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Donald Ajlouni, DC

Chiropractic · San Jose

NPI 1316963143

Medicare standing
1 flag on the record
Listed below.
Plans that list them
33
9 carriers
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Looking this up.

Plans that list them

33 plans · 9 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Ajlouni’s office at (408) 224-8616 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

33 of 33 plans

Plans whose provider directory lists this clinician
Advantage Care (HMO)Align Senior CareListedOct 1, 2026
Premier Care (HMO I-SNP)Align Senior CareListedOct 1, 2026
Senior Care (HMO I-SNP)Align Senior CareListedOct 1, 2026
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
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 smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Dual Complete North P23 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Basic Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

Original Medicare doctor bills

$15,524

Medicare paid this office $15,524 for 36 people.

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

Largest Original Medicare bills
Chiropractic manipulative treatment, 5 spinal regions30$9,688$45
Chiropractic manipulative treatment, 3-4 spinal regions36$5,836$33

Who their Medicare patients are

36 Original Medicare patients in 2024. Average age 73 · Women 67% · Health risk score 1.03. Above the middle of the specialty; the typical chiropractic clinician is at 0.86.

Conditions among them: High blood pressure 75% · Diabetes 36% · Coronary heart disease 36%.

The office billed $25,740, Medicare allowed $21,277 and paid $15,524; for 390 services of 2 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
202436390731.03$25,740$15,524
202334360720.95$23,749$14,672
202229285730.92$18,810$9,456
202127294710.89$19,404$10,027
202028221710.88$14,564$7,848
201931292721.01$19,261$10,883
201834269731.00$17,589$8,605
201732243741.23$16,005$8,759
201623208741.11$13,596$8,297
201524193740.91$12,738$8,457
201429310740.96$20,460$13,646
201328239730.89$15,774$9,189

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: 2 services

Original Medicare services billed in 2023
Chiropractic manipulative treatment, 5 spinal regions30$7,706$48
Chiropractic manipulative treatment, 3-4 spinal regions31$6,940$35

2022: 1 service

Original Medicare services billed in 2022
Chiropractic manipulative treatment, 3-4 spinal regions29$9,456$33

2021: 1 service

Original Medicare services billed in 2021
Chiropractic manipulative treatment, 3-4 spinal regions26$9,825$34

2020: 1 service

Original Medicare services billed in 2020
Chiropractic manipulative treatment, 3-4 spinal regions28$7,270$35

2019: 2 services

Original Medicare services billed in 2019
Chiropractic manipulative treatment, 3-4 spinal regions31$8,887$36
Chiropractic manipulative treatment, 5 spinal regions18$1,969$48

2018: 1 service

Original Medicare services billed in 2018
Chiropractic manipulative treatment, 3-4 spinal regions34$7,687$32

2017: 2 services

Original Medicare services billed in 2017
Chiropractic manipulative treatment, 3-4 spinal regions29$5,484$33
Chiropractic manipulative treatment, 5 spinal regions22$3,224$44

2016: 2 services

Original Medicare services billed in 2016
Chiropractic manipulative treatment, 3-4 spinal regions19$4,371$36
Chiropractic manipulative treatment, 5 spinal regions16$3,823$46

2015: 1 service

Original Medicare services billed in 2015
Chiropractic manipulative treatment, 5 spinal regions24$8,420$44

2014: 1 service

Original Medicare services billed in 2014
Chiropractic manipulative treatment, 5 spinal regions29$13,620$44

2013: 1 service

Original Medicare services billed in 2013
Chiropractic manipulative treatment, 5 spinal regions28$9,189$38

Professional record

NPI
1316963143
Licence
CA DC27003
Trained
Palmer College Chiropractic - West Sunnyvale, 1999
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 111N00000X (111N00000X)
Mailing address
4986 Cherry Ave, San Jose, CA, 95118
NPI first listed
2006-07-14
NPI last updated
2007-07-08

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