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Charles Vincent De Leon Lumboy, NP

Nurse Practitioner · Los Altos

NPI 1801284096

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Offices
3

Offices

3 locations · Sutter Bay Medical Foundation · Alameda Health System

Looking this up.

Hospitals listed: 058123 · 059302 · 757662. That is not proof they admit you there this week.

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Charles Vincent De Leon Lumboy’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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

Original Medicare doctor bills

$51,399

Medicare paid this office $51,399 for 195 people.

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

Largest Original Medicare bills
Short return visit (20+ min)75$11,779$74
Short return visit116$10,803$43
Return visit (30+ min)25$10,503$102
Strapping, unna boot14$5,479$55
New patient visit (15+ min)53$3,020$57
See all 7 services
Every Original Medicare service billed
Short return visit (20+ min)75$11,779$74
Short return visit116$10,803$43
Return visit (30+ min)25$10,503$102
Strapping, unna boot14$5,479$55
New patient visit (15+ min)53$3,020$57
Removal of tissue from wound, 20.0 sq cm or less11$1,585$88
New patient visit (30+ min)16$1,462$91

Procedures Medicare counted

Procedure volume Medicare published
Removal of tissue1-10None

Who their Medicare patients are

195 Original Medicare patients in 2024. Average age 81 · 85 and older 38% · Women 51% · Also on Medicaid 13% · Health risk score 1.92. 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 35% · Diabetes 33% · Atrial fibrillation 32% · Heart failure 29% · Coronary heart disease 28% · Cancer 24% · Depression 23% · Dementia 16% · COPD 14% · Stroke 8%.

The office billed $199,560, Medicare allowed $67,104 and paid $51,399; for 756 services of 13 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
2024195756811.92$199,560$51,399
2023145731821.87$200,535$51,615
20221631,097802.13$308,701$85,202
20211851,290802.06$365,227$107,042
2020169730802.21$129,786$34,918
2019173694802.25$163,282$42,116
2018169896802.23$241,381$62,943
2017219970792.32$277,221$70,151
20162351,050782.29$190,587$49,559
20151421801.29$4,288$1,169

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: 4 services

Original Medicare services billed in 2023
Short return visit120$14,844$44
Short return visit (20+ min)33$5,737$70
New patient visit (15+ min)42$2,521$60
Strapping, unna boot17$2,475$48

2022: 6 services

Original Medicare services billed in 2022
Short return visit124$18,061$46
Short return visit (20+ min)40$9,819$71
Strapping, unna boot20$5,082$54
Return visit (30+ min)14$4,267$102
Removal of tissue from wound, 20.0 sq cm or less11$3,515$92
New patient visit (15+ min)56$3,131$56

2021: 7 services

Original Medicare services billed in 2021
Short return visit (20+ min)83$21,932$74
Short return visit114$12,009$45
Strapping, unna boot28$9,624$56
Return visit (30+ min)38$8,729$108
Removal of tissue from wound, 20.0 sq cm or less14$2,783$87
New patient visit (15+ min)47$2,744$58
New patient visit (30+ min)13$1,087$84

2020: 6 services

Original Medicare services billed in 2020
Short return visit132$15,849$37
Short return visit (20+ min)45$6,270$58
Removal of tissue from wound, 20.0 sq cm or less28$3,711$82
Strapping, unna boot20$3,132$53
New patient visit (10+ min)44$1,578$36
New patient visit (15+ min)18$885$49

2019: 6 services

Original Medicare services billed in 2019
Short return visit (20+ min)106$20,493$59
Return visit (30+ min)56$11,050$84
Short return visit59$3,947$37
Strapping, unna boot19$2,543$51
New patient visit (15+ min)31$1,823$59
New patient visit (30+ min)11$883$80

2018: 7 services

Original Medicare services billed in 2018
Return visit (30+ min)108$29,868$85
Short return visit (20+ min)87$14,509$58
Strapping, unna boot25$8,751$54
Removal of tissue from wound, 20.0 sq cm or less13$2,699$73
New patient visit (30+ min)31$2,448$79
New patient visit (15+ min)20$1,219$61
Short return visit13$652$36

2017: 6 services

Original Medicare services billed in 2017
Return visit (30+ min)166$37,404$83
Strapping, unna boot37$9,935$44
Long return visit (40+ min)24$7,018$115
Removal of tissue from wound, 20.0 sq cm or less39$5,992$64
New patient visit (30+ min)63$5,106$81
Short return visit (20+ min)30$1,992$54

2016: 7 services

Original Medicare services billed in 2016
Short return visit140$16,777$35
Short return visit (20+ min)106$13,078$55
Removal of tissue from wound, 20.0 sq cm or less41$7,299$64
Return visit (30+ min)41$4,706$86
Strapping, unna boot22$3,844$46
New patient visit (10+ min)49$1,596$33
New patient visit (15+ min)21$1,228$58

Drugs they prescribed that Part D paid

$8,097

Pharmacies billed $8,097 in 2024.

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

Opioids were 6% of their Part D prescriptions (13 of 228) in 2024. Above the middle of the specialty; the typical nurse practitioner clinician is at 0%.

196 generic and 32 brand-name prescriptions · $8,097 in drug cost · 46 antibiotic prescriptions to 32 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
Santyl11$4,107$373
Mupirocin59$460$8
Triamcinolone Acetonide37$275$7
Ssd14$203$14
Doxycycline Hyclate13$92$7

Year by year

Part D prescribing by year
20242281036% (13)14%$8,097
202320799NoneNone$10,935
2022177790% (0)12%$6,324
2021166730% (0)None$2,163
202011754NoneNone$3,580
201910360None21%$5,969
201815971None8%$5,428
201721795None25%$11,075
201620092None30%$18,037
201514None0% (0)None$4,167

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

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Triamcinolone Acetonide53$485$9
Mupirocin40$410$10
Doxycycline Hyclate13$334$26

2022: 3 drugs

Part D drugs prescribed in 2022
Mupirocin62$464$7
Triamcinolone Acetonide43$314$7
Doxycycline Hyclate11$165$15

2021: 3 drugs

Part D drugs prescribed in 2021
Mupirocin56$513$9
Triamcinolone Acetonide60$468$8
Cephalexin15$102$7

2020: 2 drugs

Part D drugs prescribed in 2020
Triamcinolone Acetonide43$412$10
Mupirocin29$264$9

2019: 2 drugs

Part D drugs prescribed in 2019
Triamcinolone Acetonide33$403$12
Mupirocin15$127$8

2018: 4 drugs

Part D drugs prescribed in 2018
Triamcinolone Acetonide42$491$12
Doxycycline Hyclate17$376$22
Mupirocin26$275$11
Cephalexin13$167$13

2017: 10 drugs

Part D drugs prescribed in 2017
Santyl21$7,193$343
Levofloxacin19$427$22
Ammonium Lactate12$384$32
Triamcinolone Acetonide34$337$10
Doxycycline Hyclate11$303$28
Mupirocin25$246$10
Silver Sulfadiazine13$237$18
Ssd18$233$13
Cephalexin15$146$10
Ciprofloxacin11$87$8

2016: 7 drugs

Part D drugs prescribed in 2016
Santyl22$14,919$678
Ssd21$584$28
Silver Sulfadiazine14$436$31
Mupirocin30$283$9
Triamcinolone Acetonide29$248$9
Cephalexin23$236$10
Sulfamethoxazole-Trimethoprim22$156$7

Professional record

NPI
1801284096
Licence
CA RN733932, CA NP95001958
Group
Sutter Bay Medical Foundation · Alameda Health System
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 363LF0000X (363LF0000X)
Mailing address
311 Oak St Apt 511, Oakland, CA, 94607
NPI first listed
2014-12-23
NPI last updated
2024-06-14
NPI record certified
2024-06-14

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