Joshua Nackenson, MD

2 locations · Emergency Physicians Associates Fremont PC · Emergency Physicians Associates San Jose PC

Hospitals listed: Santa Clara Valley Medical Center · Washington Hospital. That is not proof they admit you there this week.

1 licence

• Texas R4604Physician License · since 2017 · expires 2024-11-30
  Canc Non-RenewalNo 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.

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

• Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
  Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
• Washington HospitalFremont, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of Washington Hospital Healthcare SystemPatients rate it 3 of 5 · 71% would definitely recommend it
  Overall rating: 2 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.188, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.164, Oct 2024 – Sep 2025

$59,217

Medicare paid this office $59,217 for 387 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Who their Medicare patients are

387 Original Medicare patients in 2024. Average age 73 · Under 65 20% · 85 and older 24% · Women 55% · Also on Medicaid 67% · Health risk score 2.61. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Diabetes 59% · Coronary heart disease 43% · Chronic kidney disease 42% · Heart failure 39% · Atrial fibrillation 32% · Depression 32% · COPD 27% · Dementia 23% · Stroke 18% · Cancer 13%.

The office billed $487,263, Medicare allowed $78,376 and paid $59,217; for 584 services of 34 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

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.

$86,534 in 2024

Medicaid paid $86,534 for 2,286 billed services this clinician did in 2024, up to 119 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.

$2,387

Pharmacies billed $2,387 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

159 generic and fewer than 11 brand-name prescriptions · $2,387 in drug cost · 44 antibiotic prescriptions to 39 people.

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.

Year by year

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

$80 in 2019

A payment is not proof that care is biased.

NPI

1033573498

Licence

TX R4604Texas R4604: Canc Non-Renewal

Trained

University of Miami, Lm Miller School of Medicine, 2016

Group

Emergency Physicians Associates Fremont PC · Emergency Physicians Associates San Jose PC

Gender

Male