Eric Applegate, PT
Physical Therapist in Private Practice · Santa Clara
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- 19
- 7 carriers
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location · Richard P Carr Physical Therapy Inc · 28 clinicians in this group
Plans that list them
19 plans · 7 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Eric Applegate’s office at (408) 247-7278 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
19 of 19 plans
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Prime (HMO-POS) | Anthem Blue Cross Partnership Plan | Listed | Oct 3, 2026 |
| Astiva Health C-SNP WOW - NorCal (HMO C-SNP) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Premier Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Savings Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Blue Shield Inspire (HMO) | Blue Shield of California | Listed | Aug 26, 2026 |
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
Original Medicare doctor bills
$8,784
Medicare paid this office $8,784 for 31 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using functional activities | 25 | $3,526 | $32 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 27 | $1,837 | $21 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 20 | $1,532 | $24 |
| Evaluation for physical therapy, typically 20 minutes | 11 | $1,021 | $93 |
| Therapy procedure using manual technique, each 15 minutes | 14 | $670 | $19 |
Who their Medicare patients are
31 Original Medicare patients in 2024. Average age 72 · Health risk score 0.93. At or below the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.
Conditions among them: High blood pressure 58% · Diabetes 35%.
The office billed $22,176, Medicare allowed $11,116 and paid $8,784; for 320 services of 8 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.
Medicaid work
$251 in 2024
Medicaid paid $251 for 93 billed services this clinician did in 2024, up to 13 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.
| THERAPEUTIC EXERCISES | 44 | $88 |
| Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities | 15 | $86 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 34 | $78 |
| 2024 | 93 | 3 | 13 | $251 |
Professional record
- NPI
- 1013550029
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 225100000X (225100000X); Federal specialty code 106S00000X (106S00000X)
- Mailing address
- 2488 De La Cruz Blvd, Santa Clara, CA, 95050
- NPI first listed
- 2019-10-22
- NPI last updated
- 2024-08-31
- NPI record certified
- 2024-08-31
This is when the NPI record was last certified, not a medical board exam.