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Brian Paul Whitaker, PA

Physician Assistant · Palo Alto

NPI 1720463649

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

Offices

1 location

Plans that list them

4 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Brian Paul Whitaker’s office at (650) 497-8000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

4 of 4 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 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

California Medical Board record

Licence C55166 · Cancelled

Licence status: Cancelled · since 2012 · Meharry Medical College School of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

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

Original Medicare doctor bills

$6,303

Medicare paid this office $6,303 for 176 people.

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

Largest Original Medicare bills
Short return visit (20+ min)101$4,001$39
Short return visit45$991$21
Return visit (30+ min)16$921$58
Office for the evaluation and management of established patient that may not require presence of healthcare professional11$52$5

Who their Medicare patients are

176 Original Medicare patients in 2024. Average age 75 · Under 65 7% · 85 and older 19% · Women 61% · Also on Medicaid 14% · Health risk score 1.05. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 64% · Coronary heart disease 24% · Depression 22% · Diabetes 21% · COPD 19% · Chronic kidney disease 18% · Atrial fibrillation 14% · Heart failure 13% · Cancer 13% · Dementia 9% · Stroke 9%.

The office billed $34,117, Medicare allowed $8,836 and paid $6,303; for 189 services of 10 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.

Medicaid work

$12,984 in 2024

Medicaid paid $12,984 for 527 billed services this clinician did in 2024, up to 42 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
Short return visit (20+ min)476$12,215
Short return visit51$770
Medicaid work by year
2024527242$12,984

Drugs they prescribed that Part D paid

$1,880

Pharmacies billed $1,880 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 222) in 2024. At or below the middle of the specialty; the typical physician assistant clinician is at 1%.

199 generic and 23 brand-name prescriptions · $1,880 in drug cost · 114 antibiotic prescriptions to 101 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
Albuterol Sulfate Hfa13$311$24
Doxycycline Hyclate11$128$12
Amoxicillin-Clavulanate Potass23$120$5
Cephalexin25$117$5
Cefdinir11$93$8
See all 7 drugs
Every Part D drug this clinician prescribed
Albuterol Sulfate Hfa13$311$24
Doxycycline Hyclate11$128$12
Amoxicillin-Clavulanate Potass23$120$5
Cephalexin25$117$5
Cefdinir11$93$8
Azithromycin19$55$3
Prednisone20$44$2

Money from drug and device companies

$20 in 2021

A payment is not proof that care is biased.

Payments by company
ColoplastSensura Mio$20
1 payment
  • Meals for Sensura Mio · 2021-11-12 · $20
See the published payment
Every published payment
ColoplastMeals · 2021-11-12Sensura Mio$20

Professional record

NPI
1720463649
Licence
CA 55166California C55166: Cancelled
More record details
Sole proprietor
No
Taxonomy
Physician assistant (363A00000X); Physician assistant, surgical (363AS0400X)
Mailing address
725 Welch Rd, Palo Alto, CA, 94304
NPI first listed
2015-07-21
NPI last updated
2025-05-12
NPI record certified
2025-05-12

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

Extra NPI addresses: 8110 Birmingham Way, San Diego, CA, 92123