Jacob Douglas Gire, MD
Orthopedic Surgery · Sacramento
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
Offices
1 location · Permanente Medical Group Inc · 10,928 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Gire’s office at (916) 973-5000 to ask if they take your plan before you enroll.
California Medical Board record
Licence A138783 · Current
Licensed to practise in California · since 2015 · expires 2027-06-30 · University of California, Davis School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$1,963
Medicare paid this office $1,963 for 11 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Who their Medicare patients are
11 Original Medicare patients in 2024. Average age 68 · Health risk score 1.41. Above the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.
The office billed $14,430, Medicare allowed $2,677 and paid $1,963; for 27 services of 13 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.
Medicaid work
$0 in 2022
Medicaid paid $0 for 13 billed services this clinician did in 2022, up to 12 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.
| Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure | 13 | $0 |
| 2022 | 13 | 1 | 12 | $0 |
Drugs they prescribed that Part D paid
$1,745
Pharmacies billed $1,745 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 27% of their Part D prescriptions (42 of 157) in 2024. At or below the middle of the specialty; the typical orthopedic surgery clinician is at 31%.
157 generic and 0 brand-name prescriptions · $1,745 in drug cost · 31 antibiotic prescriptions to 11 people.
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.
| Ibuprofen | 34 | $418 | $12 |
| Clindamycin | 15 | $231 | $15 |
| Meloxicam | 34 | $227 | $7 |
| Oxycodone | 23 | $163 | $7 |
| Tramadol | 13 | $76 | $6 |
Year by year
| 2024 | 157 | 60 | 27% (42) | 0% | $1,745 |
| 2023 | 117 | 51 | 18% (21) | 0% | $1,231 |
| 2022 | 124 | 59 | 23% (29) | None | $1,635 |
| 2021 | 106 | 58 | 32% (34) | None | $1,351 |
| 2020 | 25 | 17 | None | None | $539 |
| 2019 | 31 | 27 | 65% (20) | None | $371 |
| 2018 | 39 | 33 | 92% (36) | 0% | $448 |
| 2017 | 72 | 57 | 85% (61) | None | $2,004 |
| 2016 | 41 | 33 | 81% (33) | None | $4,324 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 3 drugs
| Meloxicam | 36 | $249 | $7 |
| Ibuprofen | 16 | $175 | $11 |
| Oxycodone | 12 | $82 | $7 |
2022: 3 drugs
| Ibuprofen | 28 | $401 | $14 |
| Meloxicam | 19 | $128 | $7 |
| Tramadol | 16 | $107 | $7 |
2021: 2 drugs
| Diclofenac | 21 | $404 | $19 |
| Oxycodone | 22 | $156 | $7 |
2019: 1 drug
| Oxycodone | 15 | $88 | $6 |
2018: 1 drug
| Oxycodone | 29 | $344 | $12 |
2017: 1 drug
| Oxycodone | 45 | $684 | $15 |
2016: 2 drugs
| Oxycodone | 19 | $391 | $21 |
| Hydrocodone-Acetaminophen | 11 | $176 | $16 |
Money from drug and device companies
$62 in 2025
| 2025 | 1 | 1 | None | $62 |
| 2024 | 2 | 2 | None | $316 |
| 2023 | 1 | 2 | None | $141 |
| 2022 | 1 | 1 | None | $38 |
| 2020 | 2 | 2 | None | $257 |
| 2019 | 8 | 14 | None | $11,835 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Skeletal Dynamics | Geminus | $62 | 1 payment
|
See the published payment
| Skeletal Dynamics | Meals · 2025-06-23 | Geminus | $62 |
See earlier years (2024, 2023, 2022, 2020, 2019)
2024: $316
| DePuy Synthes Sales | Dynacord | $176 | 1 payment
|
| Axogen | Avance Nerve Graft | $140 | 1 payment
|
2023: $141
| Skeletal Dynamics | Geminus | $141 | 2 payments
|
2022: $38
| Stryker | Gamma | $38 | 1 payment
|
2020: $257
| Acumed | Acu-Loc Wrist Plating System | $142 | 1 payment
|
| Bioventus | Exogen | $115 | 1 payment
|
2019: $11,835
| Arthrex | None | $10,000 | 1 payment
|
| Acumed | Acu-Loc Wrist Plating System | $910 | 7 payments
|
| TriMed | None | $307 | 1 payment
|
| Stryker | T2 | $144 | 1 payment
|
| Bioventus | Exogen | $122 | 1 payment
|
| Kci USA | Prevena | $122 | 1 payment
|
| DePuy Synthes Sales | Bme Nitinol Continuous Compression Implants | $116 | 1 payment
|
| Medical Device Business Services | Headless Compression Screws | $114 | 1 payment
|
Professional record
- NPI
- 1174898696
- Licence
- CA A138783California A138783: Current · expires 2027-06-30
- Trained
- University of California, Davis School of Medicine, 2014
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Orthopedic surgery (207X00000X)
- Mailing address
- 300 Pasteur Dr # Mc6342, Palo Alto, CA, 94304
- NPI first listed
- 2012-03-16
- NPI last updated
- 2021-12-20
This is when the NPI record was last certified, not a medical board exam.
This office lists an electronic records connection.