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Richard Addison Kline, MD

Surgery · San Jose

NPI 1124191085

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
25
5 carriers
Office
1

Offices

1 location

Plans that list them

25 plans · 5 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Kline’s office at (408) 356-3753 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

25 of 25 plans

Plans whose provider directory lists this clinician
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedOct 29, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedOct 29, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedOct 29, 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

California Medical Board record

Licence G69004 · Current

Licensed to practise in California · since 1990 · expires 2028-07-31 · Stanford University School of Medicine.

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

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Surgery - Surgery

Original Medicare doctor bills

$4,246

Medicare paid this office $4,246 for 20 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,260$70

Who their Medicare patients are

20 Original Medicare patients in 2024. Average age 81 · Under 65 0% · Health risk score 2.18. Above the middle of the specialty; the typical general surgery clinician is at 1.69.

Conditions among them: High blood pressure 75% · Diabetes 65% · Stroke 60% · Coronary heart disease 55%.

The office billed $22,874, Medicare allowed $5,511 and paid $4,246; for 38 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

Original Medicare by year
20242038812.18$22,874$4,246
20232555802.38$33,678$6,515
202280171791.37$111,481$21,274
202182122761.57$57,390$10,943
202064111761.70$71,711$12,998
20195982781.89$34,863$5,948
201894194762.15$79,840$17,499
2017136257742.00$82,455$37,410
2016101221751.95$72,978$35,345
2015108229752.01$69,292$34,541
201483149751.30$34,457$13,370
201394152741.54$42,798$14,764

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: 2 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,929$107
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,283$71

2022: 2 services

Original Medicare services billed in 2022
Critical care, first 30-74 minutes26$13,129$190
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes48$3,811$61

2021: 2 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes38$3,402$64
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$1,609$89

2020: 3 services

Original Medicare services billed in 2020
Critical care, first 30-74 minutes17$5,004$192
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes29$3,143$67
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,537$96

2019: 1 service

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes40$3,440$64

2018: 3 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes37$8,638$104
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes49$5,612$73
Hospital discharge day management, 30 minutes or less11$909$76

2017: 6 services

Original Medicare services billed in 2017
Critical care, first 30-74 minutes46$14,137$188
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes40$3,235$62
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes28$3,143$90
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes24$2,813$117
Emergency department visit with high level of medical decision making11$1,429$130
Hospital discharge day management, more than 30 minutes15$1,415$94

2016: 5 services

Original Medicare services billed in 2016
Critical care, first 30-74 minutes41$16,241$196
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes25$3,241$93
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes18$2,187$121
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$2,058$64
Hospital discharge day management, more than 30 minutes13$1,264$97

2015: 5 services

Original Medicare services billed in 2015
Critical care, first 30-74 minutes34$14,343$196
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes45$6,498$93
Emergency department visit with high level of medical decision making17$2,534$149
Hospital discharge day management, more than 30 minutes19$1,857$98
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,467$122

2014: 3 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes26$4,792$92
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes38$3,715$64
Emergency department visit with moderate level of medical decision making12$1,207$101

2013: 3 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes51$3,942$63
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes22$3,690$90
Emergency department visit with moderate level of medical decision making14$1,373$98

Medicaid work

$961 in 2022

Medicaid paid $961 for 45 billed services this clinician did in 2022, up to 15 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 2022
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES45$961
Medicaid work by year
202245115$961
202024113$543
201886115$1,455
See the largest Medicaid services in earlier years

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES24$543

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES86$1,455

Money from drug and device companies

$31 in 2021

Industry payments by year
202111None$31
201911None$82

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
Boston ScientificGeneral Atherectomy$31
1 payment
  • Meals for General Atherectomy · 2021-03-30 · $31
See the published payment
Every published payment
Boston ScientificMeals · 2021-03-30General Atherectomy$31
See earlier years (2019)

2019: $82

Payments by company in 2019
Kci USAVac Veraflo$82
1 payment
  • Meals for Vac Veraflo · 2019-04-16 · $82

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
87.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1124191085
Licence
CA G69004California G69004: Current · expires 2028-07-31
More record details
Sole proprietor
No
Medicaid ID
CA GR0027730
Taxonomy
Surgery (208600000X)
Mailing address
2505 Samaritan Dr, Suite 504, San Jose, CA, 95124
NPI first listed
2006-11-16
NPI last updated
2007-07-08

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