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Michael M Papalian, MD

Plastic and Reconstructive Surgery · Palo Alto

NPI 1871675827

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
43 years
Graduated 1983

Offices

1 location

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 Dr. Papalian’s office at (650) 364-6060 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$2,231

Medicare paid this office $2,231 for 11 people.

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

Procedures Medicare counted

Procedure volume Medicare published
Melanoma (skin cancer) excision1-10None

Who their Medicare patients are

11 Original Medicare patients in 2024. Average age 74 · Under 65 0% · 85 and older 0% · Also on Medicaid 0% · Health risk score 1.02. At or below the middle of the specialty; the typical plastic and reconstructive surgery clinician is at 1.21.

The office billed $5,675, Medicare allowed $3,310 and paid $2,231; for 18 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
20241118741.02$5,675$2,231
20231430730.61$10,900$4,067
20221937740.99$11,225$5,333
20211544780.91$10,575$5,150
20201953740.74$20,525$7,121
201936108740.91$46,200$18,901
201855175751.10$69,850$29,331
201761197770.97$71,725$32,090
201664193751.06$72,650$34,398
201556181750.95$73,700$34,666
201459208751.07$88,550$43,895
201369228750.83$87,450$46,659

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

2020: 1 service

Original Medicare services billed in 2020
Return visit (30+ min)15$1,974$86

2019: 1 service

Original Medicare services billed in 2019
Return visit (30+ min)20$3,109$94

2018: 3 services

Original Medicare services billed in 2018
Return visit (30+ min)31$5,657$93
Long return visit (40+ min)14$1,698$113
New patient visit (30+ min)15$1,326$88

2017: 3 services

Original Medicare services billed in 2017
Return visit (30+ min)38$7,345$93
Long return visit (40+ min)13$1,656$118
New patient visit (30+ min)16$1,567$98

2016: 2 services

Original Medicare services billed in 2016
Return visit (30+ min)42$7,588$93
New patient visit (30+ min)15$1,389$93

2015: 2 services

Original Medicare services billed in 2015
Return visit (30+ min)35$7,042$95
New patient visit (30+ min)13$1,194$92

2014: 1 service

Original Medicare services billed in 2014
Return visit (30+ min)41$9,256$97

2013: 4 services

Original Medicare services billed in 2013
Return visit (30+ min)46$8,642$95
New patient visit (30+ min)13$1,316$101
Short return visit (20+ min)13$761$59
Injection into tendon or ligament11$742$53

Drugs they prescribed that Part D paid

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

Opioids were 57% of their 21 Part D prescriptions in 2018. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.

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
20192011None0%$138
2018211257% (12)0%$170
2017241554% (13)0%$268
201618NoneNone0%$139
201522NoneNone0%$150
2014291659% (17)0%$256
2013281643% (12)None$383

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

See the drugs prescribed each year

2014: 1 drug

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen12$105$9

2013: 1 drug

Part D drugs prescribed in 2013
Cephalexin13$118$9

Professional record

NPI
1871675827
Licence
CA G-053446
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 174400000X (174400000X)
Mailing address
1515 El Camino Real Ste B, Palo Alto, CA, 94306
NPI first listed
2006-10-19
NPI last updated
2019-10-28

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