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Eric Applegate, PT

Physical Therapist in Private Practice · Santa Clara

NPI 1013550029

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

Looking this up.

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

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 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.

Largest Original Medicare bills
Therapy procedure using functional activities25$3,526$32
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes27$1,837$21
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20$1,532$24
Evaluation for physical therapy, typically 20 minutes11$1,021$93
Therapy procedure using manual technique, each 15 minutes14$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.

Largest Medicaid services in 2024
THERAPEUTIC EXERCISES44$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 activities15$86
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes34$78
Medicaid work by year
202493313$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.