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Joshua Reeve Pepper, MD

Hospitalist · Los Altos

NPI 1952965394

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Has dropped Medicare — you would pay privately

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

Original Medicare doctor bills

$5,027

Medicare paid this office $5,027 for 25 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 minutes14$2,980$103

Who their Medicare patients are

25 Original Medicare patients in 2024. Average age 74 · Women 48% · Health risk score 2.74. Above the middle of the specialty; the typical hospitalist clinician is at 2.49.

Conditions among them: High blood pressure 75% · Diabetes 52% · Heart failure 52% · Chronic kidney disease 52%.

The office billed $21,445, Medicare allowed $6,966 and paid $5,027; for 50 services of 5 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
20242550742.74$21,445$5,027
2023272652752.84$263,930$69,462
202291151742.76$72,480$18,308

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: 6 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes172$41,368$105
Hospital discharge day management, more than 30 minutes114$12,051$102
Initial hospital care with moderate level of medical decision making at least 75 minutes52$7,293$140
Critical care, first 30-74 minutes13$3,425$190
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$2,596$72
Advance care planning, first 30 minutes13$1,279$67

2022: 3 services

Original Medicare services billed in 2022
Initial hospital care with moderate level of medical decision making at least 75 minutes42$7,411$172
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes31$5,856$93
Hospital discharge day management, more than 30 minutes19$1,852$97

Medicaid work

$10,936 in 2023

Medicaid paid $10,936 for 256 billed services this clinician did in 2023, up to 26 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 MINUTES242$9,838
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter14$1,097
Medicaid work by year
2023256226$10,936
202242212$1,882
2020104244$13,851
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES30$972
1ST HOSP IP/OBS HIGH 7512$910

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive44$13,851
Short return visit (20+ min)60$0

Drugs they prescribed that Part D paid

$94,289

Pharmacies billed $94,289 in 2024.

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

Opioids were 9% of their Part D prescriptions (86 of 991) in 2024. Above the middle of the specialty; the typical hospitalist clinician is at 4%.

881 generic and fewer than 11 brand-name prescriptions · $94,289 in drug cost · 85 antibiotic prescriptions to 63 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
Ozempic19$20,261$1,066
Paxlovid21$1,429$68
Naltrexone16$1,132$71
Gabapentin36$631$18
Atorvastatin34$481$14
See all 26 drugs
Every Part D drug this clinician prescribed
Ozempic19$20,261$1,066
Paxlovid21$1,429$68
Naltrexone16$1,132$71
Gabapentin36$631$18
Atorvastatin34$481$14
Tamsulosin23$460$20
Zolpidem62$436$7
Valacyclovir11$427$39
Lorazepam57$309$5
Hydrocodone-Acetaminophen14$288$21
Oxycodone33$268$8
Trazodone31$267$9
Escitalopram16$244$15
Nitrofurantoin Mono-Macro20$234$12
Omeprazole12$185$15
Tramadol18$185$10
Levothyroxine11$177$16
Metformin14$171$12
Amlodipine Besylate31$171$6
Fluticasone Propionate12$156$13
Alprazolam17$131$8
Lisinopril12$101$8
Azithromycin16$79$5
Amoxicillin-Clavulanate Potass12$71$6
Diazepam20$66$3
Losartan-Hydrochlorothiazide11$37$3

Year by year

Part D prescribing by year
20249912999% (86)None$94,289
20231901016% (12)None$21,503
202229140% (0)None$2,304

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

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Pantoprazole11$147$13

Professional record

NPI
1952965394
Trained
University of California, San Francisco School of Medicine, 2019
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X)
Mailing address
1001 Potrero Ave Bldg 80-83, San Francisco, CA, 94110
NPI first listed
2019-04-30
NPI last updated
2024-10-29
NPI record certified
2024-10-24

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