopril52$464$9
Simvastatin27$418$15
Tamsulosin13$321$25
Amlodipine Besylate36$270$7
Metformin21$216$10
Carvedilol15$189$13
Omeprazole11$170$15
Paroxetine15$135$9

2014: 15 drugs

Part D drugs prescribed in 2014
Flovent Hfa12$3,466$289
Proair Hfa12$1,460$122
Simvastatin34$706$21
Atorvastatin25$600$24
Lisinopril53$479$9
Levothyroxine22$456$21
Omeprazole12$438$37
Carvedilol17$281$17
Amlodipine Besylate29$278$10
Tamsulosin17$248$15
Metformin33$226$7
Alendronate14$152$11
Hydrochlorothiazide16$114$7
Glipizide11$91$8
Atenolol11$74$7

2013: 16 drugs

Part D drugs prescribed in 2013
Flovent Hfa13$3,006$231
Fenofibrate15$2,060$137
Atorvastatin26$1,390$53
Proair Hfa11$1,240$113
Simvastatin51$539$11
Lisinopril46$461$10
Carvedilol27$429$16
Clopidogrel14$355$25
Levothyroxine21$351$17
Amlodipine Besylate34$317$9
Omeprazole11$264$24
Metformin34$232$7
Losartan-Hydrochlorothiazide11$230$21
Paroxetine12$109$9
Azithromycin11$106$10
Atenolol13$66$5

Money from drug and device companies

$475 in 2025

Industry payments by year
202544None$475
202433None$362
202324None$465
202233None$232
202122None$148
202011None$125
201967None$859

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
InSightecExablate$143
1 payment
  • Meals for Exablate · 2025-08-26 · $143
Dompe USOxervate$125
1 payment
  • Meals for Oxervate · 2025-07-17 · $125
Mayne Pharma CommercialBijuva$122
1 payment
  • Meals for Bijuva · 2025-08-20 · $122
Abbott LaboratoriesFreestyle Libre 3$85
1 payment
  • Meals for Freestyle Libre 3 · 2025-10-02 · $85
See all 4 published payments
Every published payment
Abbott LaboratoriesMeals · 2025-10-02Freestyle Libre 3$85
InSightecMeals · 2025-08-26Exablate$143
Mayne Pharma CommercialMeals · 2025-08-20Bijuva$122
Dompe USMeals · 2025-07-17Oxervate$125
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $362

Payments by company in 2024
AmgenTepezza$125
1 payment
  • Meals for Tepezza · 2024-09-10 · $125
Dompe USOxervate$125
1 payment
  • Meals for Oxervate · 2024-06-20 · $125
Si-BoneNone$112
1 payment
  • Meals · 2024-11-07 · $112

2023: $465

Payments by company in 2023
Mayne Pharma CommercialNextstellis$247
2 payments
  • Meals for Nextstellis · 2023-10-11 · $122
  • Meals for Nextstellis · 2023-04-26 · $125
MedtronicKyphon Express II Kyphopak Tray$218
2 payments
  • Meals for Kyphon Express II Kyphopak Tray · 2023-11-02 · $127
  • Meals for Percept PC Brainsense · 2023-05-03 · $91

2022: $232

Payments by company in 2022
Sun Pharmaceutical IndustriesCequa$195
1 payment
  • Meals for Cequa · 2022-09-09 · $195
AbbvieQulipta$19
1 payment
  • Meals for Qulipta · 2022-04-09 · $19
Biohaven Pharmaceutical Holding CompanyNurtec Odt$18
1 payment
  • Meals for Nurtec Odt · 2022-08-18 · $18

2021: $148

Payments by company in 2021
AllerganNone$125
1 payment
  • Meals · 2021-12-07 · $125
Novo NordiskOzempic$23
1 payment
  • Meals for Ozempic · 2021-03-08 · $23

2020: $125

Payments by company in 2020
AllerganNone$125
1 payment
  • Meals · 2020-03-05 · $125

2019: $859

Payments by company in 2019
Teva Pharmaceuticals USAAjovy$250
2 payments
  • Meals for Ajovy · 2019-09-20 · $125
  • Meals for Ajovy · 2019-02-08 · $125
Genentech USALucentis$125
1 payment
  • Meals for Lucentis · 2019-02-21 · $125
AstraZeneca Pharmaceuticals LPFasenra$125
1 payment
  • Meals for Fasenra · 2019-06-19 · $125
Radius HealthTymlos$125
1 payment
  • Meals for Tymlos · 2019-04-09 · $125
AbbVieHumira$125
1 payment
  • Meals for Humira · 2019-08-26 · $125
Boston ScientificGeneral Therapies$110
1 payment
  • Meals for General Therapies · 2019-07-11 · $110

Professional record

NPI
1700829512
Licence
CA A60781California A60781: Current · expires 2028-04-30
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Family medicine (207Q00000X)
Mailing address
1080 Scott Blvd, Suite 5, Santa Clara, CA, 95050
NPI first listed
2006-06-13
NPI last updated
2009-12-11

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