Pooja Nair, MD
Internal Medicine · Los Gatos
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 1
- 1 carrier
- Office
- 1
Offices
1 location · Sutter Bay Medical Foundation · 3,783 clinicians in this group
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 Dr. Nair’s office at (408) 739-6000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| Alignment Health Sutter Advantage +More (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
California Medical Board record
Licence A177296 · Current
Licensed to practise in California · since 2022 · expires 2028-05-31 · University of London, Imperial College School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$50,229
Medicare paid this office $50,229 for 153 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Return visit (30+ min) | 130 | $24,710 | $116 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 76 | $11,989 | $158 |
| Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $3,185 | $290 |
| Short return visit (20+ min) | 31 | $2,533 | $74 |
| Influenza vaccine, inactivated | 11 | $900 | $82 |
See all 8 services
| Return visit (30+ min) | 130 | $24,710 | $116 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 76 | $11,989 | $158 |
| Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $3,185 | $290 |
| Short return visit (20+ min) | 31 | $2,533 | $74 |
| Influenza vaccine, inactivated | 11 | $900 | $82 |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 51 | $807 | $14 |
| Administration of influenza virus vaccine | 11 | $430 | $39 |
| Administration of pneumococcal vaccine | 11 | $399 | $36 |
Who their Medicare patients are
153 Original Medicare patients in 2024. Average age 76 · Women 79% · Health risk score 0.94. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 65% · Diabetes 24% · Coronary heart disease 21% · Chronic kidney disease 18% · Cancer 17% · Atrial fibrillation 12% · Heart failure 10% · Depression 10%.
The office billed $129,980, Medicare allowed $60,669 and paid $50,229; for 468 services of 22 kinds; $4,633 of it was for drugs given in the office and $45,596 for care.
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
| 2024 | 153 | 468 | 76 | 0.94 | $129,980 | $50,229 |
| 2023 | 65 | 137 | 78 | 2.12 | $66,108 | $13,098 |
| 2022 | 33 | 122 | 72 | 2.82 | $65,842 | $10,703 |
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
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 16 | $4,957 | $105 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 13 | $1,543 | $70 |
| Short return visit (20+ min) | 11 | $956 | $80 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 11 | $928 | $84 |
2022: 2 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 16 | $5,744 | $90 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 14 | $2,310 | $62 |
Drugs they prescribed that Part D paid
$66,721
Pharmacies billed $66,721 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 2% of their Part D prescriptions (15 of 993) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%.
897 generic and fewer than 11 brand-name prescriptions · $66,721 in drug cost · 29 antibiotic prescriptions to 20 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.
| Eliquis | 15 | $19,542 | $1,303 |
| Arnuity Ellipta | 13 | $4,003 | $308 |
| Atorvastatin | 126 | $1,219 | $10 |
| Metoprolol | 54 | $924 | $17 |
| Azelastine | 14 | $870 | $62 |
See all 21 drugs
| Eliquis | 15 | $19,542 | $1,303 |
| Arnuity Ellipta | 13 | $4,003 | $308 |
| Atorvastatin | 126 | $1,219 | $10 |
| Metoprolol | 54 | $924 | $17 |
| Azelastine | 14 | $870 | $62 |
| Losartan | 70 | $833 | $12 |
| Amlodipine Besylate | 67 | $811 | $12 |
| Pregabalin | 18 | $754 | $42 |
| Glipizide | 19 | $621 | $33 |
| Lisinopril | 46 | $494 | $11 |
| Levothyroxine | 34 | $403 | $12 |
| Rosuvastatin | 17 | $345 | $20 |
| Gabapentin | 14 | $341 | $24 |
| Metformin | 14 | $304 | $22 |
| Hydrochlorothiazide | 35 | $241 | $7 |
| Simvastatin | 22 | $182 | $8 |
| Mirtazapine | 15 | $169 | $11 |
| Zolpidem | 12 | $150 | $13 |
| Metformin Hcl Er | 14 | $129 | $9 |
| Pantoprazole | 12 | $107 | $9 |
| Spironolactone | 13 | $60 | $5 |
Year by year
| 2024 | 993 | 162 | 2% (15) | None | $66,721 |
| 2023 | 56 | 27 | None | None | $15,799 |
| 2022 | 27 | 11 | None | None | $5,150 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
Money from drug and device companies
$18 in 2025
| 2025 | 1 | 1 | None | $18 |
| 2021 | 2 | 2 | None | $41 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Gilead Sciences | None | $18 | 1 payment
|
See the published payment
| Gilead Sciences | Meals · 2025-07-04 | None | $18 |
See earlier years (2021)
2021: $41
| Boehringer Ingelheim Pharmaceuticals | Jardiance | $21 | 1 payment
|
| E.R. Squibb & Sons L.L.C. | Eliquis | $20 | 1 payment
|
Professional record
- NPI
- 1881155752
- Licence
- CA A177296California A177296: Current · expires 2028-05-31
- Video visits
- Lists video visits
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Internal medicine (207R00000X)
- Mailing address
- 15400 Los Gatos Blvd, Los Gatos, CA, 95032
- NPI first listed
- 2019-03-25
- NPI last updated
- 2023-07-13
- NPI record certified
- 2023-07-13
This is when the NPI record was last certified, not a medical board exam.