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G. James Avery

Thoracic Surgery (Cardiothoracic Vascular Surgery) · San Francisco

NPI 1154340289

Medicare standing
1 flag on the record
Listed below.
Plans that list them
9
1 carrier
Office
1

On the public record

  • California licence: Delinquent

Offices

1 location

Plans that list them

9 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call G. James Avery’s office at (415) 600-5780 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 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

California Medical Board record

Licence G38981 · Delinquent

Licence status: Delinquent · since 1979 · expires 2026-04-30 · Columbia University College of Physicians and Surgeons.

License renewal fee has not been paid. No practice is permitted.

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

Original Medicare doctor bills

$19,829

Medicare paid this office $19,829 for 46 people.

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

Largest Original Medicare bills
Coronary artery bypass using artery graft, 1 graft11$2,710$246

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Coronary artery bypass using artery graft, 1 graft152420222911
Harvest of vein using an endoscope1525251726–
Replacement of mitral valve on heart-lung machine–––1113–
Coronary artery bypass using vein or artery graft, 1 graft–12––11–
Replacement of aortic valve on heart-lung machine––13–––
Coronary artery bypass using vein or artery graft, 2 grafts––––11–

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

46 Original Medicare patients in 2024. Average age 68 · Under 65 24% · 85 and older 0% · Women 28% · Also on Medicaid 37% · Health risk score 2.49. Above the middle of the specialty; the typical cardiac surgery clinician is at 1.73.

Conditions among them: High blood pressure 75% · Coronary heart disease 72% · Atrial fibrillation 72% · Heart failure 65% · Chronic kidney disease 54% · Diabetes 37% · Depression 24%.

The office billed $132,750, Medicare allowed $25,170 and paid $19,829; for 113 services of 37 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
202446113682.49$132,750$19,829
202385225722.14$241,320$38,852
202263164701.56$167,959$28,160
202184200722.00$236,421$41,183
202073175681.93$188,058$33,178
201971149711.88$188,316$35,071
2018100220712.06$263,285$47,802
201782183701.90$220,764$40,662
2016106230702.16$254,284$48,018
201596202712.20$225,051$45,049
201479142731.88$161,499$29,595
201375166711.77$184,864$27,951

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
Coronary artery bypass using artery graft, 1 graft29$6,595$227
Replacement of mitral valve on heart-lung machine13$4,542$349
Coronary artery bypass using vein or artery graft, 2 grafts11$597$54
Coronary artery bypass using vein or artery graft, 1 graft11$271$25
Harvest of vein using an endoscope26$56$2

2022: 3 services

Original Medicare services billed in 2022
Coronary artery bypass using artery graft, 1 graft22$4,394$200
Replacement of mitral valve on heart-lung machine11$3,978$362
Harvest of vein using an endoscope17$37$2

2021: 3 services

Original Medicare services billed in 2021
Coronary artery bypass using artery graft, 1 graft19$4,542$227
Replacement of aortic valve on heart-lung machine13$3,768$290
Harvest of vein using an endoscope24$54$2

2020: 3 services

Original Medicare services billed in 2020
Coronary artery bypass using artery graft, 1 graft24$5,905$246
Coronary artery bypass using vein or artery graft, 1 graft12$312$26
Harvest of vein using an endoscope25$68$3

2019: 2 services

Original Medicare services billed in 2019
Coronary artery bypass using artery graft, 1 graft15$3,503$234
Harvest of vein using an endoscope15$33$2

2018: 4 services

Original Medicare services billed in 2018
Replacement of mitral valve on heart-lung machine17$6,274$369
Coronary artery bypass using artery graft, 1 graft18$4,185$232
Replacement of aortic valve on heart-lung machine12$3,238$249
Harvest of vein using an endoscope20$44$2

2017: 6 services

Original Medicare services billed in 2017
Replacement of mitral valve on heart-lung machine15$7,785$519
Coronary artery bypass using artery graft, 1 graft23$5,019$218
Replacement of aortic valve on heart-lung machine12$3,780$315
Radical reconstruction of mitral valve on heart-lung machine11$3,692$336
Coronary artery bypass using vein or artery graft, 1 graft12$305$25
Harvest of vein using an endoscope21$46$2

2016: 5 services

Original Medicare services billed in 2016
Replacement of aortic valve on heart-lung machine21$5,514$263
Coronary artery bypass using artery graft, 1 graft23$5,330$232
Radical reconstruction of mitral valve on heart-lung machine11$3,218$293
Coronary artery bypass or valve procedure reoperation more than 1 month after original operation11$791$72
Harvest of vein using an endoscope23$51$2

2015: 4 services

Original Medicare services billed in 2015
Replacement of aortic valve on heart-lung machine19$7,791$410
Coronary artery bypass using artery graft, 1 graft26$7,619$293
Radical reconstruction of mitral valve on heart-lung machine12$3,555$296
Harvest of vein using an endoscope21$60$3

2014: 1 service

Original Medicare services billed in 2014
Coronary artery bypass using artery graft, 1 graft11$3,734$339

2013: 1 service

Original Medicare services billed in 2013
Coronary artery bypass using artery graft, 1 graft11$2,677$243

Drugs they prescribed that Part D paid

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

Year by year

Part D prescribing by year
201611NoneNoneNone$643
201414NoneNoneNone$484
201313NoneNoneNone$269

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

Money from drug and device companies

$113 in 2024

Industry payments by year
202422None$113
202311None$101
202211None$13
202122None$62
201911None$121

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
Spinal ElementsMedical Devices$68
1 payment
  • Meals for Medical Devices · 2024-06-06 · $68
Edwards LifesciencesKonect Resilia$45
1 payment
  • Meals for Konect Resilia · 2024-06-21 · $45
See all 2 published payments
Every published payment
Edwards LifesciencesMeals · 2024-06-21Konect Resilia$45
Spinal ElementsMeals · 2024-06-06Medical Devices$68
See earlier years (2023, 2022, 2021, 2019)

2023: $101

Payments by company in 2023
LeMaitre VascularRestoreflow$101
1 payment
  • Meals for Restoreflow · 2023-11-14 · $101

2022: $13

Payments by company in 2022
Boehringer Ingelheim PharmaceuticalsJardiance$13
1 payment
  • Meals for Jardiance · 2022-11-15 · $13

2021: $62

Payments by company in 2021
Edwards LifesciencesInspiris Resilia Aortic Valve$44
1 payment
  • Meals for Inspiris Resilia Aortic Valve · 2021-06-22 · $44
Boehringer Ingelheim PharmaceuticalsJardiance$18
1 payment
  • Meals for Jardiance · 2021-09-22 · $18

2019: $121

Payments by company in 2019
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Lifevest$121
1 payment
  • Meals for Lifevest · 2019-12-16 · $121

Professional record

NPI
1154340289
Licence
CA G38981California G38981: Delinquent · expires 2026-04-30
More record details
Sole proprietor
No
Taxonomy
Thoracic surgery (208G00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2006-07-19
NPI last updated
2020-05-28
NPI record certified
2020-05-28

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