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Lauren K Brown-Berchtold, MD

Family Practice · Modesto

NPI 1770927972

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
9
1 carrier
Offices
3
Since medical school
13 years
University of Southern California Keck School of Medicine, 2013

Offices

3 locations · Hospitalists of Modesto Medical Group Inc · Golden Valley Health Centers

Looking this up.

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

Plans that list them

9 plans · 1 carrier

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

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)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 smartHMO (HMO)Alignment Health PlanListedOct 3, 2026

California Medical Board record

Licence A143541 · Current

Licensed to practise in California · since 2016 · expires 2027-10-31 · University of Southern California Keck School of Medicine.

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

State licence records

1 licence

  • Texas Q4049Physician License · since 2015 · expires 2025-05-31Matched by name, not licence number; check the name before relying on it.
    Canc Non-RenewalNo 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.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Family Medicine - Family Medicine

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
78.1 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

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.

  • Doctors Medical CenterModesto, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of Tenet Healthcare, which runs 77 hospitals in 12 statesPatients rate it 2 of 5 · 59% would definitely recommend it
    Overall rating: 1 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.36 (1.02 to 1.71), Jul 2022 – Jun 2024Worse than the national rate — Pressure ulcer rate: 1.35 (0.81 to 1.9) · 6,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.281, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.326, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.183, Oct 2024 – Sep 2025
See every measure and the patient survey for Doctors Medical Center

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 3 the same, 1 worse of 6 measures. Readmissions: 0 better, 5 the same, 3 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Doctors Medical Center
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.36 (1.02 to 1.71)WorseJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths1.35 (0.81 to 1.9) · 6,296 casesWorseJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.281BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.326BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.183BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.27 (0.31 to 2.23) · 1,396 casesNo differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths183.31 (147.26 to 219.36) · 127 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths4.1 · 135 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths10.1 · 95 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths15.2 · 276 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths12.8 · 321 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.2 · 364 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths12.9 · 767 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.6 · 3,719 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.18 (0 to 0.37) · 7,050 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.24 (0.05 to 0.43) · 7,169 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.12 (2.19 to 6.06) · 1,622 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.6 (0 to 3.3) · 48 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.63 (1.23 to 4.04) · 1,601 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths14.79 (5.73 to 23.85) · 51 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.99 (0.75 to 9.23) · 51 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.65 (0.17 to 3.13) · 242 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.9 · 67 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.484No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.582No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.3 · 424 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits24 · 682 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits36.6 · 326 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits70.5 · 378 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 366 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19.2 · 564 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 70 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits14.7 · 120 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.1 · 189 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.5 (9.4 to 16.4) · 573 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.3 (1 to 1.7) · 303 casesNo differentJan 2024 – Dec 2024

What patients said (1,045 patients answered, 15% of those asked)

Patient survey stars by topic at Doctors Medical Center
Cleanliness2
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital2
Share of patients giving the best answer at Doctors Medical Center
Room was "always" clean63%
Nurses "always" communicated well72%
Doctors "always" communicated well71%
Staff "always" explained56%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge81%
Doctors "always" explained things so they could understand67%
Doctors "always" listened carefully69%
Doctors "always" treated them with courtesy and respect78%
Patients who gave a rating of "9" or "10" (high)57%
Staff "always" explained new medications70%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night36%
"YES", patients would definitely recommend the hospital59%
Staff "always" explained possible side effects42%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$8,308

Medicare paid this office $8,308 for 34 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$2,455$65
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$2,122$96
Hospital discharge day management, 30 minutes or less15$1,068$67

Who their Medicare patients are

34 Original Medicare patients in 2024. Average age 70 · Women 41% · Health risk score 2.37. Sicker patients than 9 in 10 peers; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 75% · Diabetes 59% · Atrial fibrillation 53% · Chronic kidney disease 50% · Coronary heart disease 47% · Heart failure 41% · Depression 35%.

The office billed $28,498, Medicare allowed $10,329 and paid $8,308; for 100 services of 8 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
202434100702.37$28,498$8,308
20232869732.95$22,059$5,852
202285244702.36$94,933$21,252
202149119722.30$39,626$10,839
202069237702.93$61,463$20,374
201956159732.80$49,552$14,134
201838137712.32$35,839$10,816
20172129711.52$20,560$2,239
20161617731.45$18,701$1,481

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
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$2,620$97
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$1,226$65
Hospital discharge day management, 30 minutes or less12$795$66

2022: 4 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes42$7,389$82
Initial hospital care with moderate level of medical decision making at least 75 minutes34$6,689$159
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$2,877$56
Hospital discharge day management, 30 minutes or less28$1,739$58

2021: 4 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes21$3,278$84
Initial hospital care with moderate level of medical decision making at least 75 minutes18$2,932$163
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,520$58
Hospital discharge day management, 30 minutes or less17$1,003$59

2020: 3 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes42$9,562$85
Initial hospital care with moderate level of medical decision making at least 75 minutes32$5,684$167
Hospital discharge day management, 30 minutes or less38$2,303$58

2019: 3 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes41$6,120$84
Initial hospital care with moderate level of medical decision making at least 75 minutes29$4,590$158
Hospital discharge day management, 30 minutes or less24$1,481$59

2018: 3 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes18$4,712$83
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,500$58
Hospital discharge day management, 30 minutes or less18$1,050$58

Medicaid work

$164,998 in 2024

Medicaid paid $164,998 for 4,973 billed services this clinician did in 2024, up to 410 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
Clinic visit/encounter, all-inclusive564$84,712
TX SPEECH LANG VOICE COMMJ&/AUD PROC DO GROUP3,813$66,126
TX SPEECH LANG VOICE COMMJ&/AUD PROC DO INDIV126$5,472
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES100$4,061
Short return visit (20+ min)317$2,117
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES27$2,020
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter14$441
Return visit (30+ min)12$47
Medicaid work by year
20244,9738410$164,998
20231,4776127$98,072
20222,1119130$118,255
20211,5985121$98,513
20201,625898$118,405
20191,2155134$80,976
20181,100489$78,587
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive790$90,674
Short return visit (20+ min)532$2,721
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES50$2,345
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter29$1,088
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES27$807
Return visit (30+ min)49$438

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive969$103,428
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES130$5,152
Short return visit (20+ min)833$3,190
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter71$2,839
1ST HOSP IP/OBS HIGH 7532$2,299
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES18$687
Return visit (30+ min)31$420
New patient visit (30+ min)15$214
Short return visit12$25

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive877$92,263
Short return visit (20+ min)641$2,300
1ST HOSP IP/OBS HIGH 7516$1,536
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES34$1,251
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter30$1,162

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive719$94,928
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES252$10,774
1ST HOSP IP/OBS HIGH 7578$6,664
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter82$3,322
Short return visit (20+ min)435$1,537
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES26$800
New patient visit (30+ min)13$298
Short return visit20$82

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive610$73,097
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES88$3,986
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter51$1,897
Short return visit (20+ min)454$1,087
1ST HOSP IP/OBS HIGH 7512$910

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive724$76,457
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES19$817
Short return visit (20+ min)342$781
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter15$532

Drugs they prescribed that Part D paid

$9,323

Pharmacies billed $9,323 in 2024.

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

100 generic and fewer than 11 brand-name prescriptions · $9,323 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
Gabapentin22$359$16

Year by year

Part D prescribing by year
202411030NoneNone$9,323
202318325NoneNone$22,755
20221263010% (12)19%$20,891
20217122NoneNone$1,845
20206918None25%$11,360
201938NoneNoneNone$717
20186617None18%$6,874
20176718NoneNone$4,692
201610419None21%$9,220
201573190% (0)18%$6,311
20143515NoneNone$2,287
201324NoneNoneNone$1,388

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

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Gabapentin35$318$9

2022: 1 drug

Part D drugs prescribed in 2022
Gabapentin14$61$4

2020: 1 drug

Part D drugs prescribed in 2020
Gabapentin11$309$28

2016: 1 drug

Part D drugs prescribed in 2016
Atorvastatin11$183$17

2015: 1 drug

Part D drugs prescribed in 2015
Levothyroxine11$288$26

Money from drug and device companies

$2,850 in 2023

Industry payments by year
202315$2,814$2,850
202214$1,405$1,437
202011None$15

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
OrganonNexplanon$2,850
5 payments
  • Paid to speak or teach for Nexplanon · 2023-04-24 · $1,375
  • Meals for Nexplanon · 2023-04-06 · $24
  • Paid to speak or teach for Nexplanon · 2023-03-03 · $64
  • Paid to speak or teach for Nexplanon · 2023-02-28 · $1,375
  • Meals for Nexplanon · 2023-02-20 · $12
See all 5 published payments
Every published payment
OrganonPaid to speak or teach · 2023-04-24Nexplanon$1,375
OrganonMeals · 2023-04-06Nexplanon$24
OrganonPaid to speak or teach · 2023-03-03Nexplanon$64
OrganonPaid to speak or teach · 2023-02-28Nexplanon$1,375
OrganonMeals · 2023-02-20Nexplanon$12
See earlier years (2022, 2020)

2022: $1,437

Payments by company in 2022
OrganonNexplanon$1,437
4 payments
  • Paid to speak or teach for Nexplanon · 2022-12-06 · $1,375
  • Paid to speak or teach for Nexplanon · 2022-12-02 · $30
  • Meals for Nexplanon · 2022-11-11 · $16
  • Meals for Nexplanon · 2022-11-11 · $16

2020: $15

Payments by company in 2020
AbbVieNone$15
1 payment
  • Meals · 2020-10-28 · $15

Professional record

NPI
1770927972
Licence
CA A143541California A143541: Current · expires 2027-10-31Texas Q4049: Canc Non-Renewal
Trained
University of Southern California Keck School of Medicine, 2013 · 13 years ago
Group
Hospitalists of Modesto Medical Group Inc · Golden Valley Health Centers
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X)
Mailing address
2324 Yosemite Ave, Escalon, CA, 95320
NPI first listed
2013-04-18
NPI last updated
2017-10-10

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