Shivali DO Gupta, DO
Orthopedic Surgery · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 11
- 3 carriers
- Office
- 1
Offices
1 location · James Petros MD Inc · 21 clinicians in this group
Plans that list them
11 plans · 3 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Gupta’s office at (408) 528-8833 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
11 of 11 plans
| Aetna Medicare Eagle (PPO) | Aetna Medicare | Listed | Sep 8, 2026 |
| Aetna Medicare Enhanced (PPO) | Aetna Medicare | Listed | Sep 8, 2026 |
| Alignment Health Harmony (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health the ONE (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
State licence records
1 licence
- Washington DO.OP.61408334Osteopathic Physician & Surgeon License · since 2023 · expires 2027-09-03ActiveNo board action on this licenceCheck it with the state
We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.
Original Medicare doctor bills
$3,851
Medicare paid this office $3,851 for 41 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| New patient visit (45+ min) | 13 | $1,452 | $112 |
| Return visit (30+ min) | 13 | $1,061 | $76 |
Who their Medicare patients are
41 Original Medicare patients in 2024. Average age 71 · Women 49% · Health risk score 1.02. At or below the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.
Conditions among them: High blood pressure 68%.
The office billed $15,944, Medicare allowed $5,160 and paid $3,851; for 46 services of 9 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
| 2024 | 41 | 46 | 71 | 1.02 | $15,944 | $3,851 |
| 2023 | 35 | 42 | 71 | 1.12 | $14,405 | $3,446 |
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.
Drugs they prescribed that Part D paid
$908
Pharmacies billed $908 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 37% of their Part D prescriptions (11 of 30) in 2024. Too few prescriptions to compare fairly with other clinicians.
29 generic and fewer than 11 brand-name prescriptions · $908 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.
| Ondansetron | 12 | $121 | $10 |
| Oxycodone | 11 | $20 | $2 |
Year by year
| 2024 | 30 | 16 | 37% (11) | None | $908 |
| 2023 | 33 | 13 | 42% (14) | None | $554 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 1 drug
| Oxycodone | 12 | $46 | $4 |
Money from drug and device companies
$1,204 in 2023
| 2023 | 2 | 6 | None | $1,204 |
| 2022 | 4 | 5 | None | $1,491 |
| 2021 | 2 | 5 | None | $2,595 |
| 2020 | 1 | 1 | None | $12 |
| 2019 | 3 | 12 | None | $9,905 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Stryker | Prostep | $1,185 | 5 payments
|
| DePuy Synthes Sales | Teligen | $18 | 1 payment
|
See all 6 published payments
| Stryker | Travel · 2023-10-20 | Prostep | $200 |
| Stryker | Meals · 2023-10-20 | Prostep | $10 |
| Stryker | Meals · 2023-10-19 | Prophecy | $106 |
| Stryker | Travel · 2023-10-19 | Prostep | $200 |
| Stryker | Travel · 2023-10-04 | Prostep | $670 |
| DePuy Synthes Sales | Meals · 2023-02-08 | Teligen | $18 |
See earlier years (2022, 2021, 2020, 2019)
2022: $1,491
| Goode Surgical | None | $1,240 | 2 payments
|
| Amgen | Evenity | $122 | 1 payment
|
| Smith+Nephew | Trigen Intertan | $87 | 1 payment
|
| Stryker | Asnis | $42 | 1 payment
|
2021: $2,595
| Goode Surgical | None | $2,426 | 4 payments
|
| Stryker | T2 | $169 | 1 payment
|
2020: $12
| Bioventus | Exogen | $12 | 1 payment
|
2019: $9,905
| Goode Surgical | None | $9,748 | 10 payments
|
| Stryker | Collagen Meniscal Implant | $140 | 1 payment
|
| Bioventus | Exogen | $17 | 1 payment
|
Professional record
- NPI
- 1023509502
- Licence
- WA OP61408334Washington DO.OP.61408334: Active
- Trained
- Rocky Vista University College of Osteopathic Med, 2018
- Group
- James Petros MD Inc
- Gender
- Female
More record details
- Sole proprietor
- Yes
- Taxonomy
- Orthopedic surgery (207X00000X); Federal specialty code 207XX0004X (207XX0004X)
- Mailing address
- 1604 Blossom Hill Rd Ste 10, San Jose, CA, 95124
- NPI first listed
- 2018-05-21
- NPI last updated
- 2026-05-26
- NPI record certified
- 2026-05-26
This is when the NPI record was last certified, not a medical board exam.