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Nitin K Prabhakar, MD

Physical Medicine and Rehabilitation · San Jose

NPI 1043700735

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
2
1 carrier
Offices
2

Offices

2 locations · James Petros MD Inc · County of San Mateo

Looking this up.

Hospitals listed: San Mateo Medical Center. That is not proof they admit you there this week.

Plans that list them

2 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Prabhakar’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Aetna Medicare Eagle (PPO)Aetna MedicareListedSep 8, 2026
Aetna Medicare Enhanced (PPO)Aetna MedicareListedSep 8, 2026

California Medical Board record

Licence A164044 · Current

Licensed to practise in California · since 2019 · expires 2027-08-31 · University of Arizona College of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

1 hospital

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

  • San Mateo Medical CenterSan Mateo, CAAcute Care Hospital · Government - Local · Has an emergency departmentPart of San Mateo County HealthPatients rate it 3 of 5 · 68% would definitely recommend it
    No overall ratingNo measure marked better or worse than the national rate
See every measure and the patient survey for San Mateo Medical Center

Behind the star rating — Deaths: 0 better, 2 the same, 0 worse of 2 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 0 better, 3 the same, 0 worse of 3 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at San Mateo Medical Center
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.34 (0.25 to 2.43) · 45 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.97 (0.48 to 1.47)No differentJul 2022 – Jun 2024
Death rate for pneumonia patientsComplications and deaths13.9 · 25 casesNoneJul 2022 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.6 · 258 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.21 (0 to 0.44) · 379 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 381 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.44 (0.82 to 6.05) · 57 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.64 (0.92 to 4.37) · 57 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.53 (0 to 1.76) · 296 casesNo differentJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.661No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.8 · 47 casesNoneJul 2023 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-2.3 · 25 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.6 · 76 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14 (10.4 to 18.9) · 167 casesNo differentJan 2022 – Dec 2024

What patients said (208 patients answered, 15% of those asked)

Patient survey stars by topic at San Mateo Medical Center
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital3
Share of patients giving the best answer at San Mateo Medical Center
Room was "always" clean78%
Nurses "always" communicated well76%
Doctors "always" communicated well79%
Staff "always" explained62%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully77%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital68%
Staff "always" explained possible side effects51%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$5,268

Medicare paid this office $5,268 for 15 people.

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

Who their Medicare patients are

15 Original Medicare patients in 2024. Average age 72 · Health risk score 1.52. At or below the middle of the specialty; the typical physical medicine and rehabilitation clinician is at 1.53.

Conditions among them: High blood pressure 75%.

The office billed $13,868, Medicare allowed $6,745 and paid $5,268; for 48 services of 15 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.

Drugs they prescribed that Part D paid

$3,500

Pharmacies billed $3,500 in 2024.

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

Opioids were 20% of their Part D prescriptions (24 of 120) in 2024. Above the middle of the specialty; the typical physical medicine and rehabilitation clinician is at 12%. Long-acting opioids: 58% of their opioid prescriptions.

119 generic and fewer than 11 brand-name prescriptions · $3,500 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.

Largest Part D drug costs
Buprenorphine13$1,208$93
Gabapentin30$468$16
Duloxetine12$187$16
Baclofen13$99$8

Year by year

Part D prescribing by year
20241204620% (24)None$3,500
20232919NoneNone$839
201915None0% (0)None$1,868
20182413NoneNone$1,726

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

Money from drug and device companies

$224 in 2025

Industry payments by year
202522None$224
202412None$191
202312None$125
202236None$616

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Abbott LaboratoriesProclaim$167
1 payment
  • Meals for Proclaim · 2025-04-28 · $167
Mml USReactiv8$58
1 payment
  • Meals for Reactiv8 · 2025-09-25 · $58
See all 2 published payments
Every published payment
Mml USMeals · 2025-09-25Reactiv8$58
Abbott LaboratoriesMeals · 2025-04-28Proclaim$167
See earlier years (2024, 2023, 2022)

2024: $191

Payments by company in 2024
Stratus MedicalNimbus$191
2 payments
  • Meals for Nimbus · 2024-06-11 · $111
  • Meals for Nimbus · 2024-03-21 · $80

2023: $125

Payments by company in 2023
NevroSenza$125
2 payments
  • Meals for Senza · 2023-01-14 · $107
  • Meals for Senza · 2023-01-12 · $18

2022: $616

Payments by company in 2022
SPR TherapeuticsSprint Pns System$283
3 payments
  • Meals for Sprint Pns System · 2022-12-31 · $129
  • Meals for Sprint Pns System · 2022-12-31 · $69
  • Meals for Sprint Pns System · 2022-12-31 · $86
NevroOmnia$192
2 payments
  • Meals for Omnia · 2022-10-21 · $142
  • Meals for Omnia · 2022-08-26 · $50
Abbott LaboratoriesProclaim$140
1 payment
  • Meals for Proclaim · 2022-11-30 · $140

Research money

Money a company paid to run a study. Where it went to their institution, the clinician is named as an investigator and did not receive it; the amount covers the whole study, often across many sites.

Research payments by company and study
Saluda Medical Americas, Inc. · Ecap Study · 2021This clinician$16

Professional record

NPI
1043700735
Licence
AZ R76840, CA A164044California A164044: Current · expires 2027-08-31
Trained
University of Arizona College of Medicine, 2018
Group
James Petros MD Inc · County of San Mateo
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 2081P2900X (2081P2900X); Federal specialty code 208100000X (208100000X)
Mailing address
Po Box 7410882, Chicago, IL, 60674
NPI first listed
2018-05-17
NPI last updated
2025-10-13
NPI record certified
2025-10-13

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 1400 Veterans Blvd Fl 3, Redwood City, CA, 94063 · 450 Broadway St Fl C4, Redwood City, CA, 94063

This office lists an electronic records connection.