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Rebecca L Sands, DO

Internal Medicine · Stanford

NPI 1831363357

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
13
2 carriers
Office
1
Since medical school
20 years
Midwestern University, Chicago College of Osteopathic Med, 2006

Offices

1 location · Stanford Health Care · 3,152 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 · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Sands’s office at (650) 723-4000 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
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
76.5 / 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.

  • 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

$10,600

Medicare paid this office $10,600 for 60 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 50 minutes29$4,871$106
Initial hospital care with moderate level of medical decision making at least 75 minutes24$3,706$154
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$844$70

Who their Medicare patients are

60 Original Medicare patients in 2024. Average age 71 · Women 58% · Also on Medicaid 43% · Health risk score 3.29. Sicker patients than 9 in 10 peers; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 72% · Coronary heart disease 52% · Chronic kidney disease 47% · Diabetes 45% · Depression 42% · Cancer 35% · Atrial fibrillation 33% · Heart failure 30% · COPD 23% · Dementia 23% · Stroke 22%.

The office billed $45,905, Medicare allowed $13,451 and paid $10,600; for 94 services of 6 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
20246094713.29$45,905$10,600
202374123723.36$57,641$14,199
20224793703.12$21,997$6,911
2021112271743.02$67,054$22,192
202099221693.15$56,489$18,141
2019110270723.70$73,237$23,296
2018127282683.76$74,552$23,273
2017136324693.59$80,439$24,883
201690186693.16$39,660$12,116
2015150273712.99$56,657$17,426
201466137703.36$28,571$9,285
20137489793.74$16,275$9,919

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 minutes38$6,069$108
Initial hospital care with moderate level of medical decision making at least 75 minutes29$4,582$158
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$2,126$118

2022: 2 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes20$2,515$81
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$1,186$56

2021: 4 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes71$9,474$82
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes35$3,580$57
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes30$3,226$108
Initial hospital care with moderate level of medical decision making at least 75 minutes17$2,692$158

2020: 4 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes47$7,333$82
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes31$3,436$111
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes38$3,157$57
Initial hospital care with moderate level of medical decision making at least 75 minutes18$2,921$162

2019: 4 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes69$10,205$83
Initial hospital care with moderate level of medical decision making at least 75 minutes36$5,724$159
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes24$2,733$109
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes39$2,612$56

2018: 5 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes58$9,105$81
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes43$4,674$106
Initial hospital care with moderate level of medical decision making at least 75 minutes22$3,609$157
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes40$2,800$53
Return visit (30+ min)14$1,640$61

2017: 6 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes45$7,826$82
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes47$5,720$106
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes49$5,137$55
Initial hospital care with moderate level of medical decision making at least 75 minutes18$2,850$158
Return visit (30+ min)11$1,227$56
Short return visit (20+ min)11$477$37

2016: 5 services

Original Medicare services billed in 2016
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes32$3,443$101
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes27$2,902$78
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes31$2,402$56
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes15$1,181$79
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes23$978$31

2015: 5 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes70$5,536$55
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes31$3,287$106
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes41$3,204$78
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes22$2,650$80
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes29$1,110$30

2014: 3 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes33$4,395$56
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$2,605$100
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes11$424$30

2013: 3 services

Original Medicare services billed in 2013
Initial hospital care with moderate level of medical decision making at least 75 minutes21$3,589$171
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes24$2,925$117
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes16$1,555$86

Medicaid work

$958 in 2023

Medicaid paid $958 for 22 billed services this clinician did in 2023, up to 12 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 2023
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES22$958
Medicaid work by year
202322112$958

Drugs they prescribed that Part D paid

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

Opioids were 56% of their 342 Part D prescriptions in 2022. Long-acting opioids: 43% of their opioid prescriptions.

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

Year by year

Part D prescribing by year
20223425456% (192)14%$67,688
20213615446% (166)10%$57,862
20202967156% (167)12%$42,496
201936810161% (223)19%$64,901
20183386857% (191)23%$55,115
20171673647% (79)13%$20,449
20161935063% (122)14%$41,003
20152646976% (200)14%$33,902
2014944379% (74)None$16,748
20136014NoneNone$5,212

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

See the drugs prescribed each year

2022: 7 drugs

Part D drugs prescribed in 2022
Xtampza Er20$27,684$1,384
Oxycodone78$6,488$83
Hydromorphone13$4,575$352
Fentanyl29$2,584$89
Gabapentin61$1,172$19
Methadone12$702$59
Morphine Sulfate Er11$250$23

2021: 10 drugs

Part D drugs prescribed in 2021
Xtampza Er13$20,137$1,549
Oxycodone62$7,351$119
Hydromorphone16$6,177$386
Fentanyl23$2,306$100
Gabapentin72$2,185$30
Methadone14$962$69
Amitriptyline11$432$39
Morphine Sulfate Er11$244$22
Olanzapine15$239$16
Fluoxetine20$183$9

2020: 9 drugs

Part D drugs prescribed in 2020
Xtampza Er13$7,999$615
Oxycodone54$4,778$88
Fentanyl37$3,187$86
Hydromorphone13$1,662$128
Gabapentin31$842$27
Methadone13$607$47
Amitriptyline11$567$52
Fluoxetine12$253$21
Olanzapine12$152$13

2019: 10 drugs

Part D drugs prescribed in 2019
Xtampza Er13$16,632$1,279
Lyrica25$15,114$605
Oxycodone86$6,185$72
Fentanyl41$3,910$95
Hydromorphone21$1,581$75
Morphine Sulfate Er25$1,107$44
Gabapentin25$676$27
Methadone12$493$41
Diclofenac13$331$25
Lorazepam14$176$13

2018: 10 drugs

Part D drugs prescribed in 2018
Lyrica24$11,913$496
Oxycontin11$10,235$930
Fentanyl39$4,763$122
Oxycodone58$3,499$60
Hydromorphone25$1,857$74
Morphine Sulfate12$1,332$111
Gabapentin24$767$32
Morphine Sulfate Er14$723$52
Mirtazapine11$325$30
Lorazepam13$105$8

2017: 3 drugs

Part D drugs prescribed in 2017
Oxycodone34$3,112$92
Morphine Sulfate Er13$1,131$87
Gabapentin24$511$21

2016: 4 drugs

Part D drugs prescribed in 2016
Oxycodone46$3,731$81
Morphine Sulfate Er11$1,349$123
Hydromorphone17$1,126$66
Ibuprofen12$83$7

2015: 8 drugs

Part D drugs prescribed in 2015
Oxycontin17$12,573$740
Oxycodone69$6,601$96
Fentanyl32$3,293$103
Morphine Sulfate Er17$1,969$116
Hydromorphone21$951$45
Methadone19$817$43
Gabapentin11$526$48
Lorazepam17$141$8

2014: 2 drugs

Part D drugs prescribed in 2014
Oxycontin13$10,092$776
Oxycodone28$1,929$69

Professional record

NPI
1831363357
Licence
CA 20A20211
Trained
Midwestern University, Chicago College of Osteopathic Med, 2006 · 20 years ago
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X); Federal specialty code 207RH0002X (207RH0002X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2008-04-15
NPI last updated
2024-04-23
NPI record certified
2024-04-23

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

Extra NPI addresses: 200 Lothrop St Ste 9s, Pittsburgh, PA, 15213

This office lists an electronic records connection.