Christos Theophanous, MD
Ophthalmology · Palo Alto
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 15
- 3 carriers
- Offices
- 5
Offices
5 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group
Looking this up.
Plans that list them
15 plans · 3 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Theophanous’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
15 of 15 plans
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 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 Silicon (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Sutter Advantage +More (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health the ONE (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
California Medical Board record
Licence A174037 · Current
Licensed to practise in California · since 2021 · expires 2027-07-31 · University of Southern California Keck School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$348,168
Medicare paid this office $348,168 for 787 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Removal of cataract with insertion of prosthetic lens | 152 | $120,936 | $498 |
| Return visit (30+ min) | 418 | $72,931 | $107 |
| New patient visit (45+ min) | 145 | $18,907 | $130 |
| Removal of recurring cataract in lens capsule using a laser | 44 | $17,574 | $338 |
| Exam of visual field with extended testing | 253 | $14,894 | $58 |
See all 19 services
| Removal of cataract with insertion of prosthetic lens | 152 | $120,936 | $498 |
| Return visit (30+ min) | 418 | $72,931 | $107 |
| New patient visit (45+ min) | 145 | $18,907 | $130 |
| Removal of recurring cataract in lens capsule using a laser | 44 | $17,574 | $338 |
| Exam of visual field with extended testing | 253 | $14,894 | $58 |
| Dilation of fluid outflow drainage within eye | 17 | $10,998 | $440 |
| Imaging of optic nerve | 292 | $9,932 | $33 |
| Laser repair to improve eye fluid flow | 38 | $9,783 | $228 |
| Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 12 | $9,497 | $594 |
| Established patient complete exam of visual system | 82 | $9,313 | $114 |
| New patient complete exam of visual system | 55 | $7,211 | $131 |
| Short return visit (20+ min) | 88 | $6,248 | $69 |
| Imaging of retina | 147 | $5,479 | $37 |
| Measurement of corneal curvature and depth of eye | 131 | $4,835 | $21 |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 112 | $2,956 | $15 |
| New patient visit (30+ min) | 24 | $2,483 | $103 |
| Photography of the retina | 16 | $482 | $30 |
| Ultrasound scan of cornea to determine thickness | 48 | $469 | $10 |
| Exam of the internal drainage system of eye | 16 | $269 | $17 |
Procedures Medicare counted
| Cataract surgery | 232 | More than 86% of doctors who do this |
Who their Medicare patients are
787 Original Medicare patients in 2024. Average age 77 · Under 65 2% · 85 and older 14% · Women 58% · Also on Medicaid 7% · Health risk score 0.89. At or below the middle of the specialty; the typical ophthalmology clinician is at 1.16.
Conditions among them: High blood pressure 59% · Diabetes 21% · Coronary heart disease 21% · Chronic kidney disease 15% · Atrial fibrillation 15% · Cancer 12% · Depression 11% · Heart failure 7% · COPD 5% · Dementia 4% · Stroke 3%.
The office billed $1,842,016, Medicare allowed $469,949 and paid $348,168; for 2,732 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
| 2024 | 787 | 2,732 | 77 | 0.89 | $1,842,016 | $348,168 |
| 2023 | 607 | 1,699 | 77 | 0.85 | $1,225,409 | $238,646 |
| 2022 | 610 | 1,739 | 77 | 0.88 | $1,053,900 | $219,290 |
| 2021 | 181 | 293 | 75 | 1.05 | $107,263 | $27,841 |
| 2020 | 41 | 42 | 75 | 1.00 | $20,983 | $4,473 |
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: 13 services
| Removal of cataract with insertion of prosthetic lens | 122 | $99,825 | $504 |
| Return visit (30+ min) | 281 | $51,510 | $106 |
| Short return visit (20+ min) | 182 | $13,148 | $67 |
| New patient visit (45+ min) | 99 | $12,918 | $130 |
| Exam of visual field with extended testing | 153 | $9,250 | $56 |
| Removal of recurring cataract in lens capsule using a laser | 21 | $7,843 | $341 |
| New patient visit (30+ min) | 68 | $6,009 | $88 |
| Imaging of optic nerve | 173 | $5,704 | $32 |
| Creation of eye fluid drainage tracts in iris using a laser, per session | 12 | $5,534 | $291 |
| Measurement of corneal curvature and depth of eye | 121 | $4,997 | $36 |
| Laser repair to improve eye fluid flow | 12 | $3,285 | $274 |
| Imaging of retina | 25 | $946 | $38 |
| Ultrasound scan of cornea to determine thickness | 56 | $535 | $10 |
2022: 15 services
| Removal of cataract with insertion of prosthetic lens | 80 | $64,701 | $498 |
| Return visit (30+ min) | 278 | $52,986 | $107 |
| New patient visit (45+ min) | 103 | $13,451 | $131 |
| New patient visit (30+ min) | 150 | $12,193 | $81 |
| Short return visit (20+ min) | 142 | $10,649 | $68 |
| Exam of visual field with extended testing | 147 | $9,345 | $57 |
| Removal of recurring cataract in lens capsule using a laser | 22 | $8,842 | $354 |
| Complex removal of cataract with insertion of prosthetic lens | 11 | $8,357 | $696 |
| Creation of eye fluid drainage tracts in iris using a laser, per session | 11 | $5,875 | $309 |
| Imaging of optic nerve | 181 | $5,549 | $30 |
| Laser repair to improve eye fluid flow | 20 | $5,374 | $269 |
| Measurement of corneal curvature and depth of eye | 86 | $3,986 | $46 |
| Imaging of retina | 31 | $1,163 | $36 |
| Ultrasound scan of cornea to determine thickness | 91 | $913 | $10 |
| Exam of the internal drainage system of eye | 33 | $606 | $18 |
2021: 7 services
| Return visit (30+ min) | 81 | $10,077 | $121 |
| New patient visit (45+ min) | 22 | $3,367 | $153 |
| Short return visit (20+ min) | 31 | $2,665 | $86 |
| Creation of shunt to improve eye fluid flow using tissue graft | 11 | $1,546 | $141 |
| Exam of visual field with extended testing | 19 | $1,424 | $62 |
| Imaging of optic nerve | 40 | $1,374 | $34 |
| Established patient problem focused exam of visual system | 11 | $545 | $50 |
Medicaid work
$1,333 in 2024
Medicaid paid $1,333 for 29 billed services this clinician did in 2024, 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.
| Return visit (30+ min) | 29 | $1,333 |
| 2024 | 29 | 1 | 15 | $1,333 |
Drugs they prescribed that Part D paid
$145,796
Pharmacies billed $145,796 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
949 generic and 948 brand-name prescriptions · $145,796 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.
| Restasis | 38 | $20,608 | $542 |
| Prednisolone Acetate | 333 | $16,967 | $51 |
| Lumigan | 36 | $15,701 | $436 |
| Rocklatan | 23 | $11,724 | $510 |
| Rhopressa | 21 | $10,446 | $497 |
See all 22 drugs
| Restasis | 38 | $20,608 | $542 |
| Prednisolone Acetate | 333 | $16,967 | $51 |
| Lumigan | 36 | $15,701 | $436 |
| Rocklatan | 23 | $11,724 | $510 |
| Rhopressa | 21 | $10,446 | $497 |
| Cyclosporine | 20 | $9,939 | $497 |
| Simbrinza | 32 | $6,524 | $204 |
| Latanoprost | 508 | $6,377 | $13 |
| Brimonidine Tartrate-Timolol | 32 | $6,282 | $196 |
| Dorzolamide-Timolol | 31 | $4,163 | $134 |
| Tafluprost | 22 | $3,725 | $169 |
| Travoprost | 26 | $3,522 | $135 |
| Timolol Maleate | 96 | $1,976 | $21 |
| Polymyxin B Sul-Trimethoprim | 243 | $1,896 | $8 |
| Diclofenac | 123 | $1,827 | $15 |
| Dorzolamide-Timolol | 88 | $1,338 | $15 |
| Tobramycin-Dexamethasone | 17 | $978 | $58 |
| Brimonidine | 64 | $820 | $13 |
| Ketorolac Tromethamine | 12 | $484 | $40 |
| Dorzolamide | 27 | $353 | $13 |
| Moxifloxacin | 17 | $289 | $17 |
| Erythromycin | 11 | $104 | $9 |
Year by year
| 2024 | 1,897 | 455 | None | 50% | $145,796 |
| 2023 | 1,327 | 341 | 0% (0) | 56% | $117,434 |
| 2022 | 1,280 | 420 | 0% (0) | 54% | $111,025 |
| 2021 | 2,696 | 819 | 0% (0) | 35% | $279,920 |
| 2020 | 1,194 | 579 | 0% (0) | 41% | $114,055 |
| 2019 | 410 | 148 | None | 53% | $53,781 |
| 2018 | 298 | 101 | None | 51% | $33,994 |
| 2017 | 208 | 52 | None | 22% | $7,253 |
| 2016 | 61 | 25 | 0% (0) | 23% | $1,655 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 17 drugs
| Rocklatan | 41 | $16,126 | $393 |
| Prednisolone Acetate | 242 | $14,237 | $59 |
| Lumigan | 29 | $13,367 | $461 |
| Latanoprost | 376 | $8,702 | $23 |
| Travoprost | 39 | $5,052 | $130 |
| Brimonidine Tartrate-Timolol | 16 | $4,479 | $280 |
| Simbrinza | 17 | $4,080 | $240 |
| Dorzolamide-Timolol | 22 | $3,825 | $174 |
| Timolol Maleate | 86 | $2,580 | $30 |
| Tafluprost | 15 | $2,473 | $165 |
| Polymyxin B Sul-Trimethoprim | 162 | $1,645 | $10 |
| Ketorolac Tromethamine | 34 | $1,383 | $41 |
| Tobramycin-Dexamethasone | 13 | $1,219 | $94 |
| Dorzolamide-Timolol | 57 | $1,146 | $20 |
| Moxifloxacin | 32 | $1,125 | $35 |
| Brimonidine | 49 | $963 | $20 |
| Dorzolamide | 15 | $552 | $37 |
2022: 18 drugs
| Restasis | 12 | $20,845 | $1,737 |
| Lumigan | 44 | $13,773 | $313 |
| Prednisolone Acetate | 193 | $11,893 | $62 |
| Rocklatan | 21 | $8,074 | $384 |
| Latanoprost | 333 | $7,611 | $23 |
| Simbrinza | 23 | $5,245 | $228 |
| Combigan | 16 | $5,087 | $318 |
| Ketorolac Tromethamine | 111 | $4,964 | $45 |
| Travoprost | 26 | $3,866 | $149 |
| Rhopressa | 11 | $3,336 | $303 |
| Timolol Maleate | 70 | $3,049 | $44 |
| Brimonidine | 61 | $2,732 | $45 |
| Dorzolamide-Timolol | 87 | $2,446 | $28 |
| Dorzolamide-Timolol | 15 | $1,623 | $108 |
| Polymyxin B Sul-Trimethoprim | 141 | $1,240 | $9 |
| Dorzolamide | 15 | $498 | $33 |
| Neomycin-Polymyxin-Dexameth | 13 | $189 | $15 |
| Erythromycin | 13 | $178 | $14 |
2021: 26 drugs
| Lumigan | 95 | $35,138 | $370 |
| Combigan | 72 | $23,215 | $322 |
| Restasis | 18 | $19,442 | $1,080 |
| Rhopressa | 37 | $18,713 | $506 |
| Latanoprost | 808 | $18,152 | $22 |
| Azopt | 36 | $16,727 | $465 |
| Travoprost | 58 | $16,131 | $278 |
| Alphagan P | 53 | $16,081 | $303 |
| Dorzolamide-Timolol | 353 | $12,707 | $36 |
| Rocklatan | 20 | $11,977 | $599 |
| Brimonidine | 317 | $11,549 | $36 |
| Vyzulta | 17 | $8,605 | $506 |
| Xiidra | 13 | $8,174 | $629 |
| Simbrinza | 20 | $6,770 | $338 |
| Zioptan | 26 | $6,593 | $254 |
| Dorzolamide-Timolol | 33 | $5,986 | $181 |
| Prednisolone Acetate | 143 | $5,976 | $42 |
| Travatan Z | 14 | $3,707 | $265 |
| Dorzolamide | 115 | $3,582 | $31 |
| Timolol Maleate | 210 | $3,515 | $17 |
| Acetazolamide Er | 11 | $2,017 | $183 |
| Olopatadine | 30 | $1,118 | $37 |
| Betaxolol | 11 | $762 | $69 |
| Ciprofloxacin | 25 | $276 | $11 |
| Erythromycin | 23 | $254 | $11 |
| Polymyxin B Sul-Trimethoprim | 25 | $190 | $8 |
2020: 20 drugs
| Lumigan | 29 | $12,640 | $436 |
| Azopt | 21 | $8,968 | $427 |
| Latanoprost | 327 | $8,899 | $27 |
| Travoprost | 24 | $7,223 | $301 |
| Combigan | 26 | $7,028 | $270 |
| Rhopressa | 14 | $6,428 | $459 |
| Travatan Z | 16 | $5,866 | $367 |
| Brimonidine | 140 | $5,220 | $37 |
| Prednisolone Acetate | 120 | $4,903 | $41 |
| Simbrinza | 16 | $4,356 | $272 |
| Dorzolamide-Timolol | 108 | $4,128 | $38 |
| Alphagan P | 11 | $3,594 | $327 |
| Dorzolamide | 50 | $1,805 | $36 |
| Timolol Maleate | 74 | $1,447 | $20 |
| Ketorolac Tromethamine | 24 | $1,063 | $44 |
| Olopatadine | 13 | $681 | $52 |
| Ofloxacin | 12 | $198 | $16 |
| Erythromycin | 16 | $192 | $12 |
| Polymyxin B Sul-Trimethoprim | 17 | $164 | $10 |
| Ciprofloxacin | 12 | $127 | $11 |
2019: 12 drugs
| Travatan Z | 32 | $12,145 | $380 |
| Azopt | 17 | $6,298 | $370 |
| Lumigan | 13 | $6,011 | $462 |
| Combigan | 17 | $4,525 | $266 |
| Timolol Maleate | 49 | $3,395 | $69 |
| Brimonidine | 42 | $2,670 | $64 |
| Latanoprost | 80 | $1,965 | $25 |
| Prednisolone Acetate | 39 | $1,414 | $36 |
| Dorzolamide-Timolol | 24 | $1,117 | $47 |
| Fluorometholone | 13 | $919 | $71 |
| Dorzolamide | 14 | $488 | $35 |
| Ketorolac Tromethamine | 14 | $447 | $32 |
2018: 10 drugs
| Combigan | 25 | $4,839 | $194 |
| Travatan Z | 16 | $4,554 | $285 |
| Azopt | 15 | $4,443 | $296 |
| Lumigan | 14 | $4,283 | $306 |
| Simbrinza | 11 | $1,652 | $150 |
| Brimonidine | 37 | $1,564 | $42 |
| Timolol Maleate | 31 | $1,140 | $37 |
| Prednisolone Acetate | 22 | $1,031 | $47 |
| Latanoprost | 34 | $712 | $21 |
| Dorzolamide-Timolol | 12 | $330 | $27 |
2017: 4 drugs
| Clopidogrel | 38 | $1,099 | $29 |
| Atorvastatin | 18 | $602 | $33 |
| Lisinopril | 19 | $232 | $12 |
| Metoprolol | 21 | $177 | $8 |
Money from drug and device companies
$149 in 2025
| 2025 | 1 | 1 | None | $149 |
| 2024 | 1 | 3 | None | $75 |
| 2022 | 2 | 2 | None | $45 |
| 2021 | 2 | 3 | None | $312 |
| 2019 | 3 | 4 | None | $484 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Alcon Vision | Hydrus Microstent | $149 | 1 payment
|
See the published payment
| Alcon Vision | Meals · 2025-03-14 | Hydrus Microstent | $149 |
See earlier years (2024, 2022, 2021, 2019)
2024: $75
| Sight Sciences | Omni Surgical System | $75 | 3 payments
|
2022: $45
| Alcon Vision | Ngenuity | $25 | 1 payment
|
| Sight Sciences | Omni(R) Surgical System (US) | $20 | 1 payment
|
2021: $312
| Sight Sciences | Omni(R) Surgical System (US) | $204 | 2 payments
|
| New World Medical | Ahmed Glaucoma Valve | $109 | 1 payment
|
2019: $484
| Alcon Vision | Acrysof | $247 | 2 payments
|
| Allergan | Ozurdex | $143 | 1 payment
|
| Regeneron Healthcare Solutions | Eylea | $94 | 1 payment
|
Professional record
- NPI
- 1134582356
- Licence
- CA A174037California A174037: Current · expires 2027-07-31
- Video visits
- Lists video visits
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207W00000X (207W00000X)
- Mailing address
- 325 Distel Cir, Los Altos, CA, 94022
- NPI first listed
- 2016-04-04
- NPI last updated
- 2021-09-29
- NPI record certified
- 2021-09-29
This is when the NPI record was last certified, not a medical board exam.