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Katy Leamarie Cowden, NP

Nurse Practitioner · Stanford

NPI 1770094427

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
Since medical school
10 years
Graduated 2016

Offices

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

Looking this up.

Hospitals listed: Stanford Health Care Tri-Valley. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Katy Leamarie Cowden’s office at (650) 723-4000 to ask if they take your plan before you enroll.

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.

  • Stanford Health Care Tri-ValleyPleasanton, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Stanford Health Care, which runs 3 hospitalsPatients rate it 3 of 5 · 74% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.178, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.237, Oct 2024 – Sep 2025
See every measure and the patient survey for Stanford Health Care Tri-Valley

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 7 the same, 0 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care Tri-Valley
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.178BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.237BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.79 (0 to 1.73) · 1,041 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.79 (0.5 to 1.08)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths145.81 (96.5 to 195.12) · 72 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.9 · 55 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.6 · 92 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.5 · 96 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.5 · 395 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 391 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 162 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 1,736 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.37) · 4,425 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.22 (0.02 to 0.41) · 4,771 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.45 (1.46 to 5.44) · 1,403 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.5 (0.05 to 2.94) · 645 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.81 (0.38 to 3.24) · 1,279 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.53 (3.2 to 13.85) · 639 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.15 (1.89 to 8.41) · 648 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.14 to 3.07) · 370 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.16 (0 to 0.83) · 4,160 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 74 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.369No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.112No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.1 · 110 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.1 · 437 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-5.8 · 94 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-19.3 · 456 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-0.3 · 402 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.8 · 358 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.8 (4.7 to 9.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.1 (7.5 to 13.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.9 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.3 · 92 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.6 to 16.2) · 1,532 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.2) · 929 casesNo differentJan 2024 – Dec 2024

What patients said (1,268 patients answered, 26% of those asked)

Patient survey stars by topic at Stanford Health Care Tri-Valley
Cleanliness3
Nurse communication3
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Stanford Health Care Tri-Valley
Room was "always" clean65%
Nurses "always" communicated well77%
Doctors "always" communicated well79%
Staff "always" explained58%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night42%
"YES", patients would definitely recommend the hospital74%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$39,990

Medicare paid this office $39,990 for 300 people.

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

Largest Original Medicare bills
Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day at least 45 minutes167$17,890$71
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes74$6,619$37
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes72$4,969$61
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes44$4,778$98
Short return visit (20+ min)13$1,262$74

Who their Medicare patients are

300 Original Medicare patients in 2024. Average age 76 · Under 65 6% · 85 and older 15% · Women 53% · Also on Medicaid 28% · Health risk score 2.62. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 75% · Chronic kidney disease 54% · Cancer 41% · Diabetes 40% · Coronary heart disease 38% · Heart failure 34% · Depression 32% · Atrial fibrillation 30% · COPD 24% · Dementia 21% · Stroke 17%.

The office billed $269,983, Medicare allowed $50,735 and paid $39,990; for 628 services of 16 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
2024300628762.62$269,983$39,990
202390112711.66$29,863$6,095
202289108700.76$17,395$5,104
20216369680.84$14,830$3,179
202084106691.07$27,606$5,197
2019144301691.10$53,867$10,149
2018105185700.86$31,775$6,536

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: 1 service

Original Medicare services billed in 2023
Cervical or vaginal cancer screening; pelvic and clinical breast examination36$1,435$40

2022: 3 services

Original Medicare services billed in 2022
Cervical or vaginal cancer screening; pelvic and clinical breast examination57$2,249$39
Short return visit (20+ min)19$1,164$61
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory11$501$46

2021: 1 service

Original Medicare services billed in 2021
Cervical or vaginal cancer screening; pelvic and clinical breast examination45$1,811$40

2020: 3 services

Original Medicare services billed in 2020
Cervical or vaginal cancer screening; pelvic and clinical breast examination45$1,835$41
Short return visit (20+ min)22$1,185$44
New patient visit (30+ min)14$1,148$82

2019: 4 services

Original Medicare services billed in 2019
Short return visit (20+ min)55$3,288$51
Cervical or vaginal cancer screening; pelvic and clinical breast examination68$2,653$39
New patient visit (30+ min)19$1,315$69
Short return visit11$330$28

2018: 3 services

Original Medicare services billed in 2018
Short return visit (20+ min)40$2,182$47
Cervical or vaginal cancer screening; pelvic and clinical breast examination40$1,527$38
New patient visit (30+ min)17$1,317$77

Drugs they prescribed that Part D paid

$1,074

Pharmacies billed $1,074 in 2024.

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

$1,074 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.

Year by year

Part D prescribing by year
202411NoneNoneNone$1,074
2023151610% (0)None$25,761
2022147620% (0)31%$21,023
202193400% (0)26%$16,442
2020186680% (0)13%$22,461
2019186760% (0)19%$21,496
201899580% (0)21%$9,535

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

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Estradiol48$4,894$102
Estradiol (Twice Weekly)12$1,915$160

2022: 2 drugs

Part D drugs prescribed in 2022
Premarin16$6,935$433
Estradiol31$2,980$96

2021: 2 drugs

Part D drugs prescribed in 2021
Premarin18$7,144$397
Estradiol21$3,420$163

2020: 5 drugs

Part D drugs prescribed in 2020
Premarin12$4,165$347
Estradiol27$3,983$148
Yuvafem16$3,524$220
Clobetasol Propionate14$551$39
Fluconazole20$157$8

2019: 4 drugs

Part D drugs prescribed in 2019
Premarin12$4,874$406
Estradiol27$3,863$143
Clobetasol Propionate25$623$25
Fluconazole25$116$5

2018: 2 drugs

Part D drugs prescribed in 2018
Estradiol11$822$75
Fluconazole15$80$5

Money from drug and device companies

$14 in 2021

A payment is not proof that care is biased.

Payments by company
AbbVieOriahnn$14
1 payment
  • Meals for Oriahnn · 2021-02-16 · $14
See the published payment
Every published payment
AbbVieMeals · 2021-02-16Oriahnn$14

Professional record

NPI
1770094427
Licence
CA 95007649, CA 95007659
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Nurse practitioner (363L00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2017-10-21
NPI last updated
2025-10-16
NPI record certified
2025-10-16

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

Extra NPI addresses: 4725 1st St Ste 100, Pleasanton, CA, 94566 · 5575 W Las Positas Blvd Ste 330, Pleasanton, CA, 94588