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Winston C Vaughan, MD

Otolaryngology · Atherton

NPI 1821182973

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
13
3 carriers
Offices
5

Offices

5 locations · Bass Medical Group · 292 clinicians in this group

Looking this up.

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

Plans that list them

13 plans · 3 carriers

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

13 of 13 plans

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 Harmony (HMO)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
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
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

California Medical Board record

Licence G77809 · Current

Licensed to practise in California · since 1993 · expires 2027-09-30 · Stanford University School of Medicine.

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

Surgery centers they own

  • Waverley Surgery Center, LPAmbulatory Surgery Center · Palo Alto, CA1.04% owner since 2015 · accredited by AAAHC
    Accreditation Renewed4 inspections, 3 with deficiencies · last 2024-04-25

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 CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 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
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$475,725

Medicare paid this office $475,725 for 664 people.

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

Largest Original Medicare bills
Diagnostic exam of nasal passages using an endoscope629$265,991$180
Short return visit (20+ min)522$97,352$85
Return visit (30+ min)223$41,506$121
Biopsy or removal of nasal polyp or tissue using an endoscope48$21,086$289
Ct scan of face without contrast78$11,562$134
See all 8 services
Every Original Medicare service billed
Diagnostic exam of nasal passages using an endoscope629$265,991$180
Short return visit (20+ min)522$97,352$85
Return visit (30+ min)223$41,506$121
Biopsy or removal of nasal polyp or tissue using an endoscope48$21,086$289
Ct scan of face without contrast78$11,562$134
New patient visit (45+ min)71$10,644$150
New patient visit (30+ min)58$5,964$103
Removal of impacted ear wax11$625$39

Who their Medicare patients are

664 Original Medicare patients in 2024. Average age 76 · Women 58% · Also on Medicaid 2% · Health risk score 0.95. At or below the middle of the specialty; the typical otolaryngology clinician is at 1.19.

Conditions among them: High blood pressure 63% · Coronary heart disease 25% · Diabetes 17% · Atrial fibrillation 17% · Cancer 16% · COPD 16% · Depression 13% · Chronic kidney disease 12% · Heart failure 9% · Stroke 5% · Dementia 2%.

The office billed $1,650,931, Medicare allowed $620,631 and paid $475,725; for 3,317 services of 24 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
20246643,317760.95$1,650,931$475,725
20236233,234760.93$1,547,249$440,907
20225533,038760.89$1,443,765$416,179
20214852,639740.92$1,268,766$379,519
20204952,384741.01$1,039,818$309,051
20195863,398731.02$1,461,306$452,185
20185233,215730.99$1,393,846$435,534
20175083,248731.04$1,420,876$445,725
20165443,438731.02$1,721,449$477,891
20155473,117730.99$1,848,470$481,109
20145073,088720.94$1,642,677$439,070
20134382,496721.00$1,214,562$353,641

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: 8 services

Original Medicare services billed in 2023
Diagnostic exam of nasal passages using an endoscope592$257,149$179
Short return visit (20+ min)512$97,704$83
Return visit (30+ min)193$32,552$118
Biopsy or removal of nasal polyp or tissue using an endoscope45$17,787$282
Ct scan of face without contrast90$12,352$125
New patient visit (45+ min)66$9,398$142
New patient visit (30+ min)51$5,284$104
Short return visit15$551$34

2022: 7 services

Original Medicare services billed in 2022
Diagnostic exam of nasal passages using an endoscope536$248,110$181
Short return visit (20+ min)477$99,152$83
Return visit (30+ min)121$17,641$117
Biopsy or removal of nasal polyp or tissue using an endoscope29$11,948$314
Ct scan of face without contrast88$11,368$124
New patient visit (45+ min)72$10,494$146
New patient visit (30+ min)36$3,742$104

2021: 9 services

Original Medicare services billed in 2021
Diagnostic exam of nasal passages using an endoscope464$221,435$190
Short return visit (20+ min)396$78,743$84
Return visit (30+ min)169$28,017$118
Biopsy or removal of nasal polyp or tissue using an endoscope36$15,079$296
New patient visit (45+ min)67$9,736$145
Ct scan of face without contrast63$7,952$124
Ct guidance for needle or tube localization14$3,302$236
Removal of nasal sinus tissue using an endoscope11$2,670$223
New patient visit (30+ min)18$1,892$105

2020: 9 services

Original Medicare services billed in 2020
Diagnostic exam of nasal passages using an endoscope461$183,576$179
Short return visit (20+ min)422$71,195$70
Biopsy or removal of nasal polyp or tissue using an endoscope24$8,777$325
Ct scan of face without contrast63$8,742$127
New patient visit (30+ min)69$6,845$99
Return visit (30+ min)59$6,265$103
Removal of nasal sinus tissue using an endoscope14$3,612$258
New patient visit (45+ min)23$3,349$146
Computer-assisted procedure outside membrane covering brain13$2,024$156

2019: 8 services

Original Medicare services billed in 2019
Diagnostic exam of nasal passages using an endoscope536$293,019$188
Short return visit (20+ min)492$99,587$69
Return visit (30+ min)83$9,642$99
Ct scan of face without contrast73$9,633$128
New patient visit (30+ min)97$9,577$99
Biopsy or removal of nasal polyp or tissue using an endoscope24$7,821$301
Removal of nasal sinus tissue using an endoscope14$3,507$234
New patient visit (45+ min)22$3,009$137

2018: 8 services

Original Medicare services billed in 2018
Diagnostic exam of nasal passages using an endoscope499$290,280$197
Short return visit (20+ min)440$89,558$66
Biopsy or removal of nasal polyp or tissue using an endoscope30$11,221$330
Ct scan of face without contrast80$10,995$132
New patient visit (30+ min)95$9,265$98
Return visit (30+ min)72$8,116$98
Removal of nasal sinus tissue using an endoscope12$2,312$193
New patient visit (45+ min)12$1,504$125

2017: 8 services

Original Medicare services billed in 2017
Diagnostic exam of nasal passages using an endoscope476$286,225$198
Short return visit (20+ min)427$92,339$67
Biopsy or removal of nasal polyp or tissue using an endoscope34$13,736$319
Ct scan of face without contrast84$10,547$123
Return visit (30+ min)94$10,233$96
New patient visit (30+ min)78$7,600$97
Removal of nasal sinus tissue using an endoscope12$2,695$225
New patient visit (45+ min)15$2,226$148

2016: 8 services

Original Medicare services billed in 2016
Diagnostic exam of nasal passages using an endoscope521$322,398$201
Short return visit (20+ min)467$87,253$62
Ct scan of face without contrast84$12,250$132
Biopsy or removal of nasal polyp or tissue using an endoscope43$11,681$260
New patient visit (30+ min)118$10,248$87
Exploration of nasal sinus using an endoscope14$8,618$616
Return visit (30+ min)39$4,398$94
Removal of nasal sinus tissue using an endoscope19$4,251$224

2015: 10 services

Original Medicare services billed in 2015
Diagnostic exam of nasal passages using an endoscope529$331,142$200
Short return visit (20+ min)414$58,722$60
Biopsy or removal of nasal polyp or tissue using an endoscope54$16,662$245
Exploration of nasal sinus using an endoscope24$14,164$567
Ct scan of face without contrast85$11,721$129
New patient visit (30+ min)112$10,318$92
Return visit (30+ min)59$5,868$92
Removal of nasal sinus tissue using an endoscope19$3,645$192
Removal of nasal sinus using an endoscope15$3,407$227
Partial removal of nasal sinus using an endoscope11$1,647$137

2014: 9 services

Original Medicare services billed in 2014
Diagnostic exam of nasal passages using an endoscope490$275,480$200
Short return visit (20+ min)405$70,283$61
Ct scan of face without contrast110$20,800$175
New patient visit (30+ min)131$12,033$92
Return visit (30+ min)104$11,842$88
Biopsy or removal of nasal polyp or tissue using an endoscope39$10,820$252
Exploration of nasal sinus using an endoscope19$10,719$564
Removal of nasal sinus tissue using an endoscope18$4,318$227
Removal of nasal sinus using an endoscope12$2,898$241

2013: 10 services

Original Medicare services billed in 2013
Diagnostic exam of nasal passages using an endoscope424$222,896$205
Short return visit (20+ min)370$54,978$59
Ct scan of face without contrast88$20,693$223
New patient visit (30+ min)108$9,982$92
Exploration of nasal sinus using an endoscope16$9,385$587
Biopsy or removal of nasal polyp or tissue using an endoscope25$9,309$321
Return visit (30+ min)75$8,057$89
Removal of nasal sinus tissue using an endoscope15$3,254$217
Removal of nasal sinus using an endoscope12$2,929$244
Computer-assisted procedure outside membrane covering brain18$2,887$160

Drugs they prescribed that Part D paid

$43,955

Pharmacies billed $43,955 in 2024.

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

483 generic and fewer than 11 brand-name prescriptions · $43,955 in drug cost · 192 antibiotic prescriptions to 132 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
Ipratropium52$1,628$31
Azelastine21$729$35
Doxycycline Hyclate50$565$11
Methylprednisolone55$387$7
Ciprofloxacin34$373$11
See all 13 drugs
Every Part D drug this clinician prescribed
Ipratropium52$1,628$31
Azelastine21$729$35
Doxycycline Hyclate50$565$11
Methylprednisolone55$387$7
Ciprofloxacin34$373$11
Amoxicillin-Clavulanate Potass41$330$8
Azithromycin27$237$9
Prednisone38$235$6
Montelukast24$197$8
Sulfamethoxazole-Trimethoprim25$111$4
Mupirocin14$108$8
Fluconazole16$58$4
Zolpidem11$25$2

Year by year

Part D prescribing by year
2024510214NoneNone$43,955
2023376173NoneNone$25,279
20223301490% (0)None$30,385
2021404162NoneNone$52,776
2020377131None18%$41,386
2019477181None16%$45,883
2018308133None5%$19,264
2017417147None12%$37,369
20167271812% (11)20%$75,420
20158901882% (21)24%$79,032
20149142063% (27)31%$99,898
20131,1302082% (25)37%$130,949

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

See the drugs prescribed each year

2023: 12 drugs

Part D drugs prescribed in 2023
Mometasone Furoate13$1,475$113
Doxycycline Hyclate50$1,232$25
Ipratropium33$1,155$35
Azelastine17$707$42
Montelukast31$631$20
Ciprofloxacin16$432$27
Methylprednisolone43$375$9
Amoxicillin-Clavulanate Potass26$336$13
Prednisone25$215$9
Azithromycin19$209$11
Mupirocin12$123$10
Sulfamethoxazole-Trimethoprim14$105$7

2022: 10 drugs

Part D drugs prescribed in 2022
Ciprofloxacin-Dexamethasone12$3,816$318
Budesonide12$1,488$124
Ipratropium27$1,260$47
Azelastine28$1,057$38
Doxycycline Hyclate32$751$23
Methylprednisolone50$556$11
Desloratadine13$533$41
Montelukast34$472$14
Prednisone16$103$6
Amoxicillin-Clavulanate Potass12$98$8

2021: 9 drugs

Part D drugs prescribed in 2021
Azelastine60$2,729$45
Ipratropium35$2,518$72
Montelukast43$726$17
Doxycycline Hyclate20$460$23
Methylprednisolone43$412$10
Amoxicillin-Clavulanate Potass28$376$13
Fluticasone Propionate12$276$23
Mupirocin15$234$16
Azithromycin13$85$7

2020: 13 drugs

Part D drugs prescribed in 2020
Ciprodex17$6,363$374
Azelastine34$1,641$48
Ipratropium15$1,563$104
Montelukast31$632$20
Doxycycline Hyclate14$472$34
Clarithromycin12$444$37
Amoxicillin-Clavulanate Potass28$398$14
Fluticasone Propionate18$370$21
Methylprednisolone32$324$10
Mupirocin22$316$14
Prednisone13$107$8
Azithromycin11$96$9
Sulfamethoxazole-Trimethoprim19$77$4

2019: 13 drugs

Part D drugs prescribed in 2019
Xhance17$10,209$601
Ciprodex22$8,905$405
Azelastine47$2,322$49
Ipratropium29$1,379$48
Montelukast44$784$18
Methylprednisolone55$680$12
Amoxicillin-Clavulanate Potass29$415$14
Doxycycline Hyclate19$370$19
Mupirocin28$352$13
Fluticasone Propionate14$243$17
Prednisone23$173$8
Sulfamethoxazole-Trimethoprim28$159$6
Azithromycin14$117$8

2018: 11 drugs

Part D drugs prescribed in 2018
Azelastine35$3,115$89
Mometasone Furoate13$1,370$105
Ipratropium23$666$29
Montelukast26$612$24
Methylprednisolone36$460$13
Fluticasone Propionate15$319$21
Amoxicillin-Clavulanate Potass24$319$13
Mupirocin20$301$15
Prednisone19$180$9
Sulfamethoxazole-Trimethoprim22$168$8
Azithromycin14$90$6

2017: 11 drugs

Part D drugs prescribed in 2017
Azelastine80$5,420$68
Mometasone Furoate11$2,863$260
Dymista11$2,002$182
Montelukast59$1,198$20
Fluticasone Propionate30$731$24
Ipratropium12$578$48
Methylprednisolone34$432$13
Amoxicillin-Clavulanate Potass24$324$14
Prednisone22$240$11
Ciprofloxacin13$138$11
Sulfamethoxazole-Trimethoprim16$68$4

2016: 18 drugs

Part D drugs prescribed in 2016
Nasonex28$13,070$467
Budesonide15$10,930$729
Azelastine111$8,898$80
Ciprodex14$5,294$378
Mometasone Furoate12$5,005$417
Qnasl14$3,625$259
Dymista14$3,427$245
Clarinex14$2,822$202
Montelukast129$2,581$20
Omnaris11$2,573$234
Fluticasone Propionate61$1,168$19
Ciprofloxacin30$713$24
Methylprednisolone37$603$16
Amoxicillin-Clavulanate Potass31$448$14
Mupirocin52$396$8
Prednisone26$218$8
Sulfamethoxazole-Trimethoprim23$194$8
Azithromycin17$152$9

2015: 20 drugs

Part D drugs prescribed in 2015
Nasonex33$15,077$457
Ciprodex41$12,863$314
Azelastine122$11,237$92
Budesonide16$8,498$531
Montelukast187$3,894$21
Omnaris16$3,065$192
Clarinex14$2,700$193
Dymista11$2,640$240
Qnasl11$1,895$172
Fluticasone Propionate99$1,453$15
Clarithromycin14$723$52
Methylprednisolone35$675$19
Amoxicillin-Clavulanate Potass40$673$17
Ipratropium11$592$54
Ciprofloxacin21$516$25
Sulfamethoxazole-Trimethoprim39$286$7
Mupirocin21$279$13
Levofloxacin12$231$19
Prednisone27$216$8
Fluconazole17$198$12

2014: 19 drugs

Part D drugs prescribed in 2014
Nasonex54$19,064$353
Ciprodex61$16,489$270
Budesonide25$11,084$443
Azelastine80$7,607$95
Astepro26$5,815$224
Montelukast195$5,444$28
Patanase16$5,225$327
Dymista22$4,077$185
Clarinex13$2,331$179
Clarithromycin13$2,317$178
Fluticasone Propionate112$2,280$20
Qnasl14$1,965$140
Omnaris12$1,925$160
Methylprednisolone33$824$25
Ciprofloxacin23$585$25
Amox Tr-Potassium Clavulanate26$432$17
Hydrocodone-Acetaminophen14$374$27
Sulfamethoxazole-Trimethoprim41$325$8
Prednisone16$142$9

2013: 24 drugs

Part D drugs prescribed in 2013
Ciprodex89$24,076$271
Nasonex82$20,652$252
Astepro85$15,338$180
Budesonide16$7,910$494
Azelastine58$6,094$105
Montelukast162$6,012$37
Patanase17$5,020$295
Clarithromycin31$4,283$138
Tobramycin-Dexamethasone11$3,495$318
Omnaris14$3,451$247
Dymista18$2,898$161
Fluticasone Propionate83$2,832$34
Clarinex12$1,954$163
Methylprednisolone46$1,055$23
Ipratropium13$957$74
Amox Tr-Potassium Clavulanate30$682$23
Ciprofloxacin35$456$13
Sulfamethoxazole-Trimethoprim57$396$7
Hydrocodone-Acetaminophen14$350$25
Levofloxacin20$248$12
Fluconazole15$237$16
Prednisone44$180$4
Azithromycin12$131$11
Zolpidem12$51$4

Money from drug and device companies

$233 in 2025

Industry payments by year
202533None$233
202426$4,500$12,755
202311None$32
202133None$260
202022$950$962
201947$1,650$1,819

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
GlaxoSmithKlineNone$118
1 payment
  • Meals · 2025-07-11 · $118
GenzymeWayrilz$96
1 payment
  • Meals for Wayrilz · 2025-02-07 · $96
Neurent MedicalNeuromark System$19
1 payment
  • Meals for Neuromark System · 2025-07-24 · $19
See all 3 published payments
Every published payment
Neurent MedicalMeals · 2025-07-24Neuromark System$19
GlaxoSmithKlineMeals · 2025-07-11None$118
GenzymeMeals · 2025-02-07Wayrilz$96
See earlier years (2024, 2023, 2021, 2020, 2019)

2024: $12,755

Payments by company in 2024
Neurent MedicalNeuromark Device$12,741
5 payments
  • Consulting for Neuromark Device · 2024-10-31 · $4,500
  • Travel for Neuromark Device · 2024-10-31 · $7,913
  • Meals for Neuromark Device · 2024-10-24 · $110
  • Meals for Neuromark Device · 2024-03-22 · $201
  • Meals for Neuromark Device · 2024-02-27 · $17
Regeneron Healthcare SolutionsDupixent$15
1 payment
  • Meals for Dupixent · 2024-04-24 · $15

2023: $32

Payments by company in 2023
Neurent MedicalNeuromark Device$32
1 payment
  • Meals for Neuromark Device · 2023-11-08 · $32

2021: $260

Payments by company in 2021
MedtronicStealthstation$123
1 payment
  • Meals for Stealthstation · 2021-11-20 · $123
Regeneron Healthcare SolutionsDupixent$71
1 payment
  • Meals for Dupixent · 2021-08-05 · $71
GlaxoSmithKlineNone$66
1 payment
  • Meals · 2021-10-01 · $66

2020: $962

Payments by company in 2020
Medtronic USAStraightshot$950
1 payment
  • Paid to speak or teach for Straightshot · 2020-05-15 · $950
GlaxoSmithKlineAnoro Ellipta$12
1 payment
  • Meals for Anoro Ellipta · 2020-06-23 · $12

2019: $1,819

Payments by company in 2019
GenzymeDupixent$1,758
4 payments
  • Meals for Dupixent · 2019-10-05 · $63
  • Consulting for Dupixent · 2019-10-05 · $1,650
  • Meals for Dupixent · 2019-09-10 · $21
  • Meals for Dupixent · 2019-07-23 · $25
AcclarentTrudi$31
1 payment
  • Meals for Trudi · 2019-07-03 · $31
OptiNose USXhance$16
1 payment
  • Meals for Xhance · 2019-05-20 · $16
Sanofi-Aventis U.S.No Product Discussed$14
1 payment
  • Education for No Product Discussed · 2019-07-24 · $14

Checkups this office reported

16 measures · 2023

Medicare asked this office to report how often certain checkups happened in 2023. This is not a grade for the doctor. A specialist’s patients may not need every screening.

Medicare’s overall office score
87.3 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Checkup rates this office reported to Medicare
Asked about smokingPatients asked about tobacco, with help to quit if they smoke87%That's most of the people this applied to.982
Blood pressure under controlPeople with high blood pressure whose reading was in a healthy range51%That's more than half.296
Bone-density scans that were not neededYounger women who got a bone scan without a medical reason4%That's few of the people this applied to. Better on this measure.83
Breast cancer screeningEligible women who got a mammogram66%That's more than half.385
Cervical cancer screeningEligible women who got a Pap or HPV test28%That's less than half.424
Checked for fall riskOlder patients screened for fall risk2%That's few of the people this applied to.699
Colon cancer screeningEligible adults who got a colon cancer test48%That's less than half.902
Depression screeningPatients screened for depression, with a follow-up plan if needed1%That's few of the people this applied to.1,529
See the other 8 measures
More measures this office reported to Medicare
Diabetes eye examPeople with diabetes who got a retinal eye exam2%That's few of the people this applied to.62
Diabetes poorly controlledPeople with diabetes whose blood sugar stayed very high95%That's most of the people this applied to. Worse on this measure.62
HIV screeningEligible patients who were screened for HIV15%That's few of the people this applied to.1,049
Medications listed in the chartVisits where the current medication list was documented63%That's more than half.4,113
Patients can see their records onlinePatients who were given electronic access to their health information99%That's most of the people this applied to.668
Prescriptions sent electronicallyPrescriptions sent to the pharmacy by computer instead of paper100%That's most of the people this applied to.269
Statin prescribed when it protects the heartPeople at cardiovascular risk who were prescribed a statin69%That's more than half.392
Weight checked, with a follow-up planPatients whose BMI was recorded and followed up if needed35%That's less than half.1,658

What the office says it does

Boxes the office ticked on its Medicare worksheet for 2023. Nobody checks these.

  • Agreed to federal review of their records system
  • Checks the state prescription-drug database before prescribing
  • Did a security review of patient data
  • Exchanges records both ways with other health systems
  • Improved the patient portal
  • Lets patients read their visit notes
  • Reports cases to public health electronically
  • Shows lab and imaging costs when ordering tests
  • Uses standard treatment protocols
  • Exempt from immunization registry reporting

Professional record

NPI
1821182973
Licence
CA G77809California G77809: Current · expires 2027-09-30
Trained
Stanford University School of Medicine, 1992
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 174400000X (174400000X)
Mailing address
1111 Exposition Blvd, Bldg 700, Sacramento, CA, 95815
NPI first listed
2006-10-03
NPI last updated
2015-10-19

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