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Kathlene Miyauchi, NP

Nurse Practitioner · Los Altos

NPI 1790075653

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
5

Offices

5 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Kathlene Miyauchi’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence G20290 · Cancelled

Licence status: Cancelled · since 1971 · University of Vermont College 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

$18,288

Medicare paid this office $18,288 for 61 people.

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

Largest Original Medicare bills
Long return visit (40+ min)26$7,085$148
Return visit (30+ min)29$5,498$104
Short return visit (20+ min)24$3,243$75

Who their Medicare patients are

61 Original Medicare patients in 2024. Average age 75 · Women 100% · Health risk score 1.41. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 67% · Cancer 52% · Diabetes 26% · Chronic kidney disease 20%.

The office billed $65,392, Medicare allowed $23,061 and paid $18,288; for 171 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
202461171751.41$65,392$18,288
20235257771.58$17,052$4,058
202294112771.51$32,041$7,864
20215460761.42$18,006$4,457
20202122793.19$7,318$1,926
20184447782.70$16,854$3,797
2017150163753.71$40,302$7,835
20168788753.17$22,590$4,845

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: 2 services

Original Medicare services billed in 2023
Short return visit (20+ min)21$1,588$72
New patient visit (15+ min)27$1,417$52

2022: 2 services

Original Medicare services billed in 2022
New patient visit (15+ min)56$3,339$60
Short return visit (20+ min)29$2,118$71

2021: 2 services

Original Medicare services billed in 2021
Short return visit (20+ min)18$1,303$72
New patient visit (15+ min)19$1,175$62

2017: 7 services

Original Medicare services billed in 2017
Return visit (30+ min)31$1,834$56
New patient visit (30+ min)26$1,385$53
Short return visit (20+ min)30$1,125$36
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes20$1,053$53
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes11$839$76
New patient visit (15+ min)15$577$38
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes17$505$30

2016: 4 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes18$984$55
New patient visit (30+ min)15$807$54
Return visit (30+ min)13$774$60
Short return visit (20+ min)13$503$39

Drugs they prescribed that Part D paid

$363,200

Pharmacies billed $363,200 in 2024.

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

Opioids were 15% of their Part D prescriptions (30 of 197) in 2024. A higher opioid share than 9 in 10 peers; the typical nurse practitioner clinician is at 0%.

170 generic and 27 brand-name prescriptions · $363,200 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
Lynparza11$179,136$16,285
Dexamethasone Sodium Phosphate13$497$38
Dexamethasone21$383$18
Ondansetron27$136$5
Oxycodone-Acetaminophen17$122$7
See all 7 drugs
Every Part D drug this clinician prescribed
Lynparza11$179,136$16,285
Dexamethasone Sodium Phosphate13$497$38
Dexamethasone21$383$18
Ondansetron27$136$5
Oxycodone-Acetaminophen17$122$7
Prochlorperazine Maleate21$103$5
Lorazepam14$41$3

Year by year

Part D prescribing by year
20241976715% (30)14%$363,200
20211915NoneNone$1,834
202011NoneNoneNone$1,352
20192013None0%$337
2018191763% (12)0%$134
2017412144% (18)0%$338
20162416NoneNone$552

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

Money from drug and device companies

$120 in 2025

A payment is not proof that care is biased.

Payments by company
Myriad Genetic LaboratoriesPrecisetumor$120
1 payment
  • Meals for Precisetumor · 2025-04-29 · $120
See the published payment
Every published payment
Myriad Genetic LaboratoriesMeals · 2025-04-29Precisetumor$120

Professional record

NPI
1790075653
Licence
CA 20290, NY 336147California G20290: Cancelled
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 363LF0000X (363LF0000X)
Mailing address
3131 Alum Rock Ave, San Jose, CA, 95127
NPI first listed
2011-04-12
NPI last updated
2011-04-12

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