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Home > CA Providers > Neurosurgeons

Dr. Vivek P. Buch, MD

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Specializes in: Neurosurgery

Brown University, Alpert Medical School

Professional interests include: epilepsy, deep brain stimulation (DBS), essential tremor , and more.

213 Quarry Road 1st Floor
Palo Alto, CA 94304

(650) 725-5792

Dr. Vivek P. Buch, MD is a neurosurgeon in Palo Alto, CA specializing in neurosurgery. He graduated from Brown University, Alpert Medical School. Dr. Vivek P. Buch, MD is affiliated with Stanford Medicine Children's Health and Stanford Health Care.

Office Locations

Stanford Medicine Children's Health

213 Quarry Road 1st Floor
Palo Alto, CA 94304

(650) 725-5792

(650) 725-5032

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Some issues Dr. Vivek P. Buch, MD can help you with:

Deep Brain Stimulation (DBS)

Deep brain stimulation (DBS) is a procedure performed to help treat neurological conditions such as Parkinson's disease and epilepsy. Electrode leads are surgically implanted in the brain and connected to a device, called a neurostimulator (deep brain stimulator), that is placed underneath the skin (subcutaneously). The deep brain stimulator can send electrical signals through the electrodes to the brain to restore normal rhythms, or it can block electrical signals in specific areas of the brain to restore functioning. Although not a cure, DBS can treat symptoms of movement disorders such as pain and tremor when medication fails to work.

DBS surgery may be completed in one operating session, but it is more commonly performed in two parts. In the first stage of the procedure, the surgeon will map targets in the brain using CT or MRI imaging to determine where to place the electrodes. Then, by drilling holes into the skull, the surgeon will place the electrodes into specific areas in the brain. The holes will be closed, and patients will require 1-2 days to recover in the hospital. After about two weeks, patients will undergo another surgery to have the deep brain stimulator implanted. The stimulator is usually placed under the skin around the collarbone, chest, or abdomen, and it will be connected to the DBS electrodes through a subcutaneous wire. No component of the DBS system will be visible from outside. Following stimulator implantation, patients may need to recover in the hospital for 1-2 days.

Within 2-4 weeks of the operation, doctors will program the stimulator using a wireless device. Patients will work with their doctor to determine the most effective settings for the stimulator during follow-up visits. Patients will be given a handheld device so that they can turn the stimulator on or off and adjust its settings themselves. The stimulator may have a rechargeable battery, in which case patients will be given a charging unit. Stimulator batteries generally need to be replaced in 3-5 years.

Noteworthy Medicare Patient Procedures Performed by Dr. Vivek P. Buch, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 25%

By Volume:

cranial neurostimulator implantation

deep brain stimulation lead implantation

neurostimulator replacement

In 2013, Dr. Vivek P. Buch, MD performed more cranial neurostimulator implantation, deep brain stimulation (DBS) lead implantation, and neurostimulator replacement procedures for Medicare patients than 75% of providers in related specialties within California.

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Vivek P. Buch, MD treated as a neurosurgeon in Palo Alto, CA during 2020 were neurostimulator lead placement and cranial surgery.

Volume of procedures performed by Dr. Vivek P. Buch, MD for Medicare patients.

cranial surgery	18
neurostimulator lead placement	18

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Vivek P. Buch, MD.

**Gender**
Male	12
Female	14

Conditions of Medicare patients treated by Dr. Vivek P. Buch, MD in 2020

The most common conditions of Medicare patients that Dr. Vivek P. Buch, MD treated during 2020 were high cholesterol, depression and hypertension.

Hypertension	58
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	0
Depression	62
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Vivek P. Buch, MD treated as a neurosurgeon in Palo Alto, CA during 2021 were neurostimulator lead placement, cranial surgery, neurostimulator replacement and implant surgery.

Volume of procedures performed by Dr. Vivek P. Buch, MD for Medicare patients.

cranial surgery	20
doctor visit	49
hospital care	13
implant surgery	18
inpatient care	13
neurostimulator lead placement	20
neurostimulator replacement	18

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Vivek P. Buch, MD.

**Gender**
Male	71
Female	39

**Ethnicity**
Non-Hispanic White	82
Black	0
Hispanic	15
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	40
From 75 to 84	33
85 and over	11
Less than 65	26

Conditions of Medicare patients treated by Dr. Vivek P. Buch, MD in 2021

The most common conditions of Medicare patients that Dr. Vivek P. Buch, MD treated during 2021 were hypertension, high cholesterol, depression and chronic kidney disease.

Hypertension	60
High Cholesterol	48
Stroke	13
Ischemic Heart Disease	27
Depression	34
Chronic Kidney Disease	30
Asthma	0
Osteoperosis	14
Atrial Fibrilation	10
Heart Failure	14
Chronic Obstructive Pulmonary Disease	0
Diabetes	19
Dementia	27
Cancer	0

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Vivek P. Buch, MD treated as a neurosurgeon in Palo Alto, CA during 2022 were neurostimulator replacement, implant surgery, neurostimulator lead placement and cranial surgery.

Volume of procedures performed by Dr. Vivek P. Buch, MD for Medicare patients.

cranial surgery	26
doctor visit	155
implant surgery	28
neurostimulator lead placement	26
neurostimulator replacement	28

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Vivek P. Buch, MD.

**Gender**
Male	88
Female	71

**Ethnicity**
Non-Hispanic White	119
Black	0
Hispanic	0
Asian	17
Other	0
Native American	0

**Age**
From 65 to 74	59
From 75 to 84	55
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Vivek P. Buch, MD in 2022

The most common conditions of Medicare patients that Dr. Vivek P. Buch, MD treated during 2022 were hypertension, high cholesterol, depression and ischemic heart disease.

Hypertension	64
High Cholesterol	62
Stroke	14
Ischemic Heart Disease	24
Depression	34
Chronic Kidney Disease	18
Asthma	13
Osteoperosis	18
Atrial Fibrilation	20
Heart Failure	11
Chronic Obstructive Pulmonary Disease	11
Diabetes	21
Dementia	13
Cancer	17

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Vivek P. Buch, MD treated as a neurosurgeon in Palo Alto, CA during 2023 were neurostimulator replacement, implant surgery, neurostimulator lead placement and cranial surgery.

Volume of procedures performed by Dr. Vivek P. Buch, MD for Medicare patients.

cranial surgery	28
doctor visit	115
implant surgery	31
neurostimulator lead placement	28
neurostimulator replacement	31

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Vivek P. Buch, MD.

**Gender**
Male	80
Female	72

**Ethnicity**
Non-Hispanic White	104
Black	0
Hispanic	21
Asian	13
Other	0
Native American	0

**Age**
From 65 to 74	58
From 75 to 84	56
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Vivek P. Buch, MD in 2023

The most common conditions of Medicare patients that Dr. Vivek P. Buch, MD treated during 2023 were high cholesterol, hypertension, depression and ischemic heart disease.

Hypertension	64
High Cholesterol	69
Stroke	11
Ischemic Heart Disease	26
Depression	41
Chronic Kidney Disease	16
Asthma	14
Osteoperosis	15
Atrial Fibrilation	13
Heart Failure	14
Chronic Obstructive Pulmonary Disease	9
Diabetes	20
Dementia	13
Cancer	16

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2020 - 2023

Volume of procedures performed by Dr. Vivek P. Buch, MD for Medicare patients.

The highest averages for the top procedures that Dr. Vivek P. Buch, MD treated as a neurosurgeon in Palo Alto, CA were neurostimulator replacement, implant surgery, neurostimulator lead placement and cranial surgery.

cranial surgery	23
doctor visit	106
hospital care	13
implant surgery	25
inpatient care	13
neurostimulator lead placement	23
neurostimulator replacement	25

Average Medicare Patient Data From 2020 - 2023

Information about Medicare patients treated by Dr. Vivek P. Buch, MD.

**Gender**
Male	62
Female	49

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	7
Non-Hispanic White	76
Native American / Alaskan Native	0
Hispanic	9
Other	0

**Age**
75 to 84	36
85 and over	2
Less than 65	6
65 to 74	39

Average of Total of Conditions of Medicare patients treated by Dr. Vivek P. Buch, MD From 2020 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Vivek P. Buch, MD treated were high cholesterol, hypertension, depression and ischemic heart disease.

Hypertension	61
High Cholesterol	63
Stroke	9
Ischemic Heart Disease	19
Depression	42
Chronic Kidney Disease	16
Asthma	6
Osteoporosis	11
Heart Failure	9
Chronic Obstructive Pulmonary Disease	5
Diabetes	15
Atrial Fibrillation	10
Dementia	13
Cancer	8

Education & Training

Dr. Vivek P. Buch, MD graduated from Brown University, Alpert Medical School. He completed residency at University of Pennsylvania Affiliated Hospitals. He is certified by the American Board of Neurological Surgery, Neurological Surgery and has a state license in California.

Medical School: Brown University, Alpert Medical School

Residency: University of Pennsylvania Affiliated Hospitals

Board Certification: American Board of Neurological Surgery, Neurological Surgery

Licensed In: California

Affiliations & Hospitals

Dr. Vivek P. Buch, MD is associated with these hospitals and organizations:

Stanford Medicine Children's Health

Stanford Health Care

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General Payments

These charts describe general payments received by Dr. Vivek P. Buch, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Boston Scientific Corporation	$13,760 VERCISE $10,331	$3,429
ClearPoint Neuro, Inc.	$1,393 CLEARPOINT $1,393
NeuroPace, Inc.	$201 RNS Neurostimulator Kit $201
InSightec,Inc	$117 Exablate $117
Medtronic, Inc.	$36 PERCEPT PC BRAINSENSE $36

**Types of Payments**
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$11,500
Food and Beverage	$2,341
Travel and Lodging	$1,666

Research Payments

Dr. Vivek P. Buch, MD has received 12 research payments totaling $113,083.

Biography

Dr. Vivek Buch is a neurosurgery specialist. He speaks Gujarati. Clinical interests for Dr. Buch include parkinson's disease, neurosurgery, and essential tremor. Dr. Buch is affiliated with Stanford Medicine Children's Health and Stanford Health Care. He attended medical school at Brown University, Alpert Medical School. Dr. Buch trained at a hospital affiliated with the University of Pennsylvania for residency. He has received distinctions including "Rookie of the Year" Influencers of Healthcare Nomination, Philadelphia Inquirer; 2nd Place Overall Abstract Award, North American Neuromodulation Society; and Alpha Omega Alpha Selection, Medical National Honor Society.