Walter J Lech, MD
Thoracic Surgery · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 14
- 3 carriers
- Office
- 1
Offices
1 location · Ellison Medical Group Vein Treatment Center · 10 clinicians in this group
Looking this up.
Plans that list them
14 plans · 3 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Lech’s office at (858) 926-7878 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
14 of 14 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 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 A140713 · Current
Licensed to practise in California · since 2016 · expires 2028-01-31 · Harvard Medical School.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$342,640
Medicare paid this office $342,640 for 68 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 22 | $177,562 | $1,387 |
| Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 19 | $76,118 | $1,464 |
| Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 24 | $66,353 | $1,106 |
| Short return visit (20+ min) | 62 | $17,234 | $85 |
| New patient visit (30+ min) | 49 | $5,242 | $107 |
Procedures Medicare counted
| Varicose vein removal | 229 | More than 92% of doctors who do this |
Who their Medicare patients are
68 Original Medicare patients in 2024. Average age 68 · Women 84% · Also on Medicaid 31% · Health risk score 0.81. At or below the middle of the specialty; the typical thoracic surgery clinician is at 1.74.
Conditions among them: High blood pressure 49% · Depression 19% · Diabetes 16%.
The office billed $2,992,149, Medicare allowed $431,922 and paid $342,640; for 492 services of 6 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 | 68 | 492 | 68 | 0.81 | $2,992,149 | $342,640 |
| 2023 | 45 | 439 | 69 | 0.78 | $1,990,200 | $280,581 |
| 2022 | 24 | 190 | 69 | 0.83 | $1,235,625 | $109,633 |
| 2021 | 28 | 108 | 69 | 1.08 | $572,550 | $53,161 |
| 2020 | 71 | 545 | 71 | 1.69 | $2,913,570 | $232,388 |
| 2019 | 85 | 434 | 74 | 1.52 | $1,732,420 | $136,151 |
| 2018 | 70 | 467 | 73 | 1.57 | $1,348,605 | $136,040 |
| 2015 | 90 | 214 | 72 | 2.00 | $92,135 | $29,636 |
| 2014 | 85 | 189 | 72 | 1.95 | $150,418 | $29,649 |
| 2013 | 79 | 216 | 72 | 1.81 | $168,169 | $36,172 |
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
| Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 14 | $156,245 | $1,447 |
| Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 15 | $57,378 | $1,125 |
| Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 12 | $45,026 | $1,553 |
| Short return visit (20+ min) | 43 | $18,403 | $85 |
| New patient visit (30+ min) | 35 | $3,530 | $101 |
2022: 2 services
| Short return visit (20+ min) | 22 | $8,479 | $87 |
| New patient visit (30+ min) | 23 | $2,043 | $89 |
2021: 2 services
| Ultrasound study of arm or leg veins with compression and maneuvers | 21 | $2,903 | $138 |
| Short return visit (20+ min) | 18 | $1,178 | $49 |
2020: 11 services
| Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 21 | $60,542 | $1,441 |
| Laser destruction of incompetent vein of arm or leg using imaging guidance | 23 | $45,064 | $980 |
| Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance | 18 | $44,260 | $1,581 |
| Mechanochemical destruction of first incompetent vein of arm or leg using imaging guidance | 15 | $37,466 | $1,338 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 69 | $17,004 | $172 |
| Ultrasound study of one arm or leg veins with compression and maneuvers | 36 | $13,811 | $113 |
| Injection of chemical agent into multiple incompetent veins of leg | 15 | $3,601 | $180 |
| New patient visit (30+ min) | 42 | $3,485 | $83 |
| Short return visit (20+ min) | 35 | $3,331 | $55 |
| Ultrasonic guidance for needle placement | 20 | $1,864 | $50 |
| Injection of chemical agent into single incompetent vein | 14 | $1,705 | $95 |
2019: 9 services
| Laser destruction of incompetent vein of arm or leg using imaging guidance | 24 | $52,103 | $1,022 |
| Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 13 | $24,415 | $1,436 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 81 | $18,243 | $174 |
| Ultrasound study of one arm or leg veins with compression and maneuvers | 29 | $7,463 | $110 |
| New patient visit (30+ min) | 53 | $4,671 | $88 |
| Short return visit (20+ min) | 29 | $2,858 | $62 |
| Ultrasonic guidance for needle placement | 19 | $1,364 | $51 |
| Injection of chemical agent into single incompetent vein | 13 | $1,182 | $91 |
| Ultrasound follow-up study | 12 | $989 | $55 |
2018: 11 services
| Laser destruction of incompetent vein of arm or leg using imaging guidance | 34 | $94,453 | $1,086 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 66 | $13,010 | $171 |
| Ultrasound study of one arm or leg veins with compression and maneuvers | 28 | $7,425 | $109 |
| New patient visit (30+ min) | 41 | $3,816 | $93 |
| Injection of chemical agent into multiple incompetent veins of leg | 11 | $2,990 | $166 |
| New patient visit (45+ min) | 19 | $2,680 | $141 |
| Injection of chemical agent into single incompetent vein | 16 | $2,256 | $94 |
| Ultrasonic guidance for needle placement | 22 | $2,222 | $53 |
| Ultrasound follow-up study | 13 | $1,686 | $84 |
| Short return visit (20+ min) | 11 | $696 | $63 |
| Office for the evaluation and management of established patient that may not require presence of healthcare professional | 18 | $617 | $19 |
2015: 3 services
| New patient visit (60+ min) | 33 | $5,225 | $158 |
| Short return visit (20+ min) | 51 | $4,219 | $56 |
| Long return visit (40+ min) | 14 | $1,929 | $113 |
2014: 3 services
| New patient visit (60+ min) | 30 | $5,138 | $166 |
| Short return visit (20+ min) | 36 | $3,056 | $51 |
| Long return visit (40+ min) | 13 | $1,859 | $116 |
2013: 4 services
| New patient visit (60+ min) | 25 | $4,002 | $160 |
| Short return visit (20+ min) | 40 | $3,101 | $56 |
| New patient visit (45+ min) | 16 | $2,031 | $127 |
| Return visit (30+ min) | 11 | $1,039 | $87 |
Medicaid work
$103,640 in 2024
Medicaid paid $103,640 for 657 billed services this clinician did in 2024, up to 45 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.
| Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated | 125 | $58,466 |
| Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg | 54 | $21,332 |
| Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein) | 83 | $19,929 |
| Short return visit (20+ min) | 323 | $2,563 |
| New patient visit (30+ min) | 72 | $1,349 |
| 2024 | 657 | 5 | 45 | $103,640 |
| 2023 | 86 | 1 | 16 | $497 |
See the largest Medicaid services in earlier years
2023
| Short return visit (20+ min) | 86 | $497 |
Money from drug and device companies
$382 in 2025
| 2025 | 3 | 8 | None | $382 |
| 2024 | 2 | 3 | None | $79 |
| 2023 | 1 | 1 | None | $18 |
| 2022 | 2 | 2 | None | $34 |
| 2021 | 1 | 1 | None | $23 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Tactile Systems Technology | Flexitouch Plus | $236 | 4 payments
|
| Medtronic | Venaseal | $122 | 3 payments
|
| Urgo Medical North America | Urgok2 | $25 | 1 payment
|
See all 8 published payments
| Medtronic | Meals · 2025-11-04 | Venaseal | $43 |
| Tactile Systems Technology | Meals · 2025-09-30 | Flexitouch Plus | $25 |
| Urgo Medical North America | Meals · 2025-09-23 | Urgok2 | $25 |
| Tactile Systems Technology | Meals · 2025-06-12 | Flexitouch Plus | $34 |
| Medtronic | Meals · 2025-04-29 | Closurefast | $34 |
| Tactile Systems Technology | Meals · 2025-03-21 | Flexitouch Plus | $152 |
| Medtronic | Meals · 2025-03-11 | Venaseal | $45 |
| Tactile Systems Technology | Meals · 2025-02-26 | Flexitouch Plus | $24 |
See earlier years (2024, 2023, 2022, 2021)
2024: $79
| Tactile Systems Technology | Flexitouch Plus | $54 | 2 payments
|
| Medtronic | Closurefast | $25 | 1 payment
|
2023: $18
| Tactile Systems Technology | Flexitouch Plus | $18 | 1 payment
|
2022: $34
| Tactile Systems Technology | Flexitouch Plus | $20 | 1 payment
|
| Boston Scientific | Varithena Administration Pack | $14 | 1 payment
|
2021: $23
| Medtronic | Venaseal | $23 | 1 payment
|
Professional record
- NPI
- 1215073853
- Licence
- CA A140713California A140713: Current · expires 2028-01-31
- Trained
- Harvard Medical School, 2001
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 202K00000X (202K00000X); Federal specialty code 2086S0129X (2086S0129X); Thoracic surgery (208G00000X)
- Mailing address
- 1270 S Winchester Blvd Ste 102, San Jose, CA, 95128
- NPI first listed
- 2007-01-30
- NPI last updated
- 2023-07-07
- NPI record certified
- 2023-07-07
This is when the NPI record was last certified, not a medical board exam.