Ninad Sham Karandikar, MD
Physical Medicine and Rehabilitation · Los Gatos
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 16
- 3 carriers
- Office
- 1
Offices
1 location · James Petros MD Inc · 21 clinicians in this group
Looking this up.
Plans that list them
16 plans · 3 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Karandikar’s office at (408) 528-8833 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
16 of 16 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 smartHMO (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health the ONE (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
California Medical Board record
Licence A117244 · Current
Licensed to practise in California · since 2011 · expires 2027-03-31 · University of Bombay, Seth G. S. Medical College.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$87,868
Medicare paid this office $87,868 for 150 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Return visit (30+ min) | 115 | $35,091 | $110 |
| Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha | 76 | $11,495 | $73 |
| Long return visit (40+ min) | 36 | $10,236 | $160 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 31 | $4,533 | $126 |
| New patient visit (45+ min) | 26 | $3,897 | $150 |
See all 12 services
| Return visit (30+ min) | 115 | $35,091 | $110 |
| Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha | 76 | $11,495 | $73 |
| Long return visit (40+ min) | 36 | $10,236 | $160 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 31 | $4,533 | $126 |
| New patient visit (45+ min) | 26 | $3,897 | $150 |
| Administration of psychological or neuropsychological test, first 30 minutes | 68 | $3,281 | $37 |
| 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 | 88 | $3,127 | $15 |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | 14 | $2,055 | $114 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 19 | $1,216 | $51 |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | 14 | $1,174 | $65 |
| Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.) | 18 | $573 | $29 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 18 | $55 | None |
Who their Medicare patients are
150 Original Medicare patients in 2024. Average age 74 · Under 65 11% · 85 and older 14% · Women 65% · Also on Medicaid 18% · Health risk score 1.36. At or below the middle of the specialty; the typical physical medicine and rehabilitation clinician is at 1.53.
Conditions among them: High blood pressure 75% · Depression 33% · Diabetes 30% · Coronary heart disease 25% · Chronic kidney disease 24% · COPD 17% · Heart failure 15% · Cancer 13% · Atrial fibrillation 13% · Dementia 9% · Stroke 8%.
The office billed $1,107,558, Medicare allowed $116,087 and paid $87,868; for 1,168 services of 41 kinds; $55 of it was for drugs given in the office and $87,813 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
| 2024 | 150 | 1,168 | 74 | 1.36 | $1,107,558 | $87,868 |
| 2023 | 225 | 674 | 73 | 1.32 | $551,883 | $59,895 |
| 2022 | 113 | 198 | 71 | 1.48 | $111,883 | $16,280 |
| 2021 | 32 | 33 | 74 | 1.08 | $15,412 | $2,477 |
| 2019 | 185 | 416 | 73 | 2.32 | $69,678 | $27,954 |
| 2018 | 241 | 673 | 74 | 1.96 | $112,628 | $47,293 |
| 2017 | 203 | 559 | 74 | 1.75 | $93,429 | $39,459 |
| 2016 | 314 | 854 | 73 | 1.90 | $120,324 | $59,845 |
| 2015 | 328 | 793 | 75 | 2.02 | $108,034 | $54,306 |
| 2014 | 345 | 865 | 73 | 1.57 | $117,009 | $58,074 |
| 2013 | 326 | 758 | 74 | 1.54 | $101,518 | $49,865 |
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: 15 services
| Return visit (30+ min) | 86 | $13,844 | $106 |
| New patient visit (45+ min) | 54 | $7,647 | $142 |
| Muscle electrical test | 77 | $5,552 | $48 |
| Long return visit (40+ min) | 29 | $5,013 | $135 |
| Nerve test | 36 | $4,715 | $127 |
| Nerve test | 15 | $3,029 | $202 |
| New patient visit (60+ min) | 16 | $2,767 | $173 |
| Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha | 31 | $2,758 | $77 |
| Administration of psychological or neuropsychological test, first 30 minutes | 46 | $2,111 | $42 |
| Nerve test | 15 | $2,101 | $140 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 15 | $1,795 | $120 |
| Short return visit (20+ min) | 13 | $896 | $69 |
| Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 16 | $806 | $42 |
| Muscle electrical test | 12 | $234 | $19 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 13 | $152 | $11 |
2022: 5 services
| Long return visit (40+ min) | 17 | $3,099 | $129 |
| Muscle electrical test | 30 | $1,727 | $41 |
| New patient visit (30+ min) | 20 | $1,389 | $69 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 12 | $1,079 | $90 |
| Short return visit (20+ min) | 16 | $1,039 | $61 |
2021: 1 service
| New patient visit (30+ min) | 12 | $898 | $75 |
2019: 3 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 173 | $22,914 | $62 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 19 | $2,270 | $119 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 18 | $1,841 | $88 |
2018: 3 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 228 | $36,455 | $64 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 56 | $6,299 | $93 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 25 | $2,919 | $117 |
2017: 3 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 194 | $30,739 | $64 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 38 | $4,011 | $93 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 27 | $3,288 | $122 |
2016: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 295 | $49,164 | $65 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 44 | $4,844 | $93 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 24 | $2,934 | $122 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 16 | $2,903 | $181 |
2015: 3 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 310 | $45,639 | $64 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 33 | $3,904 | $118 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 34 | $3,507 | $92 |
2014: 3 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 332 | $49,322 | $63 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 37 | $4,646 | $122 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 35 | $3,383 | $91 |
2013: 3 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 317 | $44,217 | $62 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 24 | $2,974 | $119 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 13 | $1,345 | $90 |
Drugs they prescribed that Part D paid
$15,847
Pharmacies billed $15,847 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 53% of their Part D prescriptions (224 of 426) in 2024. Above the middle of the specialty; the typical physical medicine and rehabilitation clinician is at 12%. Long-acting opioids: 11% of their opioid prescriptions.
408 generic and 18 brand-name prescriptions · $15,847 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.
| Hydrocodone-Acetaminophen | 72 | $1,208 | $17 |
| Oxycodone | 41 | $1,099 | $27 |
| Gabapentin | 75 | $1,063 | $14 |
| Pregabalin | 39 | $1,054 | $27 |
| Oxycodone-Acetaminophen | 24 | $383 | $16 |
See all 11 drugs
| Hydrocodone-Acetaminophen | 72 | $1,208 | $17 |
| Oxycodone | 41 | $1,099 | $27 |
| Gabapentin | 75 | $1,063 | $14 |
| Pregabalin | 39 | $1,054 | $27 |
| Oxycodone-Acetaminophen | 24 | $383 | $16 |
| Morphine Sulfate Er | 11 | $340 | $31 |
| Tramadol | 42 | $172 | $4 |
| Buprenorphine | 11 | $108 | $10 |
| Acetaminophen-Codeine | 12 | $96 | $8 |
| Meloxicam | 11 | $41 | $4 |
| Cyclobenzaprine | 11 | $35 | $3 |
Year by year
| 2024 | 426 | 106 | 53% (224) | 4% | $15,847 |
| 2023 | 149 | 58 | 25% (37) | None | $7,208 |
| 2022 | 53 | 37 | None | 0% | $488 |
| 2021 | 19 | None | None | 0% | $140 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 5 drugs
| Lidocaine | 21 | $4,261 | $203 |
| Gabapentin | 39 | $880 | $23 |
| Pregabalin | 12 | $841 | $70 |
| Hydrocodone-Acetaminophen | 17 | $413 | $24 |
| Meloxicam | 19 | $111 | $6 |
2022: 2 drugs
| Gabapentin | 17 | $304 | $18 |
| Meloxicam | 18 | $47 | $3 |
Money from drug and device companies
$282 in 2025
| 2025 | 4 | 4 | None | $282 |
| 2024 | 6 | 7 | None | $281 |
| 2021 | 1 | 2 | None | $44 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Boston Scientific | Wavewriter Alpha Prime 16 | $170 | 1 payment
|
| Mml US | Reactiv8 | $58 | 1 payment
|
| Curonix | Pns Freedom-4a Permanent Neurostimulator Receiver Kit Channel A | $27 | 1 payment
|
| SPR Therapeutics | Sprint Pns System | $26 | 1 payment
|
See all 4 published payments
| Mml US | Meals · 2025-09-25 | Reactiv8 | $58 |
| Curonix | Meals · 2025-07-10 | Pns Freedom-4a Permanent Neurostimulator Receiver Kit Channel A | $27 |
| Boston Scientific | Meals · 2025-05-16 | Wavewriter Alpha Prime 16 | $170 |
| SPR Therapeutics | Meals · 2025-04-10 | Sprint Pns System | $26 |
See earlier years (2024, 2021)
2024: $281
| SPR Therapeutics | Sprint Pns System | $101 | 1 payment
|
| Curonix | Pns Freedom-4a Permanent Neurostimulator Receiver Kit Channel A | $98 | 1 payment
|
| Nalu Medical | Nalu Neurostimulation System | $31 | 2 payments
|
| Boston Scientific | None | $21 | 1 payment
|
| Abbott Laboratories | Proclaim | $18 | 1 payment
|
| Vertos Medical | Mild Device Kit | $10 | 1 payment
|
2021: $44
| Relievant Medsystems | Intracept | $44 | 2 payments
|
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 75.0 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1184892606
- Licence
- CA A 117244California A117244: Current · expires 2027-03-31
- Group
- James Petros MD Inc
- Video visits
- Lists video visits
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 208100000X (208100000X)
- Mailing address
- 20660 Stevens Creek Blvd # 386, Cupertino, CA, 95014
- NPI first listed
- 2008-02-19
- NPI last updated
- 2024-12-14
- NPI record certified
- 2024-12-14
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 3801 Miranda Ave, Palo Alto, CA, 94304