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Nielsen Fernandez-Becker, MD

Internal Medicine · Emeryville

NPI 1972678639

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
10
2 carriers
Offices
5

Offices

5 locations · 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

10 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Fernandez-Becker’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

10 of 10 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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A109586 · Current

Licensed to practise in California · since 2009 · expires 2027-03-31 · Albert Einstein College of Medicine of Yeshiva University.

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

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

$61,378

Medicare paid this office $61,378 for 331 people.

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

Largest Original Medicare bills
Long return visit (40+ min)62$10,402$149
New patient visit (60+ min)51$8,523$167
Removal of polyps or growths of large bowel using an endoscope with mechanical snare25$5,910$236
Biopsy of large bowel using a flexible endoscope45$5,329$118
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope47$4,863$99
See all 15 services
Every Original Medicare service billed
Long return visit (40+ min)62$10,402$149
New patient visit (60+ min)51$8,523$167
Removal of polyps or growths of large bowel using an endoscope with mechanical snare25$5,910$236
Biopsy of large bowel using a flexible endoscope45$5,329$118
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope47$4,863$99
New patient visit (45+ min)34$4,454$131
Return visit (30+ min)31$3,449$111
Imaging of digestive tract done from the inside of the digestive tract20$2,713$136
Study of esophagus to assess movement44$2,486$56
Monitoring and recording of esophageal function through nasal tube with electrode41$1,743$43
Monitoring and recording of esophageal function through a capsule attached to the esophagus wall23$1,651$72
New patient visit (30+ min)15$1,484$99
Prolonged monitoring and recording of esophageal function through nasal tube with electrode13$646$50
Measurement of hydrogen in breath to test for stomach and bowel symptoms18$289$8
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito39$186$5

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy29More than 53% of doctors who do this
Upper gastrointestinal (GI) endoscopy for acid reflux114More than 79% of doctors who do this

Who their Medicare patients are

331 Original Medicare patients in 2024. Average age 71 · Under 65 13% · 85 and older 5% · Women 67% · Also on Medicaid 21% · Health risk score 1.30. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 56% · Coronary heart disease 23% · Depression 23% · Diabetes 22% · Chronic kidney disease 21% · Atrial fibrillation 17% · Cancer 16% · COPD 16% · Heart failure 12% · Stroke 9% · Dementia 4%.

The office billed $767,475, Medicare allowed $78,483 and paid $61,378; for 619 services of 38 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
2024331619711.30$767,475$61,378
2023340609711.86$688,808$63,314
2022297544701.97$561,601$57,748
2021248490692.06$462,425$51,613
2020216437691.55$383,799$38,005
2019270592691.77$470,898$47,511
2018242539682.04$383,667$45,941
2017283517681.63$331,124$38,595
2016309495691.69$366,855$41,383
2015313519691.82$393,484$46,147
2014264443681.65$313,756$43,013
2013232366691.62$208,814$34,318

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: 17 services

Original Medicare services billed in 2023
New patient visit (60+ min)80$12,595$157
Long return visit (40+ min)81$10,726$122
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope49$5,153$105
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes36$4,305$120
Biopsy of large bowel using a flexible endoscope33$3,881$118
Removal of polyps or growths of large bowel using an endoscope with mechanical snare13$2,793$215
Imaging of digestive tract done from the inside of the digestive tract20$1,964$98
Initial hospital care with moderate level of medical decision making at least 75 minutes12$1,919$160
Study of esophagus to assess movement26$1,533$59
Return visit (30+ min)16$1,421$89
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope11$1,359$105
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$1,313$73
Monitoring and recording of esophageal function through a capsule attached to the esophagus wall16$1,245$73
New patient visit (45+ min)12$1,229$102
Monitoring and recording of esophageal function through nasal tube with electrode23$1,028$45
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito36$172$5
Measurement of hydrogen in breath to test for stomach and bowel symptoms11$144$9

2022: 13 services

Original Medicare services billed in 2022
Long return visit (40+ min)78$12,164$120
New patient visit (60+ min)56$8,573$153
Initial hospital care with moderate level of medical decision making at least 75 minutes28$4,905$175
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes28$3,432$123
Biopsy of large bowel using a flexible endoscope24$2,546$106
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope25$2,441$94
Imaging of digestive tract done from the inside of the digestive tract21$2,200$105
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope17$1,828$102
Study of esophagus to assess movement29$1,737$60
Return visit (30+ min)17$1,449$76
Monitoring and recording of esophageal function through a capsule attached to the esophagus wall12$888$74
Monitoring and recording of esophageal function through nasal tube with electrode14$634$45
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito25$103$4

2021: 13 services

Original Medicare services billed in 2021
Long return visit (40+ min)46$7,515$134
New patient visit (60+ min)47$7,339$156
Initial hospital care with moderate level of medical decision making at least 75 minutes23$4,256$185
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope30$3,262$99
Biopsy of large bowel using a flexible endoscope17$2,692$158
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes21$2,606$67
Return visit (30+ min)28$2,539$85
New patient visit (45+ min)21$2,536$121
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$2,036$127
Study of esophagus to assess movement25$1,513$61
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope15$1,386$92
Short return visit (20+ min)15$876$58
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito23$115$5

2020: 11 services

Original Medicare services billed in 2020
Long return visit (40+ min)66$7,915$101
New patient visit (60+ min)38$5,138$135
Return visit (30+ min)58$5,057$67
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope34$3,576$97
New patient visit (45+ min)26$2,661$102
Removal of polyps or growths of large bowel using an endoscope with mechanical snare11$2,615$238
Imaging of digestive tract done from the inside of the digestive tract18$2,182$121
Biopsy of large bowel using a flexible endoscope18$1,990$111
Study of esophagus to assess movement14$871$62
Monitoring and recording of esophageal function through nasal tube with electrode12$563$47
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito30$148$4

2019: 16 services

Original Medicare services billed in 2019
Return visit (30+ min)57$4,711$65
New patient visit (45+ min)38$4,271$112
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope29$3,145$108
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope34$3,056$85
Long return visit (40+ min)31$2,997$97
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$2,838$66
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$2,723$124
Study of esophagus to assess movement34$2,085$61
New patient visit (60+ min)11$1,658$151
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope12$1,380$106
Monitoring and recording of esophageal function through nasal tube with electrode23$1,071$47
Prolonged monitoring and recording of esophageal function through nasal tube with electrode13$686$53
Short return visit (20+ min)13$597$46
Measurement of hydrogen in breath to test for stomach and bowel symptoms30$294$9
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito28$126$4
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito18$88$5

2018: 13 services

Original Medicare services billed in 2018
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes62$7,577$122
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes44$5,230$65
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope34$3,282$94
Return visit (30+ min)42$3,038$66
Biopsy of large bowel using a flexible endoscope16$2,458$154
Return visit (30+ min)30$2,446$70
New patient visit (45+ min)19$2,168$114
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope20$2,167$103
Long return visit (40+ min)11$1,097$100
Long return visit (40+ min)11$1,086$99
Study of esophagus to assess movement16$976$61
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito28$130$5
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito14$71$5

2017: 14 services

Original Medicare services billed in 2017
Return visit (30+ min)70$6,183$65
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope40$4,450$109
New patient visit (45+ min)35$3,844$110
Long return visit (40+ min)35$3,441$96
Imaging of digestive tract done from the inside of the digestive tract21$3,326$145
Biopsy of large bowel using a flexible endoscope21$3,107$148
Study of esophagus to assess movement34$1,950$57
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,831$122
Short return visit (20+ min)27$1,202$41
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$1,166$65
Monitoring and recording of esophageal function through nasal tube with electrode13$584$45
Monitoring and recording of esophageal function through nasal tube11$506$46
Measurement of hydrogen in breath to test for stomach and bowel symptoms29$241$8
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito47$230$5

2016: 14 services

Original Medicare services billed in 2016
Imaging of digestive tract done from the inside of the digestive tract34$5,770$170
New patient visit (45+ min)39$4,236$109
Return visit (30+ min)48$3,746$67
Biopsy of large bowel using a flexible endoscope23$3,529$153
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope35$3,339$95
Study of esophagus to assess movement49$2,798$56
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes19$2,430$121
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$1,993$64
Long return visit (40+ min)16$1,585$88
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope12$1,298$108
Short return visit (20+ min)22$1,003$46
Study of rectum sensitivity and function13$957$74
Monitoring and recording of esophageal function through nasal tube15$648$43
Measurement of hydrogen in breath to test for stomach and bowel symptoms51$472$9

2015: 13 services

Original Medicare services billed in 2015
Imaging of digestive tract done from the inside of the digestive tract35$6,158$176
New patient visit (45+ min)46$5,192$113
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope39$4,343$109
Return visit (30+ min)54$4,207$68
Study of esophagus to assess movement63$3,955$62
Long return visit (40+ min)38$3,763$90
Biopsy of large bowel using a flexible endoscope19$3,415$180
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes18$2,197$122
Study of rectum sensitivity and function17$1,378$81
Monitoring and recording of esophageal function through nasal tube25$1,146$46
Short return visit (20+ min)18$820$46
Prolonged monitoring and recording of esophageal function through nasal tube with electrode14$745$53
Measurement of hydrogen in breath to test for stomach and bowel symptoms42$395$9

2014: 12 services

Original Medicare services billed in 2014
New patient visit (45+ min)45$4,938$110
Return visit (30+ min)53$4,755$67
Imaging of digestive tract done from the inside of the digestive tract26$4,576$176
Biopsy of large bowel using a flexible endoscope20$4,227$211
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes33$4,016$122
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope35$3,840$110
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes24$3,010$64
Study of esophagus to assess movement31$1,913$62
Long return visit (40+ min)16$1,677$93
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope12$1,253$104
Study of rectum sensitivity and function11$843$77
Measurement of hydrogen in breath to test for stomach and bowel symptoms27$240$9

2013: 9 services

Original Medicare services billed in 2013
Return visit (30+ min)46$4,261$65
Imaging of digestive tract done from the inside of the digestive tract25$4,209$156
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope26$3,515$130
Long return visit (40+ min)35$3,468$83
New patient visit (45+ min)35$3,359$96
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$3,083$119
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes19$1,428$62
Study of rectum sensitivity and function18$1,409$78
Measurement of hydrogen in breath to test for stomach and bowel symptoms31$294$9

Medicaid work

$2,515 in 2023

Medicaid paid $2,515 for 43 billed services this clinician did in 2023, up to 16 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
Long return visit (40+ min)43$2,515
Medicaid work by year
202343116$2,515

Drugs they prescribed that Part D paid

$211,183

Pharmacies billed $211,183 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 432) in 2024. At or below the middle of the specialty; the typical internal medicine clinician is at 1%.

288 generic and 144 brand-name prescriptions · $211,183 in drug cost.

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
Dupixent15$79,519$5,301
Creon21$38,068$1,813
Motegrity24$26,679$1,112
Linzess38$25,774$678
Omeprazole92$1,660$18
See all 11 drugs
Every Part D drug this clinician prescribed
Dupixent15$79,519$5,301
Creon21$38,068$1,813
Motegrity24$26,679$1,112
Linzess38$25,774$678
Omeprazole92$1,660$18
Famotidine45$847$19
Peg 3350-Electrolyte32$644$20
Pantoprazole13$259$20
Gavilyte-G15$223$15
Nortriptyline17$221$13
Peg-3350 and Electrolytes11$190$17

Year by year

Part D prescribing by year
20244321460% (0)33%$211,183
20234241500% (0)22%$110,483
20223991140% (0)None$80,051
20213561000% (0)None$86,427
20204711260% (0)None$107,734
20193421020% (0)None$50,967
2018349870% (0)16%$37,508
20174121300% (0)None$51,654
2016278860% (0)None$20,878
2015400950% (0)None$27,620
201433483NoneNone$20,738
201333882None20%$34,541

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

See the drugs prescribed each year

2023: 10 drugs

Part D drugs prescribed in 2023
Creon16$36,134$2,258
Linzess26$20,708$796
Lubiprostone17$2,583$152
Omeprazole94$2,039$22
Famotidine47$1,323$28
Peg 3350-Electrolyte30$678$23
Gavilyte-G22$363$16
Buspirone11$357$32
Nortriptyline29$320$11
Pantoprazole15$288$19

2022: 11 drugs

Part D drugs prescribed in 2022
Creon16$38,980$2,436
Linzess27$13,648$505
Esomeprazole Magnesium16$4,068$254
Lubiprostone15$2,589$173
Omeprazole77$1,522$20
Famotidine43$1,058$25
Peg 3350-Electrolyte28$601$21
Pantoprazole35$318$9
Ondansetron Odt11$232$21
Gabapentin12$127$11
Nortriptyline11$104$9

2021: 7 drugs

Part D drugs prescribed in 2021
Creon13$26,196$2,015
Linzess20$12,814$641
Esomeprazole Magnesium17$2,164$127
Omeprazole101$2,139$21
Famotidine39$1,080$28
Pantoprazole38$605$16
Peg 3350-Electrolyte11$167$15

2020: 9 drugs

Part D drugs prescribed in 2020
Xifaxan12$19,402$1,617
Linzess18$13,873$771
Trulance14$10,671$762
Esomeprazole Magnesium35$7,437$212
Omeprazole97$1,671$17
Famotidine56$1,212$22
Pantoprazole37$573$15
Buspirone15$265$18
Gavilyte-G17$245$14

2019: 7 drugs

Part D drugs prescribed in 2019
Amitiza19$8,826$465
Omeprazole67$845$13
Ranitidine31$520$17
Pantoprazole36$459$13
Famotidine19$418$22
Gabapentin11$237$22
Gavilyte-G12$175$15

2018: 9 drugs

Part D drugs prescribed in 2018
Linzess15$6,709$447
Polyethylene Glycol 335020$1,158$58
Omeprazole48$837$17
Pantoprazole38$728$19
Ranitidine61$576$9
Loperamide14$351$25
Gabapentin15$165$11
Famotidine14$164$12
Gavilyte-G13$150$12

2017: 11 drugs

Part D drugs prescribed in 2017
Linzess27$9,646$357
Amitiza11$3,870$352
Polyethylene Glycol 335014$2,004$143
Pantoprazole42$837$20
Omeprazole70$787$11
Loperamide15$380$25
Ranitidine36$352$10
Gabapentin24$262$11
Peg 3350-Electrolyte15$203$14
Gavilyte-N11$202$18
Peg-3350 and Electrolytes13$198$15

2016: 6 drugs

Part D drugs prescribed in 2016
Pantoprazole37$518$14
Omeprazole54$479$9
Gabapentin18$396$22
Ranitidine27$268$10
Baclofen12$158$13
Dicyclomine12$93$8

2015: 9 drugs

Part D drugs prescribed in 2015
Ondansetron11$2,808$255
Omeprazole85$870$10
Pyridostigmine11$615$56
Gabapentin30$562$19
Polyethylene Glycol 335011$556$51
Pantoprazole37$497$13
Ranitidine42$345$8
Peg 3350-Electrolyte18$314$17
Nortriptyline18$185$10

2014: 9 drugs

Part D drugs prescribed in 2014
Nexium16$5,149$322
Omeprazole69$1,237$18
Gabapentin31$683$22
Polyethylene Glycol 335024$536$22
Pantoprazole27$334$12
Nortriptyline23$334$15
Pyridostigmine13$322$25
Ranitidine24$209$9
Famotidine21$182$9

2013: 9 drugs

Part D drugs prescribed in 2013
Nexium15$7,028$469
Omeprazole43$1,123$26
Pantoprazole24$713$30
Polyethylene Glycol 335024$676$28
Gabapentin13$407$31
Nortriptyline38$346$9
Dicyclomine13$252$19
Ranitidine18$204$11
Famotidine16$196$12

Money from drug and device companies

$72 in 2025

Industry payments by year
202523None$72
202411None$134
202311None$129
202016None$1,545

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Boston ScientificGeneral - Gi Dilatation$43
2 payments
  • Meals for General - Gi Dilatation · 2025-05-09 · $25
  • Meals for General - Gi Dilatation · 2025-05-09 · $18
Mauna Kea TechnologiesNone$29
1 payment
  • Meals · 2025-07-21 · $29
See all 3 published payments
Every published payment
Mauna Kea TechnologiesMeals · 2025-07-21None$29
Boston ScientificMeals · 2025-05-09General - Gi Dilatation$25
Boston ScientificMeals · 2025-05-09General - Gi Dilatation$18
See earlier years (2024, 2023, 2020)

2024: $134

Payments by company in 2024
AnX RoboticaNone$134
1 payment
  • Meals · 2024-01-17 · $134

2023: $129

Payments by company in 2023
AnX RoboticaNone$129
1 payment
  • Meals · 2023-06-09 · $129

2020: $1,545

Payments by company in 2020
Adare PharmaceuticalsNone$1,545
6 payments
  • Travel · 2020-02-14 · $82
  • Meals · 2020-02-14 · $46
  • Travel · 2020-01-11 · $875
  • Travel · 2020-01-11 · $220
  • Meals · 2020-01-11 · $170
  • Meals · 2020-01-09 · $152

Research money

Money a company paid to run a study. Where it went to their institution, the clinician is named as an investigator and did not receive it; the amount covers the whole study, often across many sites.

Research payments by company and study
ImmunogenX, Inc. · A Clinical Study of Latiglutenase As A Treatment for Symptom Reduction for Celiac Disease · 2023Their institution$180,002
Takeda Pharmaceuticals U.S.A., Inc. · A Study of Tak-062 in Treatment of Active Celiac Disease in Participants Attempting A Gluten-Free Diet · 2023Their institution$50,144
Takeda Pharmaceuticals U.S.A., Inc. · A Study of Tak-062 in Treatment of Active Celiac Disease in Participants Attempting A Gluten-Free Diet · 2024Their institution$23,268
Regeneron Pharmaceuticals, Inc. · A Phase 3, Randomized, 3-Part Study To Investigate the Efficacy and Safety of Dupilumab in Adult and Adolescent Patients With Eosinophilic Esophagitis Eoe · 2019Their institution$21,017
Takeda Pharmaceuticals U.S.A., Inc. · A Study of Tak-062 in Treatment of Active Celiac Disease in Participants Attempting A Gluten-Free Diet · 2025Their institution$2,974

Professional record

NPI
1972678639
Licence
CA A109586California A109586: Current · expires 2027-03-31
Trained
Albert Einstein College of Medicine of Yeshiva University, 2002
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RG0100X (207RG0100X)
Mailing address
300 Pasteur Dr, Palo Alto, CA, 94304
NPI first listed
2006-11-21
NPI last updated
2024-04-29
NPI record certified
2024-04-29

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