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James Badger, MD

General Surgery · Palo Alto

NPI 1255360863

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
17
2 carriers
Offices
4

Offices

4 locations · Sutter Bay Medical Foundation · Stanford Health Care

Looking this up.

Hospitals listed: Sequoia Hospital · Stanford Health Care. That is not proof they admit you there this week.

Plans that list them

17 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Badger’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

17 of 17 plans

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
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

California Medical Board record

Licence G58251 · Current

Licensed to practise in California · since 1986 · expires 2028-03-31 · University of California, Davis School of Medicine.

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

Hospitals they work in

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Sequoia HospitalRedwood City, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 4 of 5 · 81% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Death rate among surgical inpatients with serious treatable complications: 104.12 (51.8 to 156.44) · 56 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0, Oct 2024 – Sep 2025
  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Sequoia Hospital

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 1 better, 4 the same, 0 worse of 5 measures. Readmissions: 3 better, 6 the same, 0 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Sequoia Hospital
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths104.12 (51.8 to 156.44) · 56 casesBetterJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.95 (0 to 1.98) · 472 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.91 (0.58 to 1.24)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.8 · 68 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.5 · 72 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.1 · 258 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.5 · 171 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.3 · 81 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.2 · 1,231 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.23 (0.01 to 0.44) · 3,018 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.23 (0.03 to 0.44) · 3,164 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.59 (0.47 to 4.71) · 1,402 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.47 (0.04 to 2.9) · 926 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.68 (0.21 to 3.16) · 1,310 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.54 (4.42 to 14.67) · 978 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.98 (1.61 to 8.36) · 924 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.69 (0.19 to 3.19) · 192 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.57 (0 to 1.43) · 2,501 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.5 · 332 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.702No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.853No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.2 · 67 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.3 · 295 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-27.1 · 76 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-22.3 · 304 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-4.6 · 178 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.3 · 180 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 305 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.9 · 41 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 29 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.1 (9.7 to 17.7) · 129 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 713 casesNo differentJan 2024 – Dec 2024

What patients said (631 patients answered, 27% of those asked)

Patient survey stars by topic at Sequoia Hospital
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Sequoia Hospital
Room was "always" clean78%
Nurses "always" communicated well80%
Doctors "always" communicated well82%
Staff "always" explained60%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully81%
Doctors "always" treated them with courtesy and respect89%
Patients who gave a rating of "9" or "10" (high)77%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully77%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night55%
"YES", patients would definitely recommend the hospital81%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms91%
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$162,209

Medicare paid this office $162,209 for 328 people.

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

Largest Original Medicare bills
Repair of groin hernia (5 years or older)50$23,272$465
New patient visit (60+ min)109$21,431$197
Removal of gallbladder using an endoscope19$10,995$579
Short return visit (20+ min)80$9,528$81
Return visit (30+ min)59$7,778$120
See all 12 services
Every Original Medicare service billed
Repair of groin hernia (5 years or older)50$23,272$465
New patient visit (60+ min)109$21,431$197
Removal of gallbladder using an endoscope19$10,995$579
Short return visit (20+ min)80$9,528$81
Return visit (30+ min)59$7,778$120
Initial hospital care with moderate level of medical decision making at least 75 minutes33$4,873$148
Long return visit (40+ min)27$4,346$161
New patient visit (45+ min)27$4,113$152
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes20$3,081$106
New patient visit (30+ min)25$2,306$92
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$917$65
Short return visit15$899$56

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy1-10None
Hernia repair - groin (open)64More than 99% of doctors who do this
Mastectomy1-10None
Melanoma (skin cancer) excision1-10None
Removal of tissue1-10None
Skin biopsy1-10None
Upper gastrointestinal (GI) endoscopy for acid reflux1-10None

Who their Medicare patients are

328 Original Medicare patients in 2024. Average age 76 · Women 45% · Also on Medicaid 8% · Health risk score 1.12. At or below the middle of the specialty; the typical general surgery clinician is at 1.69.

Conditions among them: High blood pressure 68% · Coronary heart disease 31% · Cancer 24% · Atrial fibrillation 20% · Diabetes 18% · Chronic kidney disease 16% · Depression 16% · Heart failure 13% · COPD 11% · Dementia 6% · Stroke 6%.

The office billed $714,792, Medicare allowed $209,430 and paid $162,209; for 671 services of 80 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
2024328671761.12$714,792$162,209
2023282564761.19$677,065$153,241
2022272626771.06$616,980$149,642
2021295597761.13$678,078$160,578
2020261504761.40$570,257$131,510
2019310601761.33$634,723$150,670
2018294569761.27$574,516$128,444
2017314625761.27$677,322$153,673
2016291584751.35$539,781$124,263
2015288590761.30$552,413$140,022
2014316773751.51$657,884$156,437
2013256621751.42$498,128$122,161

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: 10 services

Original Medicare services billed in 2023
Repair of groin hernia (5 years or older)45$21,499$478
New patient visit (60+ min)95$17,935$189
Removal of gallbladder using an endoscope23$13,034$567
Partial removal of small bowel with reconnection11$11,137$1,012
Short return visit (20+ min)53$5,585$85
Return visit (30+ min)38$5,337$114
Initial hospital care with moderate level of medical decision making at least 75 minutes28$4,452$154
Long return visit (40+ min)25$4,071$163
New patient visit (45+ min)23$3,362$146
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$2,921$108

2022: 12 services

Original Medicare services billed in 2022
Repair of groin hernia (5 years or older)43$21,732$483
New patient visit (60+ min)86$16,966$197
Removal of gallbladder using an endoscope12$7,104$592
Initial hospital care with moderate level of medical decision making at least 75 minutes34$6,640$179
Short return visit (20+ min)56$5,749$78
Return visit (30+ min)31$4,261$125
New patient visit (45+ min)22$3,514$160
Long return visit (40+ min)19$3,022$159
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes17$2,786$93
New patient visit (30+ min)25$2,402$96
Short return visit17$1,344$56
Office for the evaluation and management of established patient that may not require presence of healthcare professional43$1,335$24

2021: 15 services

Original Medicare services billed in 2021
Repair of groin hernia (5 years or older)37$17,929$485
New patient visit (60+ min)81$16,335$202
Removal of gallbladder using an endoscope21$11,992$571
Repair of trapped incisional or abdominal hernia12$10,354$740
Initial hospital care with moderate level of medical decision making at least 75 minutes34$6,308$180
Long return visit (40+ min)32$5,155$161
Placement of mesh to repair incisional or abdominal hernia20$4,909$234
Return visit (30+ min)39$4,773$116
Short return visit (20+ min)42$3,534$75
New patient visit (30+ min)29$2,893$100
New patient visit (45+ min)22$2,856$130
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$1,333$95
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,324$66
Short return visit16$849$47
Office for the evaluation and management of established patient that may not require presence of healthcare professional19$445$23

2020: 9 services

Original Medicare services billed in 2020
Repair of groin hernia (5 years or older)29$14,116$487
New patient visit (60+ min)56$9,951$178
Initial hospital care with moderate level of medical decision making at least 75 minutes36$7,133$188
Return visit (30+ min)34$3,186$94
Short return visit (20+ min)42$3,052$64
New patient visit (45+ min)18$2,589$144
New patient visit (30+ min)15$1,334$89
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes12$1,150$96
Short return visit14$501$36

2019: 17 services

Original Medicare services billed in 2019
Repair of groin hernia (5 years or older)38$18,179$478
Removal of gallbladder using an endoscope15$8,744$583
New patient visit (60+ min)46$8,656$188
Repair of incisional or abdominal hernia15$8,596$573
Return visit (30+ min)40$4,764$99
Initial hospital care with moderate level of medical decision making at least 75 minutes23$4,232$184
New patient visit (45+ min)28$3,809$136
Placement of mesh to repair incisional or abdominal hernia16$3,723$219
Short return visit (20+ min)49$3,404$67
New patient visit (30+ min)35$3,144$90
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$2,475$124
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes24$2,181$91
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$1,982$66
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$1,705$95
Long return visit (40+ min)11$1,522$138
New patient visit (15+ min)18$1,162$65
Short return visit23$1,029$41

2018: 14 services

Original Medicare services billed in 2018
Repair of groin hernia (5 years or older)35$16,148$461
Removal of gallbladder using an endoscope17$9,867$580
New patient visit (45+ min)48$6,487$135
Return visit (30+ min)50$5,519$90
Initial hospital care with moderate level of medical decision making at least 75 minutes28$4,759$170
New patient visit (60+ min)25$4,449$178
Placement of mesh to repair incisional or abdominal hernia15$3,871$228
Short return visit (20+ min)53$3,335$57
Long return visit (40+ min)26$3,159$117
New patient visit (30+ min)27$2,322$86
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes18$1,617$90
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,467$122
New patient visit (15+ min)18$973$54
Short return visit16$645$36

2017: 14 services

Original Medicare services billed in 2017
Repair of groin hernia (5 years or older)36$16,931$470
Initial hospital care with moderate level of medical decision making at least 75 minutes63$12,639$181
Repair of incisional or abdominal hernia15$9,007$530
New patient visit (45+ min)50$6,934$139
Return visit (30+ min)51$5,270$92
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes22$4,954$93
New patient visit (60+ min)25$3,972$159
Placement of mesh to repair incisional or abdominal hernia15$3,040$203
New patient visit (30+ min)31$2,966$96
Short return visit (20+ min)42$2,838$62
Long return visit (40+ min)18$2,030$113
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,422$119
New patient visit (15+ min)16$1,138$71
Short return visit14$489$35

2016: 13 services

Original Medicare services billed in 2016
Initial hospital care with moderate level of medical decision making at least 75 minutes78$14,241$180
Removal of gallbladder using an endoscope20$11,839$564
Repair of groin hernia (5 years or older)25$11,672$467
Repair of incisional or abdominal hernia12$7,776$648
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes27$6,018$93
New patient visit (45+ min)48$5,955$124
Return visit (30+ min)37$4,147$90
Placement of mesh to repair incisional or abdominal hernia15$3,615$226
Short return visit (20+ min)43$3,507$63
New patient visit (60+ min)14$2,392$171
New patient visit (30+ min)24$2,257$94
Long return visit (40+ min)14$1,755$125
Short return visit21$1,081$42

2015: 13 services

Original Medicare services billed in 2015
Repair of groin hernia (5 years or older)29$13,820$477
Initial hospital care with moderate level of medical decision making at least 75 minutes69$12,836$183
Partial removal of small bowel with reconnection11$11,374$1,034
Repair of incisional or abdominal hernia15$10,529$619
New patient visit (45+ min)40$5,990$150
Short return visit (20+ min)66$5,181$62
Return visit (30+ min)43$5,157$97
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes22$4,195$98
New patient visit (30+ min)40$3,575$89
Placement of mesh to repair incisional or abdominal hernia14$3,359$240
New patient visit (60+ min)16$2,935$183
Short return visit17$749$42
New patient visit (15+ min)11$710$65

2014: 14 services

Original Medicare services billed in 2014
Repair of groin hernia (5 years or older)27$13,333$494
Initial hospital care with moderate level of medical decision making at least 75 minutes64$12,917$179
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes40$9,981$92
Repair of incisional or abdominal hernia11$6,832$621
Removal of gallbladder using an endoscope11$6,052$550
Short return visit (20+ min)58$6,019$63
New patient visit (45+ min)35$4,798$137
New patient visit (60+ min)25$4,682$187
Return visit (30+ min)31$3,656$94
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes26$1,922$64
New patient visit (30+ min)19$1,827$96
Short return visit29$1,801$38
Long return visit (40+ min)12$1,600$133
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes21$1,284$35

2013: 15 services

Original Medicare services billed in 2013
Initial hospital care with moderate level of medical decision making at least 75 minutes68$13,510$175
Repair of incisional or abdominal hernia15$10,327$645
Removal of gallbladder using an endoscope15$8,731$582
Repair of groin hernia (5 years or older)18$8,403$467
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes37$5,389$90
New patient visit (60+ min)26$4,734$182
New patient visit (45+ min)33$4,411$134
Short return visit (20+ min)50$4,045$61
Placement of mesh to repair incisional or abdominal hernia12$2,906$224
Return visit (30+ min)24$2,409$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes18$2,363$62
Short return visit36$2,152$37
New patient visit (30+ min)18$1,699$94
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes12$875$34
Office for the evaluation and management of established patient that may not require presence of healthcare professional11$241$19

Drugs they prescribed that Part D paid

$858

Pharmacies billed $858 in 2024.

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

Opioids were 83% of their Part D prescriptions (94 of 113) in 2024. A higher opioid share than 9 in 10 peers; the typical general surgery clinician is at 34%.

111 generic and fewer than 11 brand-name prescriptions · $858 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.

Largest Part D drug costs
Oxycodone-Acetaminophen86$600$7

Year by year

Part D prescribing by year
20241139583% (94)None$858
202312010081% (97)None$695
20221439658% (83)None$1,737
202114410058% (83)None$1,735
20201088165% (70)None$1,768
20191449448% (69)12%$5,511
20181289348% (62)None$4,502
20171037953% (55)None$7,134
20161067142% (44)None$3,601
2015976543% (42)None$3,130
20141328455% (73)None$1,683
20131277551% (65)None$3,165

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

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Oxycodone-Acetaminophen90$398$4

2022: 2 drugs

Part D drugs prescribed in 2022
Oxycodone-Acetaminophen79$388$5
Amoxicillin-Clavulanate Potass24$354$15

2021: 1 drug

Part D drugs prescribed in 2021
Oxycodone-Acetaminophen78$416$5

2020: 1 drug

Part D drugs prescribed in 2020
Oxycodone-Acetaminophen64$366$6

2019: 1 drug

Part D drugs prescribed in 2019
Oxycodone-Acetaminophen66$369$6

2018: 2 drugs

Part D drugs prescribed in 2018
Oxycodone-Acetaminophen32$305$10
Hydrocodone-Acetaminophen25$157$6

2017: 1 drug

Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen49$280$6

2016: 3 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen11$225$20
Acetaminophen-Codeine27$161$6
Ciprofloxacin13$129$10

2015: 1 drug

Part D drugs prescribed in 2015
Acetaminophen-Codeine34$169$5

2014: 2 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen55$394$7
Acetaminophen-Codeine16$68$4

2013: 2 drugs

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen64$320$5
Cephalexin11$73$7

Money from drug and device companies

$265 in 2025

Industry payments by year
202523None$265
201922None$233

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
Aroa BiosurgeryNone$214
2 payments
  • Meals · 2025-07-29 · $191
  • Meals · 2025-07-29 · $24
DavolArista$51
1 payment
  • Meals for Arista · 2025-08-25 · $51
See all 3 published payments
Every published payment
DavolMeals · 2025-08-25Arista$51
Aroa BiosurgeryMeals · 2025-07-29None$191
Aroa BiosurgeryMeals · 2025-07-29None$24
See earlier years (2019)

2019: $233

Payments by company in 2019
HologicBiozorb$125
1 payment
  • Meals for Biozorb · 2019-09-12 · $125
Focal TherapeuticsBiozorb$108
1 payment
  • Meals for Biozorb · 2019-01-22 · $108

Professional record

NPI
1255360863
Licence
CA G58251California G58251: Current · expires 2028-03-31
Trained
University of California, Davis School of Medicine, 1985
Group
Sutter Bay Medical Foundation · Stanford Health Care
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Surgery (208600000X)
Mailing address
300 Pasteur Dr, Palo Alto, CA, 94304
NPI first listed
2006-07-03
NPI last updated
2024-04-28
NPI record certified
2024-04-28

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