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Gary A Li, MD

Emergency Medicine · Los Gatos

NPI 1295773489

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 · Cep America - California · 1,278 clinicians in this group

Looking this up.

Hospitals listed: Good Samaritan Hospital. 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 Dr. Li’s office at (408) 378-6131 to ask if they take your plan before you enroll.

California Medical Board record

Licence G66693 · Current

Licensed to practise in California · since 1989 · expires 2027-08-31 · University of California, Davis School of Medicine.

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

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.

  • Good Samaritan HospitalSan Jose, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of HCA Healthcare, which runs 185 hospitals in 19 statesPatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.337, Oct 2024 – Sep 2025
See every measure and the patient survey for Good Samaritan Hospital

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 1 worse of 8 measures. Readmissions: 0 better, 5 the same, 4 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 Good Samaritan Hospital
Clostridium Difficile (C.Diff)Infections0.337BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.75 (0 to 1.67) · 1,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.84 (0.54 to 1.14)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths143.59 (98.7 to 188.49) · 98 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.7 · 45 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 100 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.7 · 270 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.3 · 573 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.6 · 820 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.5 · 482 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.3 · 3,711 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.12 (0 to 0.3) · 8,866 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.01 to 0.38) · 9,051 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.65 (0.74 to 4.56) · 1,929 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.8 (0.21 to 3.39) · 670 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.33 (0.88 to 3.78) · 1,836 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.73 (0 to 13.46) · 669 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.58 (3.96 to 11.19) · 654 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.59 (0.13 to 3.04) · 496 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.27 (0 to 0.87) · 7,373 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.1 · 152 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.08No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.542No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.484No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.565No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 327 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits24.2 · 703 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits61.1 · 289 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits36.3 · 665 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits25.4 · 856 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19 · 978 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits6.3 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12.3 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.2 · 135 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.8 (10.1 to 18.6) · 129 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.9 to 1.5) · 531 casesNo differentJan 2024 – Dec 2024

What patients said (704 patients answered, 24% of those asked)

Patient survey stars by topic at Good Samaritan Hospital
Cleanliness3
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Good Samaritan Hospital
Room was "always" clean66%
Nurses "always" communicated well75%
Doctors "always" communicated well71%
Staff "always" explained54%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge81%
Doctors "always" explained things so they could understand66%
Doctors "always" listened carefully69%
Doctors "always" treated them with courtesy and respect78%
Patients who gave a rating of "9" or "10" (high)63%
Staff "always" explained new medications68%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night38%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$55,517

Medicare paid this office $55,517 for 342 people.

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

Largest Original Medicare bills
Emergency department visit with high level of medical decision making194$30,274$153
Critical care, first 30-74 minutes69$13,446$195
Emergency department visit with moderate level of medical decision making69$7,406$106
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only207$1,731$8

Who their Medicare patients are

342 Original Medicare patients in 2024. Average age 79 · Under 65 5% · 85 and older 32% · Women 58% · Also on Medicaid 29% · Health risk score 1.94. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Diabetes 44% · Coronary heart disease 42% · Atrial fibrillation 38% · Chronic kidney disease 34% · Heart failure 33% · Depression 29% · Dementia 29% · Stroke 23% · COPD 21% · Cancer 19%.

The office billed $448,586, Medicare allowed $70,646 and paid $55,517; for 596 services of 25 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
2024342596791.94$448,586$55,517
2023253437792.16$307,484$39,911
2022264478791.94$296,073$45,883
2021243459791.94$276,505$45,057
2020207374791.83$206,403$32,186
2019234404791.88$226,902$35,714
2018245420781.88$181,144$40,676
2017175315781.88$116,186$37,289
2016156271781.94$91,551$20,959
2015261465771.75$163,891$38,618
2014252437771.88$149,317$35,994
2013193329771.69$109,954$27,090

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: 4 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making125$19,484$155
Critical care, first 30-74 minutes63$12,534$199
Emergency department visit with moderate level of medical decision making50$5,155$103
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only165$1,196$7

2022: 5 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making135$23,824$174
Critical care, first 30-74 minutes56$13,330$238
Emergency department visit with moderate level of medical decision making34$3,725$110
Emergency department visit with low level of medical decision making24$1,490$62
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only192$1,490$7

2021: 6 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making130$23,156$177
Critical care, first 30-74 minutes42$10,239$244
Emergency department visit with moderate level of medical decision making49$5,298$108
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only163$1,329$8
Emergency department visit with low level of medical decision making13$841$65
X-ray of chest, 1 view12$102$8

2020: 5 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making113$18,015$158
Emergency department visit with moderate level of medical decision making49$5,314$108
Critical care, first 30-74 minutes23$4,774$208
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only136$1,195$8
Emergency department visit with low level of medical decision making12$698$58

2019: 4 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making158$24,085$151
Emergency department visit with moderate level of medical decision making39$4,103$103
Critical care, first 30-74 minutes17$3,364$198
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only150$1,226$8

2018: 5 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making163$27,674$168
Emergency department visit with moderate level of medical decision making39$4,462$114
Critical care, first 30-74 minutes17$3,773$222
Emergency department visit with low level of medical decision making24$1,398$58
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only142$1,324$9

2017: 5 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making115$24,682$213
Emergency department visit with moderate level of medical decision making32$4,713$147
Critical care, first 30-74 minutes12$3,449$287
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only118$1,388$11
Emergency department visit with low level of medical decision making15$1,147$76

2016: 4 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making86$12,771$149
Emergency department visit with moderate level of medical decision making36$3,431$95
Emergency department visit with low level of medical decision making26$1,358$52
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only94$774$8

2015: 5 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making173$26,254$147
Emergency department visit with moderate level of medical decision making38$3,866$99
Critical care, first 30-74 minutes19$3,707$195
Emergency department visit with low level of medical decision making32$1,601$50
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only170$1,373$8

2014: 5 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making149$22,442$147
Emergency department visit with moderate level of medical decision making55$5,229$95
Critical care, first 30-74 minutes16$3,128$195
Emergency department visit with low level of medical decision making30$1,590$53
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only147$1,202$7

2013: 5 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making121$17,481$143
Emergency department visit with moderate level of medical decision making38$3,723$98
Critical care, first 30-74 minutes16$3,049$191
Emergency department visit with low level of medical decision making18$918$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only112$884$7

Medicaid work

$11,734 in 2024

Medicaid paid $11,734 for 349 billed services this clinician did in 2024, up to 29 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.

Largest Medicaid services in 2024
Service176$5,610
EMERGENCY DEPT VISIT MOD MDM94$3,415
EMERGENCY DEPARTMENT VISIT HIGH MDM51$2,283
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)15$301
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only13$125
Medicaid work by year
2024349529$11,734
2023357328$15,529
202268418$4,968
202139315$1,227
201939217$1,494
201814114$461
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM154$7,049
Service160$6,386
EMERGENCY DEPARTMENT VISIT HIGH MDM43$2,093

2022

Largest Medicaid services in 2022
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc13$2,950
EMERGENCY DEPT VISIT MOD MDM24$884
Service12$590
EMERGENCY DEPT VISIT LOW MDM19$543

2021

Largest Medicaid services in 2021
EMERGENCY DEPT VISIT MOD MDM15$497
EMERGENCY DEPARTMENT VISIT HIGH MDM12$377
EMERGENCY DEPT VISIT LOW MDM12$353

2019

Largest Medicaid services in 2019
Service22$923
EMERGENCY DEPT VISIT LOW MDM17$570

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT LOW MDM14$461

Drugs they prescribed that Part D paid

$1,354

Pharmacies billed $1,354 in 2024.

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

Opioids were 14% of their Part D prescriptions (20 of 139) in 2024. Above the middle of the specialty; the typical emergency medicine clinician is at 12%.

126 generic and 13 brand-name prescriptions · $1,354 in drug cost · 34 antibiotic prescriptions to 32 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.

Largest Part D drug costs
Hydrocodone-Acetaminophen17$75$4

Year by year

Part D prescribing by year
20241399014% (20)9%$1,354
20238461None14%$4,483
20228255NoneNone$687
20216347NoneNone$776
2020715224% (17)None$1,429
2019735416% (12)None$2,362
2018785414% (11)None$3,035
2017604518% (11)None$607
2016553626% (14)None$660
2015906520% (18)None$1,785
2014705226% (18)None$1,102
2013724826% (19)15%$4,609

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

See the drugs prescribed each year

2020: 1 drug

Part D drugs prescribed in 2020
Hydrocodone-Acetaminophen17$75$4

2015: 1 drug

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen15$102$7

2014: 1 drug

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen11$66$6

2013: 1 drug

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen13$65$5

Money from drug and device companies

$25 in 2024

A payment is not proof that care is biased.

Payments by company
Gilead SciencesNone$25
1 payment
  • Meals · 2024-09-25 · $25
See the published payment
Every published payment
Gilead SciencesMeals · 2024-09-25None$25

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
94.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1295773489
Licence
CA G66693California G66693: Current · expires 2027-08-31
Trained
University of California, Davis School of Medicine, 1988
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00G666930
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
2100 Powell Street, Ste 920, Emeryville, CA, 94608
NPI first listed
2006-06-02
NPI last updated
2007-12-28

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