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Thomas S Talkowski, MD

Emergency Medicine · Morgan Hill

NPI 1922027077

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
3

Offices

3 locations · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.

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. Talkowski’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence G86062 · Current

Licensed to practise in California · since 2001 · expires 2027-05-31 · Hahnemann University School of Medicine.

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

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.

  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 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 Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Medicaid work

$654,725 in 2024

Medicaid paid $654,725 for 8,010 billed services this clinician did in 2024, up to 134 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 2024
Clinic visit/encounter, all-inclusive1,025$653,220
Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension12$670
New patient visit (30+ min)196$512
Short return visit (20+ min)1,508$295
Injection, ketorolac tromethamine, per 15 mg31$22
URINE PREGNANCY TEST62$6
Pain severity quantified; pain present (COA) (ONC)313$0
Pain severity quantified; no pain present (COA) (ONC)237$0
Medication list documented in medical record (COA)1,219$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)1,013$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)293$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)384$0
Medicaid work by year
20248,01017134$654,725
20232,86114127$488,097
20222,5911196$381,235
20212,511997$396,105
2020950458$88,175
20199725161$110,201
20181,3687255$210,335
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive793$485,268
Return visit (30+ min)91$1,681
Service16$546
Short return visit (20+ min)1,125$335
New patient visit (30+ min)93$257
URINE PREGNANCY TEST20$6
Service20$5
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)32$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)205$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)54$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)86$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)183$0

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive639$375,766
Return visit (30+ min)182$2,637
Short return visit (20+ min)1,006$1,278
Long return visit (40+ min)46$1,145
Service12$409
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)278$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)30$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)45$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)283$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)53$0
Short return visit17$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive749$395,053
Short return visit (20+ min)942$947
Short return visit135$105
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)29$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)238$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)51$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)47$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)259$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)61$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive367$84,441
Return visit (30+ min)142$3,322
Short return visit (20+ min)415$412
Short return visit26$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive477$108,679
Return visit (30+ min)193$1,000
Short return visit (20+ min)266$521
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES12$0
Short return visit24$0

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive885$204,893
Return visit (30+ min)134$4,325
New patient visit (30+ min)47$805
Short return visit (20+ min)200$208
Short return visit68$98
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy13$7
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit21$0

Drugs they prescribed that Part D paid

$2,796

Pharmacies billed $2,796 in 2024.

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

173 generic and fewer than 11 brand-name prescriptions · $2,796 in drug cost · 55 antibiotic prescriptions to 51 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
Cephalexin26$126$5
Ibuprofen21$51$2
Azithromycin14$44$3

Year by year

Part D prescribing by year
2024192119NoneNone$2,796
202315193NoneNone$3,771
2022141770% (0)None$8,119
2021134870% (0)10%$4,020
20208752None16%$1,236
2019122759% (11)15%$2,291
201811263None15%$2,322
20177944None16%$2,804
201616090None14%$3,463
20151458013% (19)10%$2,311
201414690NoneNone$2,146
20137345NoneNone$1,038

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

See the drugs prescribed each year

2023: 4 drugs

Part D drugs prescribed in 2023
Albuterol Sulfate Hfa12$443$37
Cephalexin12$157$13
Azithromycin16$103$6
Ibuprofen14$56$4

2022: 2 drugs

Part D drugs prescribed in 2022
Albuterol Sulfate Hfa12$460$38
Cephalexin11$77$7

2021: 2 drugs

Part D drugs prescribed in 2021
Cephalexin23$181$8
Ibuprofen12$44$4

2016: 3 drugs

Part D drugs prescribed in 2016
Azithromycin27$165$6
Cephalexin15$74$5
Naproxen12$56$5

2015: 3 drugs

Part D drugs prescribed in 2015
Proair Hfa11$562$51
Azithromycin27$160$6
Tramadol16$42$3

2014: 3 drugs

Part D drugs prescribed in 2014
Montelukast11$431$39
Azithromycin28$305$11
Cephalexin18$118$7

2013: 1 drug

Part D drugs prescribed in 2013
Azithromycin19$271$14

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1922027077
Licence
CA G86062California G86062: Current · expires 2027-05-31
Trained
Hahnemann University College of Medicine, 1985
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X); Federal specialty code 207P00000X (207P00000X)
Mailing address
5432 Gladstone Dr, Stockton, CA, 95219
NPI first listed
2006-07-19
NPI last updated
2025-09-11

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