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Navdeep Rai, MD

Family Practice · San Jose

NPI 1144727868

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

Offices

1 location · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Rai’s office at (408) 445-4010 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
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026

California Medical Board record

Licence A163895 · Current

Licensed to practise in California · since 2019 · expires 2027-07-31 · Albany Medical College.

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

Original Medicare doctor bills

$45,908

Medicare paid this office $45,908 for 129 people.

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

Largest Original Medicare bills
Return visit (30+ min)73$12,521$108
Short return visit (20+ min)75$9,462$73
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit38$5,987$158
Aspiration and/or injection of fluid large joint using ultrasound guidance20$3,147$102
Long return visit (40+ min)13$2,233$140
See all 10 services
Every Original Medicare service billed
Return visit (30+ min)73$12,521$108
Short return visit (20+ min)75$9,462$73
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit38$5,987$158
Aspiration and/or injection of fluid large joint using ultrasound guidance20$3,147$102
Long return visit (40+ min)13$2,233$140
Aspiration and/or injection of fluid from large joint12$1,542$70
Ultrasonic guidance for needle placement12$1,048$52
Complete ultrasound scan of joint17$959$50
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg29$307None
Injection, bupivicaine, not otherwise specified, 0.5 mg26$11None

Procedures Medicare counted

Procedure volume Medicare published
Removal of skin lesions1-10None

Who their Medicare patients are

129 Original Medicare patients in 2024. Average age 74 · Under 65 9% · 85 and older 14% · Women 57% · Also on Medicaid 9% · Health risk score 0.89. At or below the middle of the specialty; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 65% · Diabetes 19% · Coronary heart disease 16% · Chronic kidney disease 16% · Atrial fibrillation 16% · Depression 13% · Cancer 9%.

The office billed $169,342, Medicare allowed $60,400 and paid $45,908; for 1,646 services of 39 kinds; $4,513 of it was for drugs given in the office and $41,396 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

Original Medicare by year
20241291,646740.89$169,342$45,908
2023114576740.72$109,534$33,976

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: 5 services

Original Medicare services billed in 2023
Return visit (30+ min)62$8,685$111
Short return visit (20+ min)63$7,065$77
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit38$5,924$156
Long return visit (40+ min)21$3,573$143
Complete ultrasound scan of joint12$567$44

Drugs they prescribed that Part D paid

$97,412

Pharmacies billed $97,412 in 2024.

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

Opioids were 4% of their Part D prescriptions (32 of 805) in 2024. Above the middle of the specialty; the typical family practice clinician is at 2%.

694 generic and fewer than 11 brand-name prescriptions · $97,412 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
Mounjaro16$20,974$1,311
Ozempic18$17,096$950
Atorvastatin76$635$8
Gabapentin22$539$24
Rosuvastatin22$518$24
See all 21 drugs
Every Part D drug this clinician prescribed
Mounjaro16$20,974$1,311
Ozempic18$17,096$950
Atorvastatin76$635$8
Gabapentin22$539$24
Rosuvastatin22$518$24
Levothyroxine29$506$17
Losartan-Hydrochlorothiazide17$415$24
Hydrocodone-Acetaminophen16$318$20
Metformin Hcl Er17$301$18
Losartan35$234$7
Lisinopril35$210$6
Montelukast11$187$17
Tamsulosin19$181$10
Atenolol16$161$10
Hydrochlorothiazide13$110$8
Zolpidem14$105$8
Amlodipine Besylate34$89$3
Hydroxychloroquine Sulfate11$73$7
Meloxicam13$56$4
Tramadol15$42$3
Cyclobenzaprine18$33$2

Year by year

Part D prescribing by year
20248051124% (32)None$97,412
2023449996% (27)None$28,766
20223618NoneNone$1,408
2021179460% (0)None$15,865
202026379NoneNone$21,594
201992310% (0)None$6,266

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

See the drugs prescribed each year

2023: 8 drugs

Part D drugs prescribed in 2023
Atorvastatin39$430$11
Levothyroxine26$423$16
Lisinopril28$327$12
Hydrocodone-Acetaminophen16$323$20
Amlodipine Besylate36$259$7
Losartan13$208$16
Losartan-Hydrochlorothiazide12$203$17
Zolpidem11$85$8

2021: 1 drug

Part D drugs prescribed in 2021
Metformin12$61$5

2020: 4 drugs

Part D drugs prescribed in 2020
Atorvastatin23$222$10
Metformin17$174$10
Furosemide11$88$8
Lisinopril14$65$5

Money from drug and device companies

$24 in 2025

Industry payments by year
202511None$24
202411None$21
202311None$22

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
BioventusXcell$24
1 payment
  • Meals for Xcell · 2025-08-30 · $24
See the published payment
Every published payment
BioventusMeals · 2025-08-30Xcell$24
See earlier years (2024, 2023)

2024: $21

Payments by company in 2024
DjoProcare$21
1 payment
  • Meals for Procare · 2024-07-31 · $21

2023: $22

Payments by company in 2023
MedtronicMazor X System$22
1 payment
  • Meals for Mazor X System · 2023-03-18 · $22

Professional record

NPI
1144727868
Licence
CA A163895California A163895: Current · expires 2027-07-31
Trained
Albany Medical College of Union University, 2018
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2018-04-09
NPI last updated
2022-12-08
NPI record certified
2022-12-08

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