Ashten Howard, PA | UniHealth

Offices

6 locations · James J Lynch M D Ltd · 81 clinicians in this group

Looking this up.

Hospitals listed: Carson Tahoe Regional Medical Center · Carson Valley Health. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Ashten Howard’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A54304 · Current

Licensed to practise in California · since 1995 · expires 2027-05-31 · Institute of Medicine (I) Rangoon.

Matched on the licence number without its letter prefix; check the name before relying on it.

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

Hospitals they work in

2 hospitals

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

Carson Tahoe Regional Medical CenterCarson City, NVAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Carson Tahoe Health, which runs 3 hospitalsPatients rate it 4 of 5 · 74% would definitely recommend it
Overall rating: 2 of 5 starsWorse than the national rate — Postoperative hemorrhage or hematoma rate: 4.16 (2.72 to 5.6) · 1,398 cases, Jul 2022 – Jun 2024Worse than the national rate — SSI - Colon Surgery: 2.351, Oct 2024 – Sep 2025Worse than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 1.3 (1 to 1.5) · 851 cases, Jan 2024 – Dec 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.581, Oct 2024 – Sep 2025
Carson Valley HealthGardnerville, NVCritical Access Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Barton Health, which runs 2 hospitals in 2 statesPatients rate it 5 of 5 · 83% would definitely recommend it
Overall rating: 5 of 5 starsNo measure marked better or worse than the national rate

See every measure and the patient survey for Carson Tahoe Regional Medical Center

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 1 better, 8 the same, 1 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

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Every scored measure at Carson Tahoe Regional Medical Center

Postoperative hemorrhage or hematoma rateComplications and deaths	4.16 (2.72 to 5.6) · 1,398 cases	Worse	Jul 2022 – Jun 2024
SSI - Colon SurgeryInfections	2.351	Worse	Oct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits	1.3 (1 to 1.5) · 851 cases	Worse	Jan 2024 – Dec 2024
Clostridium Difficile (C.Diff)Infections	0.581	Better	Oct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths	0.78 (0 to 1.72) · 1,219 cases	No different	Jul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths	1.07 (0.75 to 1.38)	No different	Jul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths	188.13 (138.51 to 237.75) · 100 cases	No different	Jul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths	2.4 · 41 cases	None	Jul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths	10 · 177 cases	None	Jul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths	12.2 · 227 cases	None	Jul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths	10.8 · 484 cases	None	Jul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths	15.2 · 713 cases	None	Jul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths	16.1 · 274 cases	None	Jul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths	4 · 3,013 cases	None	Jul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths	0.14 (0 to 0.33) · 6,209 cases	No different	Jul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths	0.22 (0.02 to 0.42) · 6,285 cases	No different	Jul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths	3.64 (1.59 to 5.68) · 1,496 cases	No different	Jul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths	3.15 (1.62 to 4.68) · 516 cases	No different	Jul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths	11.74 (5.1 to 18.37) · 474 cases	No different	Jul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths	5.61 (2.01 to 9.22) · 471 cases	No different	Jul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths	2.17 (0.73 to 3.61) · 313 cases	No different	Jul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths	0.36 (0 to 1.05) · 5,079 cases	No different	Jul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections	1.008	No different	Oct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections	0.711	No different	Oct 2024 – Sep 2025
MRSA BacteremiaInfections	0.485	No different	Oct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits	13.7 · 283 cases	None	Jul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits	20.4 · 618 cases	None	Jul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits	-0.7 · 254 cases	None	Jul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits	-30.5 · 537 cases	None	Jul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits	-3.5 · 715 cases	None	Jul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits	18.7 · 827 cases	None	Jul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits	5.5 (4 to 7.7) · 308 cases	No different	Jan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits	11 (8.6 to 14.1) · 308 cases	No different	Jan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits	11.4 · 41 cases	None	Jul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits	19.8 · 246 cases	None	Jul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits	13.5 (10 to 18.3) · 217 cases	No different	Jan 2022 – Dec 2024

What patients said (1,001 patients answered, 34% of those asked)

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Patient survey stars by topic at Carson Tahoe Regional Medical Center

Cleanliness	5
Nurse communication	4
Doctor communication	3
Communication about medicines	3
Discharge information	4
Overall hospital rating	4
Quietness	3
Recommend hospital	4

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Share of patients giving the best answer at Carson Tahoe Regional Medical Center

Room was "always" clean	79%
Nurses "always" communicated well	78%
Doctors "always" communicated well	77%
Staff "always" explained	59%
Yes, staff "did" give patients this information	89%
Yes, staff "did" give patients information about help after discharge	87%
Doctors "always" explained things so they could understand	71%
Doctors "always" listened carefully	77%
Doctors "always" treated them with courtesy and respect	84%
Patients who gave a rating of "9" or "10" (high)	70%
Staff "always" explained new medications	72%
Nurses "always" explained things so they could understand	73%
Nurses "always" listened carefully	75%
Nurses "always" treated them with courtesy and respect	85%
"Always" quiet at night	51%
"YES", patients would definitely recommend the hospital	74%
Staff "always" explained possible side effects	45%
Yes, staff "did" give patients information about possible symptoms	90%

See every measure and the patient survey for Carson Valley Health

Behind the star rating — Deaths: 0 better, 4 the same, 0 worse of 4 measures. Readmissions: 0 better, 7 the same, 0 worse of 7 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

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Every scored measure at Carson Valley Health

Death rate for COPD patientsComplications and deaths	9.5 · 48 cases	None	Jul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths	13.4 · 71 cases	None	Jul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths	17.3 · 95 cases	None	Jul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths	13.3 · 32 cases	None	Jul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths	5.1 · 485 cases	None	Jul 2024 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits	21.7 · 79 cases	None	Jul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits	1.5 · 78 cases	None	Jul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits	-5.8 · 98 cases	None	Jul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits	16.7 · 107 cases	None	Jul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits	5.7 (3.7 to 8.6) · 52 cases	No different	Jan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits	9.8 (6.8 to 13.8) · 52 cases	No different	Jan 2024 – Dec 2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits	19 · 54 cases	None	Jul 2023 – Jun 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits	1.1 (0.8 to 1.5) · 262 cases	No different	Jan 2024 – Dec 2024

What patients said (293 patients answered, 30% of those asked)

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Patient survey stars by topic at Carson Valley Health

Cleanliness	5
Nurse communication	5
Doctor communication	4
Communication about medicines	5
Discharge information	5
Overall hospital rating	5
Quietness	4
Recommend hospital	5

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Share of patients giving the best answer at Carson Valley Health

Room was "always" clean	86%
Nurses "always" communicated well	85%
Doctors "always" communicated well	81%
Staff "always" explained	72%
Yes, staff "did" give patients this information	91%
Yes, staff "did" give patients information about help after discharge	91%
Doctors "always" explained things so they could understand	76%
Doctors "always" listened carefully	81%
Doctors "always" treated them with courtesy and respect	88%
Patients who gave a rating of "9" or "10" (high)	82%
Staff "always" explained new medications	84%
Nurses "always" explained things so they could understand	81%
Nurses "always" listened carefully	82%
Nurses "always" treated them with courtesy and respect	93%
"Always" quiet at night	62%
"YES", patients would definitely recommend the hospital	83%
Staff "always" explained possible side effects	60%
Yes, staff "did" give patients information about possible symptoms	91%

Original Medicare doctor bills

$70,408

Medicare paid this office $70,408 for 358 people.

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

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Largest Original Medicare bills

Return visit (30+ min)	173	$14,947	$77
Short return visit (20+ min)	151	$14,322	$57
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	27	$6,533	$242
New patient visit (45+ min)	55	$4,693	$85
Aspiration and/or injection of fluid from large joint	30	$2,533	$47

See all 18 services

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Every Original Medicare service billed

Return visit (30+ min)	173	$14,947	$77
Short return visit (20+ min)	151	$14,322	$57
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	27	$6,533	$242
New patient visit (45+ min)	55	$4,693	$85
Aspiration and/or injection of fluid from large joint	30	$2,533	$47
Testing for presence of drug, by chemistry analyzers	32	$1,949	$61
X-ray of lower and sacral spine, minimum of 4 views	60	$1,682	$28
Replacement of knee joint, both sides of knee	13	$1,594	$123
Mri scan of lower spinal canal without contrast	12	$1,350	$113
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment	12	$900	$75
Short return visit	15	$823	$34
New patient visit (30+ min)	12	$669	$56
X-ray of upper spine, 4-5 views	19	$531	$28
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment	12	$423	$21
X-ray of knee, 4 or more views	14	$413	$28
X-ray of lower and sacral spine, 2-3 views	13	$344	$25
X-ray of shoulder, minimum of 2 views	13	$278	$20
Injection, triamcinolone acetonide, not otherwise specified, 10 mg	30	$186	None

Procedures Medicare counted

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Procedure volume Medicare published

Knee replacement	1-10	None
Laminectomy or laminotomy (partial removal of spine bones)	47	More than 75% of doctors who do this
Spinal fusion	50	More than 55% of doctors who do this

Who their Medicare patients are

358 Original Medicare patients in 2024. Average age 75 · Under 65 6% · 85 and older 12% · Women 60% · Also on Medicaid 7% · Health risk score 1.02. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 68% · Diabetes 23% · Depression 22% · Coronary heart disease 21% · COPD 17% · Chronic kidney disease 16% · Cancer 13% · Heart failure 11% · Atrial fibrillation 11% · Stroke 5% · Dementia 4%.

The office billed $817,219, Medicare allowed $92,965 and paid $70,408; for 1,848 services of 73 kinds; $6,226 of it was for drugs given in the office and $64,181 for care.

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

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Original Medicare by year

2024	358	1,848	75	1.02	$817,219	$70,408
2023	320	1,482	75	1.04	$854,342	$64,570
2022	222	490	74	0.92	$2,018,520	$35,023
2021	214	456	75	0.91	$498,088	$33,090
2020	143	406	73	0.96	$298,889	$24,067
2019	169	389	73	0.90	$226,401	$22,570

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.

See the services billed each year

2023: 17 services

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Original Medicare services billed in 2023

Short return visit (20+ min)	157	$16,614	$59
Return visit (30+ min)	90	$7,146	$74
New patient visit (45+ min)	67	$6,168	$92
Mri scan of lower spinal canal without contrast	29	$3,682	$127
Replacement of knee joint, both sides of knee	23	$3,169	$138
Replacement of thigh bone and hip joint with prosthesis	15	$2,102	$140
Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc	20	$1,916	$96
X-ray of lower and sacral spine, minimum of 4 views	59	$1,742	$30
Aspiration and/or injection of fluid from large joint	25	$1,499	$47
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment	15	$1,343	$90
X-ray of wrist, minimum of 3 views	11	$1,058	$27
X-ray of hip, 2-3 views	20	$798	$32
Testing for presence of drug, by chemistry analyzers	11	$670	$61
X-ray of upper spine, 4-5 views	18	$610	$34
X-ray of lower and sacral spine, 2-3 views	20	$570	$27
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment	12	$529	$23
Injection, triamcinolone acetonide, not otherwise specified, 10 mg	21	$114	None

2022: 10 services

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Original Medicare services billed in 2022

Short return visit (20+ min)	69	$4,516	$61
Replacement of knee joint, both sides of knee	29	$4,409	$147
New patient visit (45+ min)	37	$4,174	$113
Return visit (30+ min)	38	$3,308	$87
Replacement of thigh bone and hip joint with prosthesis	13	$1,905	$147
Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc	11	$1,192	$108
X-ray of lower and sacral spine, minimum of 4 views	29	$898	$31
X-ray of upper spine, 4-5 views	15	$539	$36
X-ray of lower and sacral spine, 2-3 views	18	$462	$26
Injection, triamcinolone acetonide, not otherwise specified, 10 mg	11	$30	None

2021: 10 services

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Original Medicare services billed in 2021

Replacement of knee joint, both sides of knee	38	$5,671	$149
Short return visit (20+ min)	50	$3,224	$60
Replacement of thigh bone and hip joint with prosthesis	15	$2,171	$145
Return visit (30+ min)	23	$1,974	$86
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment	18	$1,823	$101
Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc	15	$1,637	$109
New patient visit (45+ min)	12	$1,296	$108
New patient visit (30+ min)	11	$867	$79
X-ray of lower and sacral spine, minimum of 4 views	20	$638	$32
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment	12	$475	$25

2020: 4 services

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Original Medicare services billed in 2020

Replacement of knee joint, both sides of knee	19	$2,939	$155
Replacement of thigh bone and hip joint with prosthesis	11	$1,711	$156
Short return visit (20+ min)	26	$1,293	$50
Insertion of cage or mesh device to spine bone and disc space during spine fusion	11	$330	$30

2019: 9 services

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Original Medicare services billed in 2019

Replacement of knee joint, both sides of knee	29	$4,344	$150
Short return visit (20+ min)	52	$2,829	$51
Return visit (30+ min)	34	$2,502	$74
Aspiration and/or injection of fluid from large joint	23	$1,050	$40
X-ray of lower and sacral spine, minimum of 4 views	12	$401	$33
X-ray of knee, 4 or more views	14	$351	$25
X-ray of foot, minimum of 3 views	12	$243	$20
Injection, triamcinolone acetonide, not otherwise specified, 10 mg	21	$43	None
Injection, dexamethasone sodium phosphate, 1 mg	18	$2	None

Medicaid work

$1,417 in 2024

Medicaid paid $1,417 for 52 billed services this clinician did in 2024, up to 17 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.

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Largest Medicaid services in 2024

Short return visit (20+ min)	35	$997
Return visit (30+ min)	17	$420

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Medicaid work by year

2024	52	2	17	$1,417
2023	60	2	23	$2,515

See the largest Medicaid services in earlier years

2023

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Largest Medicaid services in 2023

Short return visit (20+ min)	40	$1,329
New patient visit (45+ min)	20	$1,185

Drugs they prescribed that Part D paid

$9,589

Pharmacies billed $9,589 in 2024.

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

Opioids were 30% of their Part D prescriptions (263 of 891) in 2024. Above the middle of the specialty; the typical physician assistant clinician is at 1%. Long-acting opioids: 5% of their opioid prescriptions.

883 generic and fewer than 11 brand-name prescriptions · $9,589 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.

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Largest Part D drug costs

Hydrocodone-Acetaminophen	100	$1,766	$18
Celecoxib	24	$1,235	$51
Oxycodone-Acetaminophen	29	$884	$30
Lidocaine	11	$877	$80
Gabapentin	107	$722	$7

See all 13 drugs

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Every Part D drug this clinician prescribed

Hydrocodone-Acetaminophen	100	$1,766	$18
Celecoxib	24	$1,235	$51
Oxycodone-Acetaminophen	29	$884	$30
Lidocaine	11	$877	$80
Gabapentin	107	$722	$7
Oxycodone	24	$670	$28
Methylprednisolone	99	$621	$6
Cyclobenzaprine	114	$564	$5
Methocarbamol	40	$443	$11
Meloxicam	137	$434	$3
Pregabalin	22	$209	$10
Tramadol	95	$206	$2
Tizanidine	32	$201	$6

Year by year

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Part D prescribing by year

2024	891	315	30% (263)	None	$9,589
2023	673	292	28% (188)	2%	$7,213
2022	563	286	34% (191)	None	$6,742
2021	392	210	34% (132)	None	$3,516
2020	326	168	29% (94)	None	$3,811
2019	289	188	29% (85)	8%	$4,015
2018	39	26	0% (0)	54%	$3,690
2017	63	32	None	25%	$3,655

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

See the drugs prescribed each year

2023: 11 drugs

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Part D drugs prescribed in 2023

Methylprednisolone	78	$825	$11
Celecoxib	24	$733	$31
Hydrocodone-Acetaminophen	75	$672	$9
Cyclobenzaprine	97	$527	$5
Gabapentin	73	$479	$7
Methocarbamol	37	$394	$11
Meloxicam	106	$364	$3
Oxycodone-Acetaminophen	29	$267	$9
Tramadol	78	$248	$3
Pregabalin	11	$109	$10
Ibuprofen	11	$97	$9

2022: 9 drugs

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Part D drugs prescribed in 2022

Gabapentin	72	$844	$12
Celecoxib	18	$663	$37
Hydrocodone-Acetaminophen	78	$661	$8
Oxycodone-Acetaminophen	52	$570	$11
Cyclobenzaprine	77	$562	$7
Methylprednisolone	50	$539	$11
Meloxicam	78	$240	$3
Tramadol	54	$204	$4
Methocarbamol	23	$153	$7

2021: 9 drugs

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Part D drugs prescribed in 2021

Hydrocodone-Acetaminophen	70	$628	$9
Cyclobenzaprine	76	$516	$7
Gabapentin	38	$413	$11
Methylprednisolone	27	$188	$7
Meloxicam	51	$150	$3
Oxycodone-Acetaminophen	18	$109	$6
Methocarbamol	16	$92	$6
Tramadol	38	$83	$2
Tizanidine	15	$81	$5

2020: 8 drugs

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Part D drugs prescribed in 2020

Diclofenac	24	$544	$23
Cyclobenzaprine	88	$423	$5
Hydrocodone-Acetaminophen	42	$330	$8
Gabapentin	35	$264	$8
Oxycodone-Acetaminophen	19	$183	$10
Methylprednisolone	18	$148	$8
Meloxicam	33	$90	$3
Tramadol	27	$66	$2

2019: 8 drugs

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Part D drugs prescribed in 2019

Diclofenac	37	$1,193	$32
Hydrocodone-Acetaminophen	31	$286	$9
Methylprednisolone	25	$265	$11
Cyclobenzaprine	47	$184	$4
Gabapentin	20	$152	$8
Tramadol	32	$133	$4
Meloxicam	26	$80	$3
Oxycodone	12	$79	$7

2018: 1 drug

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Part D drugs prescribed in 2018

Moviprep	16	$1,602	$100

Money from drug and device companies

$47 in 2025

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Industry payments by year

2025	2	2	None	$47
2024	2	2	None	$55
2023	3	15	None	$1,491
2022	4	4	None	$64
2021	2	2	None	$40

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

A payment is not proof that care is biased.

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Payments by company

Globus Medical	Reline	$26	1 payment Meals for Reline · 2025-04-01 · $26
Si-Bone	None	$21	1 payment Meals · 2025-07-30 · $21

See all 2 published payments

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Every published payment

Si-Bone	Meals · 2025-07-30	None	$21
Globus Medical	Meals · 2025-04-01	Reline	$26

See earlier years (2024, 2023, 2022, 2021)

2024: $55

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Payments by company in 2024

Smith+Nephew	Real Intelligence	$39	1 payment Meals for Real Intelligence · 2024-05-02 · $39
Medtronic	Catalyft Pl Expandable Interbody System	$16	1 payment Meals for Catalyft Pl Expandable Interbody System · 2024-03-13 · $16

2023: $1,491

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Payments by company in 2023

Medtronic	Mazor X System	$1,450	13 payments Meals for Unid Pass · 2023-03-10 · $139 Travel for Mazor X System · 2023-01-30 · $13 Meals for Mazor X System · 2023-01-29 · $118 Meals for Mazor X System · 2023-01-28 · $32 Meals for Mazor X System · 2023-01-27 · $35 Travel for Mazor X System · 2023-01-27 · $49 Travel for Mazor X System · 2023-01-27 · $49 Travel for Mazor X System · 2023-01-27 · $478 Travel for Mazor X System · 2023-01-27 · $61 Meals for Unid Pass · 2023-01-27 · $62 Travel for Mazor X System · 2023-01-09 · $338 Travel for Mazor X System · 2023-01-09 · $42 Meals for Mazor X System · 2023-01-05 · $33
Sanofi-Aventis U.S.	Synvisc-One	$22	1 payment Meals for Synvisc-One · 2023-07-17 · $22
Cerapedics	I-Factor Peptide Enhanced Bone Graft	$19	1 payment Meals for I-Factor Peptide Enhanced Bone Graft · 2023-06-14 · $19

2022: $64

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Payments by company in 2022

Pacira Pharmaceuticals	Iovera	$17	1 payment Meals for Iovera · 2022-07-11 · $17
Medtronic	Kyphon Express II Kyphopak Tray	$16	1 payment Meals for Kyphon Express II Kyphopak Tray · 2022-07-06 · $16
DePuy Synthes Sales	Monovisc	$16	1 payment Meals for Monovisc · 2022-04-04 · $16
Kowa Pharmaceuticals America	Seglentis	$15	1 payment Meals for Seglentis · 2022-05-25 · $15

2021: $40

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Payments by company in 2021

DePuy Synthes Sales	Monovisc	$28	1 payment Meals for Monovisc · 2021-11-17 · $28
Stryker	Yukon Oct Spinal System	$12	1 payment Meals for Yukon Oct Spinal System · 2021-09-27 · $12

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score: 91.6 / 100; Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI: 1083145809
Licence: CA 54304, NV 2074California A54304: Current · expires 2027-05-31
Group: James J Lynch M D Ltd
Gender: Female

More record details

Sole proprietor: No
Taxonomy: Physician assistant (363A00000X)
Mailing address: 973 Mica Dr Ste 201, Carson City, NV, 89705
NPI first listed: 2017-03-23
NPI last updated: 2026-08-18
NPI record certified: 2026-08-18

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

Extra NPI addresses: 1375 Blossom Hill Rd, San Jose, CA, 95118