Dr. Nathan Richard Silvestri, MD
- Medicare services, 2024
- 991
- Medicare patients, 2024
- 642
- Part D claims, 2024
- 370
- MIPS score, 2024
- 97
- Hospital affiliations
- 3
- Practice address
- 6501 Coyle Ave, Carmichael, CA 95608
- Practice phone
- Call (916) 537-5000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Find Dr. Silvestri's professional email, personal email and mobile number
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Dr. Nathan Richard Silvestri is an emergency medicine physician in Carmichael, California
Dr. Silvestri practices at Dignity Health - Mercy San Juan Medical Center in Carmichael, California, part of CommonSpirit Health.
Dr. Silvestri's NPI, 1124447321, was assigned on April 15, 2014. Dr. Silvestri graduated from Loma Linda University School Of Medicine in 2014. Dr. Silvestri holds California license A137906.
- NPI
- 1124447321NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5890064182
- NPI enumeration date
- April 15, 2014
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (916) 537-5000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 38
- Medical school graduation
- 2014
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Nathan Richard Silvestri practices at Dignity Health - Mercy San Juan Medical Center in Carmichael, California
Dr. Silvestri's primary practice is Dignity Health - Mercy San Juan Medical Center, at 6501 Coyle Ave, Carmichael, CA 95608 in Sacramento County. The practice phone is (916) 537-5000.
- Dignity Health - Mercy San Juan Medical Center6501 Coyle Ave, Carmichael, CA 95608 · Sacramento CountyPhone(916) 537-5000
Source: Dmand AI Affiliation Data
Dr. Nathan Richard Silvestri is affiliated with 3 sites of care and 3 medical groups
Dr. Silvestri's primary practice is Dignity Health - Mercy San Juan Medical Center in Carmichael, California, part of CommonSpirit Health. Dr. Silvestri is also affiliated with Loma Linda University Medical Center. The medical group on file is Vituity. Dmand AI also links Dr. Silvestri to 1 more hospital and 2 medical groups, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Nathan Richard Silvestri's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Silvestri practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Dignity Health - Mercy San Juan Medical Center | Available with a free account |
| +2 more sites and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Nathan Richard Silvestri is one of 7,423 emergency medicine physicians in California
Emergency medicine is Dr. Silvestri's primary specialty in the NPI Registry, under taxonomy code 207P00000X. Dr. Silvestri is board certified in emergency medicine by the American Board of Emergency Medicine. Dr. Silvestri is licensed in California.
Specialties and state licenses
- Emergency medicine, CaliforniaPrimary
Emergency medicine physicians near Dr. Silvestri
Counts of emergency medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Nathan Richard Silvestri billed Medicare for 991 services in 2024
CMS data shows 991 Medicare services from Dr. Silvestri across 7 procedure codes in 2024, for 642 Medicare patients. Medicare paid $96,773 for them. Every service was in a facility, such as a hospital, rather than an office.
Dr. Silvestri's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 6332024: 6421%
- Tests and treatments
- 2023: 2782024: 30811%
- Surgery
- 2023: 02024: 29
- Imaging
- 2023: 02024: 12
Dr. Silvestri compared with the California median for emergency medicine physicians, 2024
- Dr. Silvestri
- California median
- Medicare services
- 991vs 2653.7 times
- Medicare patients
- 642vs 2432.6 times
- Part D claims
- 199vs 623.2 times
Medians across 7,079 emergency medicine physicians in California with Dmand AI profiles that report each measure.
Dr. Silvestri's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Nathan Richard Silvestri treated 642 Medicare patients in 2024, average age 74
CMS counts 642 Medicare patients who saw Dr. Silvestri in 2024. The largest group is 65 to 74, with 233 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 54% are also on Medicaid. Their average risk score is 2.09, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Silvestri's median patient age at 41, with 56% women.
Dr. Silvestri's Medicare patients by age, 2024
Dr. Silvestri's Medicare patients by sex, 2024
- Women38460%
- Men25840%
Chronic conditions among Dr. Silvestri's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis56%
- Mood disorders43%
- Diabetes41%
- Anxiety39%
- Ischemic heart disease39%
- Depression38%
Share of Medicare patients with each condition. A patient can have several.
Dr. Silvestri's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 41
Patient panel by sex, all payers
- Women56%
- Men43%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Nathan Richard Silvestri wrote 370 Medicare Part D claims in 2024
In 2024, Dr. Silvestri wrote 370 Medicare Part D claims for 225 patients. 92% of them were for generic drugs. CMS names the drug for 199 of them, across 10 drugs with 11 or more claims each, at $1,325 in total drug cost. In 2023, CMS named 152 claims across 8 drugs.
Dr. Silvestri's Part D claims by kind of drug, 2024
- Generic342 claims92%
- Brand-name28 claims8%
Dr. Silvestri's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Silvestri's Part D claims, 2024
- Opioids6%23 of 370 claims
- Antibiotics32%119 of 370 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1522024: 19931%
Drugs named by CMS: 10 in 2024, 8 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Nathan Richard Silvestri scored 97 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 97 out of 100 for Dr. Silvestri for performance year 2024, reported as part of a group. Dr. Silvestri accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Silvestri's MIPS scores, performance year 2024
- 97of 100Final score
- 90of 100Quality
- 40of 100Improvement Activities
- 78of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Nathan Richard Silvestri received $20 in industry payments in 2024
CMS Open Payments shows 1 general payment to Dr. Silvestri from 1 drug or device company in 2024. Food and beverage make up the largest share, 100% of the total. Abbvie Inc. paid the most, $20.
Companies that paid Dr. Silvestri the most, 2024 to 2024
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Nathan Richard Silvestri graduated from Loma Linda University School Of Medicine
Dr. Silvestri graduated from Loma Linda University School Of Medicine in 2014.
- Medical school
- Board certified in emergency medicine
Source: Dmand AI Professional Profile Data
Dr. Nathan Richard Silvestri accepts plans from 6 insurance carriers
Dr. Silvestri is in network with 6 carriers, including United Healthcare, Blue Cross and Blue Shield of Kansas City and CMS Medicare. PPO plans come from the most carriers, 3. Check the plan with the practice before a visit.
- United Healthcare
- Blue Cross and Blue Shield of Kansas City
- CMS Medicare
- DentaQuest
- HCSC
- NV State Medicaid
Plan types Dr. Silvestri accepts, by number of carriers
- PPO3
- Medicare2
- EPO1
- HMO1
- Medicaid1
- POS1
Source: Dmand AI Insurance Network Data
Sources for Dr. Nathan Richard Silvestri's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Nathan Richard Silvestri
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Nathan Richard Silvestri's NPI number?
Dr. Nathan Richard Silvestri's NPI number is 1124447321. It was assigned on April 15, 2014, and it is active in the NPI Registry.
What kind of doctor is Dr. Nathan Richard Silvestri?
Dr. Nathan Richard Silvestri is an emergency medicine physician in Carmichael, California. The primary specialty in the NPI Registry is Emergency Medicine Physician (taxonomy code 207P00000X).
Where does Dr. Nathan Richard Silvestri practice?
Dr. Silvestri practices at 6501 Coyle Ave, Carmichael, CA 95608. Dr. Silvestri's primary practice is Dignity Health - Mercy San Juan Medical Center in Carmichael, California, part of CommonSpirit Health. Dmand AI also links Dr. Silvestri to 1 hospital and 2 medical groups.
What is Dr. Nathan Richard Silvestri's office phone number?
The practice phone on file for Dr. Silvestri is (916) 537-5000.
What is Dr. Nathan Richard Silvestri's medical license number?
Dr. Silvestri holds California license A137906.
Which hospitals is Dr. Nathan Richard Silvestri affiliated with?
Dr. Silvestri practices at Dignity Health - Mercy San Juan Medical Center in Carmichael, California. Dr. Silvestri is also affiliated with Loma Linda University Medical Center. Dmand AI links Dr. Silvestri to 1 more hospital.
What medical group is Dr. Nathan Richard Silvestri part of?
Dr. Silvestri is linked to Vituity. Dmand AI links Dr. Silvestri to 2 more medical groups.
Does Dr. Nathan Richard Silvestri accept Medicare?
Yes. CMS data shows Dr. Silvestri billed Medicare for 991 services in 2024, and Dr. Silvestri accepts Medicare assignment.
What is Dr. Nathan Richard Silvestri's MIPS score?
Dr. Silvestri's MIPS final score for performance year 2024 is 97 out of 100, reported as part of a group.
How many Medicare patients does Dr. Nathan Richard Silvestri see?
CMS counts 642 Medicare patients who saw Dr. Silvestri in 2024, with an average age of 74.
Show 7 more questionsShow fewer questions
Is Dr. Nathan Richard Silvestri board certified?
Yes. Dr. Silvestri is board certified in emergency medicine by the American Board of Emergency Medicine.
What services does Dr. Nathan Richard Silvestri bill to Medicare?
In 2024, Dr. Silvestri's most billed Medicare services were emergency department visit (99285), heart test or procedure (93010) and critical care (99291).
Where did Dr. Nathan Richard Silvestri go to medical school?
Dr. Silvestri graduated from Loma Linda University School Of Medicine in 2014.
What drugs does Dr. Nathan Richard Silvestri prescribe most?
In 2024 Medicare Part D data, Dr. Silvestri's most prescribed drugs by claims were Cephalexin, Ibuprofen and Hydrocodone-Acetaminophen.
Has Dr. Nathan Richard Silvestri received payments from drug or device companies?
CMS Open Payments shows $20 in general payments to Dr. Silvestri from 1 company from 2024 to 2024. The largest total came from Abbvie Inc.
How long has Dr. Nathan Richard Silvestri been practicing?
Dr. Silvestri graduated from medical school in 2014, 12 years ago.
What insurance does Dr. Nathan Richard Silvestri accept?
Dr. Silvestri is in network with 6 carriers, including United Healthcare, Blue Cross and Blue Shield of Kansas City and CMS Medicare. PPO plans come from the most carriers, 3. Check the plan with the practice before a visit.
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