Kenneth T Phan, MD
Obstetrics/Gynecology · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 30
- 7 carriers
- Office
- 1
Offices
1 location
Looking this up.
Plans that list them
30 plans · 7 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Phan’s office at (408) 929-2680 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
30 of 30 plans
| Alignment Health Advantage PPO (PPO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| 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 |
| Astiva Health C-SNP WOW - NorCal (HMO C-SNP) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Premier Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Savings Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Blue Shield Inspire (HMO) | Blue Shield of California | Listed | Aug 26, 2026 |
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
California Medical Board record
Licence A77173 · Current
Licensed to practise in California · since 2001 · expires 2027-04-30 · Tufts University School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$7,003
Medicare paid this office $7,003 for 45 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| New patient visit (45+ min) | 13 | $1,782 | $137 |
| New patient visit (30+ min) | 17 | $1,360 | $80 |
| Short return visit (20+ min) | 14 | $1,217 | $68 |
Procedures Medicare counted
| Removal of the uterus | 1-10 | None |
Who their Medicare patients are
45 Original Medicare patients in 2024. Average age 71 · Women 100% · Health risk score 1.13. Above the middle of the specialty; the typical obstetrics & gynecology clinician is at 0.88.
Conditions among them: High blood pressure 69% · Diabetes 40% · Chronic kidney disease 27%.
The office billed $19,690, Medicare allowed $9,752 and paid $7,003; for 67 services of 13 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 | 45 | 67 | 71 | 1.13 | $19,690 | $7,003 |
| 2023 | 32 | 55 | 70 | 0.89 | $11,075 | $4,562 |
| 2022 | 31 | 41 | 72 | 1.61 | $13,740 | $4,824 |
| 2021 | 39 | 59 | 68 | 1.69 | $12,380 | $4,419 |
| 2020 | 40 | 56 | 69 | 1.24 | $11,990 | $3,862 |
| 2019 | 73 | 124 | 72 | 1.07 | $30,755 | $8,977 |
| 2018 | 111 | 178 | 69 | 1.29 | $27,190 | $10,706 |
| 2017 | 94 | 175 | 68 | 1.39 | $25,055 | $9,747 |
| 2016 | 76 | 148 | 67 | 1.04 | $28,260 | $9,826 |
| 2015 | 62 | 99 | 68 | 1.30 | $19,405 | $8,232 |
| 2014 | 62 | 102 | 68 | 1.36 | $24,925 | $10,482 |
| 2013 | 63 | 99 | 67 | 1.02 | $20,010 | $9,125 |
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: 1 service
| Short return visit (20+ min) | 17 | $1,324 | $63 |
2022: 1 service
| Short return visit (20+ min) | 12 | $914 | $70 |
2021: 1 service
| New patient visit (30+ min) | 22 | $1,556 | $71 |
2020: 2 services
| New patient visit (30+ min) | 24 | $1,790 | $75 |
| Short return visit (20+ min) | 12 | $635 | $45 |
2019: 4 services
| Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 30 | $1,536 | $51 |
| Cervical or vaginal cancer screening; pelvic and clinical breast examination | 31 | $1,372 | $44 |
| Short return visit (20+ min) | 23 | $1,334 | $53 |
| New patient visit (30+ min) | 15 | $1,085 | $72 |
2018: 5 services
| New patient visit (30+ min) | 32 | $2,575 | $80 |
| Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 40 | $1,979 | $49 |
| Short return visit (20+ min) | 30 | $1,925 | $51 |
| Cervical or vaginal cancer screening; pelvic and clinical breast examination | 40 | $1,631 | $41 |
| New patient visit (45+ min) | 11 | $1,208 | $110 |
2017: 4 services
| Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 56 | $2,754 | $49 |
| Cervical or vaginal cancer screening; pelvic and clinical breast examination | 58 | $2,358 | $41 |
| New patient visit (30+ min) | 13 | $984 | $76 |
| Short return visit (20+ min) | 13 | $778 | $39 |
2016: 4 services
| Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 42 | $2,122 | $51 |
| Cervical or vaginal cancer screening; pelvic and clinical breast examination | 43 | $1,778 | $41 |
| New patient visit (45+ min) | 16 | $1,765 | $110 |
| Short return visit (20+ min) | 12 | $764 | $48 |
2015: 3 services
| New patient visit (45+ min) | 23 | $2,663 | $116 |
| Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 21 | $1,078 | $51 |
| Cervical or vaginal cancer screening; pelvic and clinical breast examination | 21 | $883 | $42 |
2014: 3 services
| New patient visit (45+ min) | 27 | $3,402 | $126 |
| Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 15 | $778 | $52 |
| Cervical or vaginal cancer screening; pelvic and clinical breast examination | 14 | $598 | $43 |
2013: 2 services
| New patient visit (45+ min) | 27 | $3,509 | $130 |
| Cervical or vaginal cancer screening; pelvic and clinical breast examination | 12 | $516 | $43 |
Medicaid work
$4,374 in 2024
Medicaid paid $4,374 for 2,237 billed services this clinician did in 2024, up to 138 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.
| Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation | 138 | $2,709 |
| Short return visit (20+ min) | 1,509 | $1,009 |
| New patient visit (30+ min) | 139 | $419 |
| New patient visit (45+ min) | 27 | $174 |
| Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 398 | $63 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years | 12 | $0 |
| Cervical or vaginal cancer screening; pelvic and clinical breast examination | 14 | $0 |
| 2024 | 2,237 | 7 | 138 | $4,374 |
| 2023 | 2,753 | 9 | 147 | $2,543 |
| 2022 | 2,375 | 11 | 137 | $2,210 |
| 2021 | 2,731 | 10 | 89 | $7,815 |
| 2020 | 2,103 | 11 | 62 | $10,786 |
| 2019 | 2,595 | 9 | 83 | $15,716 |
| 2018 | 2,255 | 9 | 66 | $27,373 |
See the largest Medicaid services in earlier years
2023
| New patient visit (45+ min) | 59 | $798 |
| Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation | 105 | $740 |
| Short return visit (20+ min) | 1,905 | $720 |
| New patient visit (30+ min) | 111 | $128 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years | 83 | $121 |
| Return visit (30+ min) | 27 | $35 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years | 12 | $0 |
| Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test | 12 | $0 |
| Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 439 | $0 |
2022
| Short return visit (20+ min) | 1,637 | $1,081 |
| New patient visit (30+ min) | 141 | $401 |
| Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation | 12 | $274 |
| ANTEPARTUM CARE ONLY 4-6 VISITS | 53 | $267 |
| New patient visit (45+ min) | 13 | $76 |
| Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation | 25 | $71 |
| Return visit (30+ min) | 63 | $41 |
| Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses | 14 | $0 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years | 15 | $0 |
| Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test | 49 | $0 |
| Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 353 | $0 |
2021
| Service | 38 | $2,068 |
| ANTEPARTUM CARE ONLY 4-6 VISITS | 612 | $1,000 |
| OBSTETRICAL CARE | 12 | $980 |
| Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses | 100 | $939 |
| Return visit (30+ min) | 320 | $776 |
| Prenatal care, at-risk enhanced service; antepartum management | 304 | $743 |
| New patient visit (45+ min) | 48 | $712 |
| Short return visit (20+ min) | 888 | $488 |
| New patient visit (30+ min) | 126 | $108 |
| Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 283 | $0 |
2020
| ANTEPARTUM CARE ONLY 4-6 VISITS | 890 | $4,172 |
| Long return visit (40+ min) | 87 | $1,651 |
| OBSTETRICAL CARE | 12 | $1,580 |
| Service | 17 | $925 |
| Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses | 89 | $823 |
| Prenatal care, at-risk enhanced service; antepartum management | 91 | $629 |
| Short return visit (20+ min) | 547 | $496 |
| Return visit (30+ min) | 121 | $367 |
| New patient visit (45+ min) | 12 | $76 |
| Postpartum care only (separate procedure) | 12 | $67 |
| Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 225 | $0 |
2019
| ANTEPARTUM CARE ONLY 4-6 VISITS | 1,189 | $6,039 |
| Service | 83 | $4,529 |
| Long return visit (40+ min) | 138 | $1,989 |
| OBSTETRICAL CARE | 24 | $1,470 |
| Short return visit (20+ min) | 505 | $768 |
| Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses | 124 | $625 |
| Return visit (30+ min) | 186 | $297 |
| Unlisted preventive medicine service | 104 | $0 |
| Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 242 | $0 |
2018
| Service | 240 | $13,161 |
| ANTEPARTUM CARE ONLY 4-6 VISITS | 1,026 | $9,135 |
| OBSTETRICAL CARE | 13 | $3,074 |
| Short return visit (20+ min) | 292 | $783 |
| Return visit (30+ min) | 90 | $634 |
| Long return visit (40+ min) | 45 | $517 |
| Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses | 43 | $69 |
| Unlisted preventive medicine service | 254 | $0 |
| Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 252 | $0 |
Drugs they prescribed that Part D paid
$553
Pharmacies billed $553 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
38 generic and fewer than 11 brand-name prescriptions · $553 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.
| Acyclovir | 15 | $102 | $7 |
Year by year
| 2024 | 43 | 19 | None | None | $553 |
| 2023 | 66 | 29 | None | None | $8,681 |
| 2022 | 79 | 25 | None | None | $9,566 |
| 2021 | 75 | 27 | None | None | $2,107 |
| 2020 | 110 | 29 | None | None | $3,084 |
| 2019 | 97 | 34 | None | None | $1,872 |
| 2018 | 88 | 32 | None | 15% | $4,100 |
| 2017 | 38 | 17 | None | None | $838 |
| 2016 | 27 | 16 | None | None | $3,726 |
| 2015 | 46 | 18 | None | None | $1,234 |
| 2014 | 70 | 15 | None | 29% | $5,651 |
| 2013 | 43 | 18 | None | None | $2,256 |
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
| Acyclovir | 11 | $323 | $29 |
2022: 1 drug
| Volnea | 23 | $492 | $21 |
2021: 1 drug
| Volnea | 27 | $489 | $18 |
2020: 3 drugs
| Viorele | 28 | $1,237 | $44 |
| Isibloom | 11 | $177 | $16 |
| Acyclovir | 20 | $131 | $7 |
2019: 3 drugs
| Desogestr-Eth Estrad Eth Estra | 23 | $687 | $30 |
| Acyclovir | 15 | $222 | $15 |
| Isibloom | 13 | $154 | $12 |
2018: 2 drugs
| Desogestr-Eth Estrad Eth Estra | 15 | $309 | $21 |
| Medroxyprogesterone Acetate | 13 | $50 | $4 |
2017: 1 drug
| Emoquette | 14 | $144 | $10 |
2014: 3 drugs
| Premarin | 17 | $2,493 | $147 |
| Valacyclovir | 11 | $398 | $36 |
| Zovia 1-35e | 13 | $301 | $23 |
2013: 1 drug
| Zovia 1-35e | 11 | $273 | $25 |
Money from drug and device companies
$115 in 2025
| 2025 | 6 | 6 | None | $115 |
| 2024 | 6 | 13 | None | $283 |
| 2023 | 6 | 14 | None | $190 |
| 2022 | 6 | 9 | None | $169 |
| 2021 | 7 | 17 | None | $319 |
| 2020 | 4 | 6 | None | $113 |
| 2019 | 7 | 10 | None | $367 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Minerva Surgical | None | $23 | 1 payment
|
| Merck Sharp & Dohme | Keytruda | $22 | 1 payment
|
| Medtronic | Venaseal | $21 | 1 payment
|
| CooperSurgical | Paragard T 380a | $17 | 1 payment
|
| Sumitomo Pharma America | Myfembree | $17 | 1 payment
|
| Biogen | Zurzuvae | $15 | 1 payment
|
See all 6 published payments
| Merck Sharp & Dohme | Meals · 2025-10-02 | Keytruda | $22 |
| Minerva Surgical | Meals · 2025-06-25 | None | $23 |
| Sumitomo Pharma America | Meals · 2025-05-07 | Myfembree | $17 |
| CooperSurgical | Meals · 2025-04-15 | Paragard T 380a | $17 |
| Medtronic | Meals · 2025-03-28 | Venaseal | $21 |
| Biogen | Meals · 2025-03-17 | Zurzuvae | $15 |
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)
2024: $283
| Mayne Pharma Commercial | Nextstellis | $171 | 6 payments
|
| Meditrina | None | $37 | 2 payments
|
| Baxter Healthcare | Perclot | $36 | 2 payments
|
| Hologic Sales and Service | Omni Hysteroscope | $20 | 1 payment
|
| Agile Therapeutics | Twirla | $17 | 1 payment
|
| Organon | Jada System | $1 | 1 payment
|
2023: $190
| Mayne Pharma Commercial | None | $64 | 7 payments
|
| Sumitomo Pharma America | Myfembree | $38 | 2 payments
|
| Agile Therapeutics | Twirla | $38 | 2 payments
|
| Ethicon US | Megadyne | $20 | 1 payment
|
| Baxter Healthcare | Perclot | $16 | 1 payment
|
| Bayer Healthcare Pharmaceuticals | Kyleena | $14 | 1 payment
|
2022: $169
| Myovant Sciences | Myfembree | $38 | 2 payments
|
| Sage Therapeutics | Zulresso | $34 | 1 payment
|
| Aspira Women's Health | Ova1 | $32 | 2 payments
|
| Abbvie | Liletta | $32 | 2 payments
|
| Pfizer | Myfembree | $20 | 1 payment
|
| Ethicon US | Enseal | $13 | 1 payment
|
2021: $319
| AbbVie | Orilissa | $117 | 6 payments
|
| TherapeuticsMD | Annovera | $67 | 4 payments
|
| Mylan Pharmaceuticals | Xulane | $46 | 2 payments
|
| Myovant Sciences | Myfembree | $34 | 2 payments
|
| Roche Diagnostics | Cintec Plus Cytology | $22 | 1 payment
|
| Daiichi Sankyo | Injectafer | $19 | 1 payment
|
| Exeltis USA | Slynd | $14 | 1 payment
|
2020: $113
| AbbVie | Lo Loestrin Fe | $48 | 2 payments
|
| Mylan Pharmaceuticals | Xulane | $35 | 2 payments
|
| Exeltis USA | Slynd | $16 | 1 payment
|
| Roche Diagnostics | Td Benchmark Platforms | $14 | 1 payment
|
2019: $367
| Terumo Medical | Azur | $124 | 1 payment
|
| Davol | None | $104 | 1 payment
|
| AMAG Pharmaceuticals | Intrarosa | $46 | 3 payments
|
| AbbVie | Orilissa | $38 | 2 payments
|
| Allergan | Liletta | $19 | 1 payment
|
| Foundation Medicine | Foundationone | $18 | 1 payment
|
| Roche Diagnostics | Rs Harmony Test Related Products | $18 | 1 payment
|
Professional record
- NPI
- 1336250836
- Licence
- CA A77173California A77173: Current · expires 2027-04-30
- Trained
- Tufts University School of Medicine, 1998
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Medicaid ID
- CA 00A771730
- Taxonomy
- Federal specialty code 207V00000X (207V00000X)
- Mailing address
- 150 N Jackson Ave, Suite 209, San Jose, CA, 95116
- NPI first listed
- 2006-08-31
- NPI last updated
- 2013-04-29
This is when the NPI record was last certified, not a medical board exam.