Brian Knox Alfano, PA
Physician Assistant · Palo Alto
- 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
Looking this up.
Hospitals listed: Unc Hospitals. That is not proof they admit you there this week.
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Brian Knox Alfano’s office to ask if they take your plan before you enroll.
Hospitals they work in
1 hospital
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- Unc HospitalsChapel Hill, NCAcute Care Hospital · Government - State · Has an emergency department · Birthing-friendlyPart of UNC Health Care System, which runs 15 hospitalsHome of UNC Lineberger Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 80% would definitely recommend itOverall rating: 5 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.685, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.606, Oct 2024 – Sep 2025
See every measure and the patient survey for Unc Hospitals
Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 2 better, 6 the same, 0 worse of 8 measures. Readmissions: 5 better, 6 the same, 0 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.685 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.606 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.77 (0.02 to 1.52) · 2,693 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.92 (0.71 to 1.12) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 161.89 (128.51 to 195.27) · 264 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.8 · 50 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 7.2 · 118 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.4 · 139 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 10.6 · 408 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 12.1 · 405 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 12 · 493 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3 · 5,907 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.31 (0.13 to 0.49) · 10,696 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.32 (0.15 to 0.5) · 11,495 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.29 (1.79 to 4.79) · 3,768 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.04 (0 to 2.24) · 1,925 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.11 (1.06 to 3.17) · 3,512 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 8.88 (4.9 to 12.87) · 1,760 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 3.44 (1.13 to 5.76) · 1,918 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.52 (0.22 to 2.82) · 1,003 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.71 (0.29 to 1.12) · 9,900 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.4 · 189 cases | None | Apr 2023 – Mar 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 1.018 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.697 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 0.637 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.796 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 15 · 399 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 18.8 · 897 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | -10.4 · 186 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -12.4 · 451 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -5.8 · 428 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 14.5 · 698 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.8 (4.6 to 7.2) · 922 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 9.8 (8.2 to 11.7) · 922 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 4.6 · 184 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 11.9 · 54 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 18.7 · 334 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 10.8 (8.4 to 13.9) · 2,091 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.7 to 1.1) · 1,351 cases | No different | Jan 2024 – Dec 2024 |
What patients said (2,558 patients answered, 21% of those asked)
| Cleanliness | 3 |
| Nurse communication | 4 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 4 |
| Quietness | 4 |
| Recommend hospital | 5 |
| Room was "always" clean | 71% |
| Nurses "always" communicated well | 79% |
| Doctors "always" communicated well | 81% |
| Staff "always" explained | 61% |
| Yes, staff "did" give patients this information | 89% |
| Yes, staff "did" give patients information about help after discharge | 89% |
| Doctors "always" explained things so they could understand | 77% |
| Doctors "always" listened carefully | 80% |
| Doctors "always" treated them with courtesy and respect | 87% |
| Patients who gave a rating of "9" or "10" (high) | 77% |
| Staff "always" explained new medications | 74% |
| Nurses "always" explained things so they could understand | 76% |
| Nurses "always" listened carefully | 76% |
| Nurses "always" treated them with courtesy and respect | 86% |
| "Always" quiet at night | 62% |
| "YES", patients would definitely recommend the hospital | 80% |
| Staff "always" explained possible side effects | 47% |
| Yes, staff "did" give patients information about possible symptoms | 89% |
Original Medicare doctor bills
$21,554
Medicare paid this office $21,554 for 200 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Return visit (30+ min) | 91 | $7,897 | $60 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 80 | $6,880 | $82 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 61 | $4,063 | $49 |
| New patient visit (45+ min) | 19 | $1,557 | $82 |
| Short return visit (20+ min) | 13 | $485 | $37 |
Who their Medicare patients are
200 Original Medicare patients in 2024. Average age 73 · Under 65 8% · 85 and older 6% · Women 57% · Also on Medicaid 9% · Health risk score 1.18. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.
Conditions among them: High blood pressure 75% · Depression 36% · Diabetes 27% · Coronary heart disease 25% · Chronic kidney disease 20% · Cancer 16% · Atrial fibrillation 15% · Heart failure 14% · COPD 10% · Stroke 6%.
The office billed $116,794, Medicare allowed $27,249 and paid $21,554; for 341 services of 10 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 | 200 | 341 | 73 | 1.18 | $116,794 | $21,554 |
| 2023 | 234 | 453 | 73 | 1.24 | $128,573 | $28,160 |
| 2022 | 188 | 431 | 73 | 1.19 | $112,112 | $24,976 |
| 2021 | 223 | 469 | 72 | 1.24 | $122,313 | $27,509 |
| 2020 | 192 | 436 | 70 | 1.64 | $113,463 | $25,194 |
| 2019 | 280 | 506 | 70 | 1.26 | $136,640 | $30,716 |
| 2018 | 141 | 233 | 68 | 1.26 | $61,018 | $13,705 |
| 2017 | 69 | 127 | 70 | 2.77 | $21,605 | $6,102 |
| 2015 | 172 | 1,002 | 69 | 3.07 | $220,486 | $56,304 |
| 2014 | 126 | 624 | 68 | 3.09 | $162,625 | $35,097 |
| 2013 | 149 | 1,044 | 68 | 2.45 | $288,420 | $60,558 |
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: 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 95 | $9,264 | $51 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 82 | $7,053 | $84 |
| Return visit (30+ min) | 80 | $6,574 | $59 |
| New patient visit (45+ min) | 23 | $1,917 | $83 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 12 | $1,076 | $77 |
| Hospital discharge day management, more than 30 minutes | 12 | $885 | $74 |
2022: 7 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 101 | $9,575 | $46 |
| Return visit (30+ min) | 45 | $3,872 | $65 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 28 | $2,456 | $88 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 37 | $2,426 | $66 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 21 | $2,269 | $67 |
| New patient visit (45+ min) | 12 | $1,065 | $89 |
| Short return visit (20+ min) | 16 | $832 | $44 |
2021: 6 services
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 117 | $8,048 | $66 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 92 | $7,162 | $47 |
| Return visit (30+ min) | 55 | $4,710 | $65 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 15 | $1,774 | $68 |
| Short return visit (20+ min) | 17 | $988 | $45 |
| New patient visit (30+ min) | 11 | $612 | $56 |
2020: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 104 | $9,261 | $48 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 98 | $7,172 | $68 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 21 | $2,335 | $71 |
| Hospital discharge day management, more than 30 minutes | 17 | $1,159 | $68 |
| Return visit (30+ min) | 12 | $732 | $52 |
2019: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 150 | $11,806 | $48 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 102 | $9,383 | $90 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 51 | $3,561 | $67 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 12 | $1,107 | $69 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 28 | $812 | $26 |
2018: 3 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 87 | $6,590 | $48 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 41 | $3,672 | $90 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 17 | $1,125 | $66 |
2017: 1 service
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 62 | $5,344 | $47 |
2015: 3 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 101 | $26,722 | $67 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 126 | $26,169 | $47 |
| Hospital discharge day management, more than 30 minutes | 29 | $2,036 | $70 |
2014: 2 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 85 | $18,602 | $67 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 92 | $15,672 | $47 |
2013: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 129 | $37,338 | $66 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 109 | $19,504 | $45 |
| Hospital discharge day management, more than 30 minutes | 29 | $2,035 | $68 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 12 | $1,544 | $129 |
Medicaid work
$696 in 2018
Medicaid paid $696 for 17 billed services this clinician did in 2018, up to 13 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.
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 17 | $696 |
| 2018 | 17 | 1 | 13 | $696 |
Professional record
- NPI
- 1225275761
- Licence
- NC 0010-01648
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Physician assistant (363A00000X); Physician assistant, surgical (363AS0400X)
- Mailing address
- 300 Pasteur Dr, Stanford, CA, 94305
- NPI first listed
- 2009-01-20
- NPI last updated
- 2026-02-26
- NPI record certified
- 2026-02-26
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 3643 N Roxboro St, Durham, NC, 27704
This office lists an electronic records connection.