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David Alfons Bolivar, MD

General Surgery · Templeton

NPI 1346242005

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2
Since medical school
24 years
Loma Linda University School of Medicine, 2002

Offices

2 locations · Associated Surgeons of San Luis Obispo · Southern Monterey County Memorial Hospital

Looking this up.

Hospitals listed: 059010 · 551604 · Adventist Health Sierra Vista · Adventist Health Twin Cities · French Hospital Medical Center. 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. Bolivar’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A68461 · Current

Licensed to practise in California · since 1999 · expires 2027-05-31 · Loma Linda University School of Medicine.

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

Surgery centers they own

  • Posada Ambulatory Surgery Center, LPAmbulatory Surgery Center · Templeton, CA5% owner since 2003 · accredited by AAAHC
    Accreditation Renewed6 inspections, 5 with deficiencies · last 2024-08-02: Requirements Met
  • United Ambulatory Surgical Center of the Central Coast, LLCAmbulatory Surgery Center · Templeton, CA5% owner since 2011 · accredited by AAAHC
    Accreditation Renewed3 inspections, 1 with deficiencies · last 2021-05-20: Requirements Met

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Surgery - Surgery

Hospitals they work in

3 hospitals

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

  • Adventist Health Sierra VistaSan Luis Obispo, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of Tenet Healthcare, which runs 77 hospitals in 12 statesPatients rate it 2 of 5 · 57% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.273, Oct 2024 – Sep 2025
  • Adventist Health Twin CitiesTempleton, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of Tenet Healthcare, which runs 77 hospitals in 12 statesPatients rate it 3 of 5 · 60% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.41, Oct 2024 – Sep 2025
  • French Hospital Medical CenterSan Luis Obispo, 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 3 of 5 · 78% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.23, Oct 2024 – Sep 2025
See every measure and the patient survey for Adventist Health Sierra Vista

Behind the star rating — Deaths: 0 better, 6 the same, 0 worse of 6 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 1 better, 5 the same, 1 worse of 7 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Adventist Health Sierra Vista
Clostridium Difficile (C.Diff)Infections0.273BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.19 (0.16 to 2.21) · 577 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.96 (0.54 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths218.26 (161.19 to 275.34) · 33 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.6 · 31 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.6 · 72 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths19.1 · 175 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.5 · 76 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4 · 874 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.41) · 2,390 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.32 (0.12 to 0.53) · 2,282 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.97 (0.7 to 5.24) · 665 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.66 (0 to 3.38) · 94 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.51 (0.92 to 4.09) · 654 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.57 (0 to 18.3) · 90 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.12 (0.83 to 9.41) · 80 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.99 (0.5 to 3.48) · 231 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.62 (0 to 1.53) · 2,070 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.7 · 35 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.729No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.63No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.924No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 73 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits67.8 · 79 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits7 · 168 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.9 · 163 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.6 · 33 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 41 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.3 (9.2 to 16.6) · 652 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.3 (0.9 to 1.7) · 210 casesNo differentJan 2024 – Dec 2024

What patients said (559 patients answered, 19% of those asked)

Patient survey stars by topic at Adventist Health Sierra Vista
Cleanliness2
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital2
Share of patients giving the best answer at Adventist Health Sierra Vista
Room was "always" clean60%
Nurses "always" communicated well72%
Doctors "always" communicated well73%
Staff "always" explained57%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand66%
Doctors "always" listened carefully71%
Doctors "always" treated them with courtesy and respect81%
Patients who gave a rating of "9" or "10" (high)53%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully67%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night34%
"YES", patients would definitely recommend the hospital57%
Staff "always" explained possible side effects43%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Adventist Health Twin Cities

Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 1 better, 4 the same, 0 worse of 5 measures. Readmissions: 0 better, 5 the same, 2 worse of 7 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Adventist Health Twin Cities
Clostridium Difficile (C.Diff)Infections0.41BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1 (0 to 2.06) · 359 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.94 (0.51 to 1.38)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.2 · 66 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths12.7 · 198 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.6 · 335 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.9 · 113 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 1,156 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.26 (0.03 to 0.48) · 2,873 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.29 (0.08 to 0.5) · 2,701 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.28 (1.85 to 6.72) · 375 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.66 (0 to 3.39) · 38 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.53 (0.84 to 4.22) · 371 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.14 (0 to 19.18) · 39 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.21 (0.88 to 9.54) · 31 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.71 (0.2 to 3.22) · 97 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.32 (0 to 1.28) · 2,369 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 41 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.704No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.9 · 257 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits40.3 · 216 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits6.5 · 313 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.3 · 300 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits6.5 · 39 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.9 · 69 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.9 (10.4 to 18.7) · 246 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.4) · 220 casesNo differentJan 2024 – Dec 2024

What patients said (555 patients answered, 20% of those asked)

Patient survey stars by topic at Adventist Health Twin Cities
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital2
Share of patients giving the best answer at Adventist Health Twin Cities
Room was "always" clean67%
Nurses "always" communicated well76%
Doctors "always" communicated well75%
Staff "always" explained60%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)63%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand74%
Nurses "always" listened carefully72%
Nurses "always" treated them with courtesy and respect81%
"Always" quiet at night35%
"YES", patients would definitely recommend the hospital60%
Staff "always" explained possible side effects45%
Yes, staff "did" give patients information about possible symptoms87%
See every measure and the patient survey for French Hospital Medical Center

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 2 better, 7 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 French Hospital Medical Center
Clostridium Difficile (C.Diff)Infections0.23BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.89 (0 to 1.89) · 660 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.71 (0.39 to 1.04)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths154.33 (99.56 to 209.1) · 63 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.5 · 78 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.9 · 56 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.3 · 273 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths13.7 · 355 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.8 · 275 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.5 · 69 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 1,569 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.4) · 4,085 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.07 to 0.47) · 4,358 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.69 (0.53 to 4.85) · 1,221 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.97 (0.47 to 3.48) · 567 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.54 (1.03 to 4.05) · 1,101 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.3 (0.36 to 12.23) · 585 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths3.66 (0.03 to 7.29) · 576 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.98 (0.5 to 3.47) · 185 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.2 (0 to 0.96) · 3,231 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.2 · 53 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections2.935No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.6 · 252 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.5 · 330 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-2.9 · 296 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-8.5 · 382 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits2 · 272 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.9 · 248 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.1 (3.2 to 8) · 25 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.7 (6.5 to 14.1) · 25 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.5 · 40 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10 · 77 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 46 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.7 (8.9 to 15.1) · 837 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 706 casesNo differentJan 2024 – Dec 2024

What patients said (706 patients answered, 28% of those asked)

Patient survey stars by topic at French Hospital Medical Center
Cleanliness3
Nurse communication4
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness1
Recommend hospital5
Share of patients giving the best answer at French Hospital Medical Center
Room was "always" clean68%
Nurses "always" communicated well80%
Doctors "always" communicated well79%
Staff "always" explained62%
Yes, staff "did" give patients this information90%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)72%
Staff "always" explained new medications77%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully77%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night33%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects48%
Yes, staff "did" give patients information about possible symptoms91%

Original Medicare doctor bills

$105,662

Medicare paid this office $105,662 for 329 people.

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

Largest Original Medicare bills
New patient visit (45+ min)118$14,458$123
Short return visit (20+ min)122$10,952$69
Repair of groin hernia (5 years or older)26$10,894$403
Return visit (30+ min)69$7,406$96
Partial removal of breast13$7,041$503
See all 10 services
Every Original Medicare service billed
New patient visit (45+ min)118$14,458$123
Short return visit (20+ min)122$10,952$69
Repair of groin hernia (5 years or older)26$10,894$403
Return visit (30+ min)69$7,406$96
Partial removal of breast13$7,041$503
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes42$4,542$99
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes30$2,561$39
Biopsy or removal of deep lymph nodes of underarm12$2,087$174
New patient visit (30+ min)28$2,049$73
Diagnostic exam of anus using an endoscope19$1,726$91

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy1-10None
Hernia repair - groin (open)30More than 98% of doctors who do this
Hernia repair (minimally invasive)1-10None
Mastectomy1-10None
Melanoma (skin cancer) excision1-10None
Removal of tissue86More than 84% of doctors who do this
Spinal fusion23More than 39% of doctors who do this
Upper gastrointestinal (GI) endoscopy for acid reflux1-10None
Varicose vein removal1-10None

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Repair of groin hernia (5 years or older)–1923232427
Diagnostic exam of anus using an endoscope–19–141219
Partial removal of breast–––13–14
Biopsy or removal of deep lymph nodes of underarm–––12–12
Fusion of lower spine bone through abdomen with partial removal of disc––––14–
Insertion of cage or mesh device to spine bone and disc space during spine fusion––––11–

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

329 Original Medicare patients in 2024. Average age 74 · Under 65 7% · 85 and older 9% · Women 48% · Also on Medicaid 16% · Health risk score 1.14. At or below the middle of the specialty; the typical general surgery clinician is at 1.69.

Conditions among them: High blood pressure 69% · Cancer 28% · Coronary heart disease 26% · Diabetes 21% · Atrial fibrillation 21% · Chronic kidney disease 19% · Depression 18% · COPD 14% · Heart failure 12% · Dementia 5% · Stroke 5%.

The office billed $362,338, Medicare allowed $138,827 and paid $105,662; for 705 services of 70 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
2024329705741.14$362,338$105,662
2023327636750.96$374,756$106,948
2022331659741.14$378,785$111,453
2021352717741.20$392,225$119,899
2020353708751.33$369,913$103,869
2019361715751.21$386,684$105,997
2018403795741.16$498,866$138,844
2017440973751.28$578,791$160,155
20164671,084741.22$650,363$187,987
2015464939741.24$562,355$158,461
2014409854731.17$510,541$143,156
2013402869741.22$577,656$154,841

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
New patient visit (45+ min)128$16,494$129
Short return visit (20+ min)134$11,677$67
Fusion of lower spine bone through abdomen with partial removal of disc14$10,412$744
Repair of groin hernia (5 years or older)24$10,355$431
Return visit (30+ min)57$6,153$99
New patient visit (30+ min)43$3,267$76
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes15$1,565$104
Diagnostic exam of anus using an endoscope11$1,197$100
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes15$950$40
Insertion of cage or mesh device to spine bone and disc space during spine fusion11$809$74

2022: 12 services

Original Medicare services billed in 2022
Short return visit (20+ min)136$12,269$72
New patient visit (45+ min)79$9,690$123
Repair of groin hernia (5 years or older)23$9,132$397
Return visit (30+ min)65$7,613$100
Partial removal of breast12$7,056$543
New patient visit (30+ min)50$4,037$81
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes36$3,777$99
New patient visit (60+ min)15$2,747$183
Biopsy or removal of deep lymph nodes of underarm12$2,605$217
Diagnostic exam of anus using an endoscope14$1,422$102
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes21$963$31
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$693$58

2021: 10 services

Original Medicare services billed in 2021
Return visit (30+ min)131$16,433$101
New patient visit (45+ min)84$11,099$132
Repair of groin hernia (5 years or older)22$9,421$410
Short return visit (20+ min)81$8,833$71
Initial hospital care with moderate level of medical decision making at least 75 minutes22$3,603$164
New patient visit (30+ min)36$2,953$82
New patient visit (60+ min)15$2,773$185
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes28$2,704$59
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$1,888$111
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes12$628$31

2020: 10 services

Original Medicare services billed in 2020
Short return visit (20+ min)123$9,636$58
Return visit (30+ min)101$8,970$81
Repair of groin hernia (5 years or older)19$8,197$431
New patient visit (45+ min)57$6,289$110
New patient visit (30+ min)76$5,772$76
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes33$3,846$113
Initial hospital care with moderate level of medical decision making at least 75 minutes17$3,017$168
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes32$2,748$60
Diagnostic exam of anus using an endoscope17$1,568$83
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes22$1,056$32

2019: 7 services

Original Medicare services billed in 2019
Return visit (30+ min)116$11,222$84
Short return visit (20+ min)134$9,987$57
New patient visit (45+ min)61$7,874$129
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes45$4,764$106
New patient visit (30+ min)44$3,771$86
New patient visit (60+ min)17$2,866$169
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes29$2,100$31

2018: 11 services

Original Medicare services billed in 2018
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance12$20,540$1,284
Return visit (30+ min)143$13,729$81
New patient visit (45+ min)81$10,417$129
Repair of groin hernia (5 years or older)21$8,838$421
Short return visit (20+ min)120$8,216$56
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes45$5,024$109
New patient visit (60+ min)26$4,243$163
New patient visit (30+ min)35$2,763$79
Ultrasound study of one arm or leg veins with compression and maneuvers13$2,584$103
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes30$1,647$32
Diagnostic exam of anus using an endoscope12$1,057$75

2017: 14 services

Original Medicare services billed in 2017
New patient visit (45+ min)112$13,361$119
Return visit (30+ min)123$13,263$84
Repair of groin hernia (5 years or older)26$10,765$414
Long return visit (40+ min)77$9,113$93
Short return visit (20+ min)91$6,732$58
Partial removal of breast11$6,273$570
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes55$6,072$108
New patient visit (60+ min)27$4,011$149
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes46$3,110$31
Placement of mesh to repair incisional or abdominal hernia12$2,771$213
Ultrasound study of one arm or leg veins with compression and maneuvers15$2,704$90
New patient visit (30+ min)30$2,451$82
Biopsy or removal of deep lymph nodes of underarm11$2,294$209
Diagnostic exam of anus using an endoscope15$1,103$61

2016: 15 services

Original Medicare services billed in 2016
Long return visit (40+ min)181$26,036$109
New patient visit (60+ min)92$14,246$155
Repair of groin hernia (5 years or older)28$12,061$431
New patient visit (45+ min)81$10,111$125
Partial removal of breast17$8,962$527
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes61$7,309$109
Removal of gallbladder using an endoscope12$5,953$496
Return visit (30+ min)49$5,659$80
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes53$3,915$30
Biopsy or removal of deep lymph nodes of underarm15$2,843$190
Short return visit (20+ min)33$2,712$50
Ultrasound study of one arm or leg veins with compression and maneuvers14$2,471$99
New patient visit (30+ min)18$1,434$80
Diagnostic exam of anus using an endoscope18$1,418$75
Short return visit11$717$34

2015: 11 services

Original Medicare services billed in 2015
Return visit (30+ min)151$15,247$83
Long return visit (40+ min)96$14,272$116
New patient visit (45+ min)92$11,372$124
New patient visit (60+ min)66$10,988$166
Repair of groin hernia (5 years or older)22$9,708$441
Partial removal of breast14$7,367$526
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes38$4,214$108
Short return visit (20+ min)42$2,815$54
New patient visit (30+ min)28$2,398$86
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes33$2,055$29
Diagnostic exam of anus using an endoscope18$1,425$75

2014: 12 services

Original Medicare services billed in 2014
Long return visit (40+ min)137$21,224$111
New patient visit (60+ min)71$11,212$158
Repair of groin hernia (5 years or older)23$9,550$415
Return visit (30+ min)80$8,397$85
Partial removal of breast14$7,244$517
New patient visit (45+ min)51$6,407$126
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes54$6,181$108
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes41$2,400$32
Biopsy or removal of deep lymph nodes of underarm12$2,093$174
New patient visit (30+ min)20$1,757$88
Short return visit (20+ min)27$1,629$51
Diagnostic exam of anus using an endoscope19$1,427$71

2013: 14 services

Original Medicare services billed in 2013
Long return visit (40+ min)133$20,550$111
New patient visit (60+ min)78$12,050$154
Return visit (30+ min)75$7,747$84
Removal of gallbladder using an endoscope12$6,226$519
New patient visit (45+ min)53$6,169$116
Partial removal of breast14$6,142$439
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes50$5,609$108
Repair of groin hernia (5 years or older)11$4,761$433
Biopsy or removal of deep lymph nodes of underarm14$2,612$187
Short return visit (20+ min)35$2,149$55
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes33$2,124$30
New patient visit (30+ min)17$1,470$86
Diagnostic exam of anus using an endoscope16$1,280$75
Short return visit13$586$33

Medicaid work

$607 in 2023

Medicaid paid $607 for 12 billed services this clinician did in 2023, up to 12 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 2023
Short return visit (20+ min)12$607
Medicaid work by year
202312112$607
202212112$531
202114113$765
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Short return visit (20+ min)12$531

2021

Largest Medicaid services in 2021
Short return visit (20+ min)14$765

Drugs they prescribed that Part D paid

$3,478

Pharmacies billed $3,478 in 2024.

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

Opioids were 40% of their Part D prescriptions (78 of 195) in 2024. Above the middle of the specialty; the typical general surgery clinician is at 34%. Surgeons prescribe little besides pain medicine after an operation, so their opioid share runs high.

186 generic and fewer than 11 brand-name prescriptions · $3,478 in drug cost · 15 antibiotic prescriptions to 11 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-Acetaminophen64$410$6

Year by year

Part D prescribing by year
202419511040% (78)None$3,478
20231638534% (56)12%$9,955
2022956353% (50)None$2,053
20211387436% (50)None$1,948
20201815819% (35)None$12,194
20191116031% (34)None$3,486
20181196241% (49)None$3,623
20171548447% (72)None$2,723
20161769346% (81)None$2,738
20151478147% (69)None$5,787
20141568362% (97)None$5,223
20131015669% (70)12%$22,377

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

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Eliquis13$7,231$556
Hydrocodone-Acetaminophen53$387$7
Allopurinol11$114$10

2022: 1 drug

Part D drugs prescribed in 2022
Hydrocodone-Acetaminophen45$278$6

2021: 1 drug

Part D drugs prescribed in 2021
Hydrocodone-Acetaminophen41$274$7

2020: 3 drugs

Part D drugs prescribed in 2020
Januvia12$5,328$444
Hydrocodone-Acetaminophen32$167$5
Pantoprazole12$97$8

2019: 1 drug

Part D drugs prescribed in 2019
Hydrocodone-Acetaminophen33$179$5

2018: 1 drug

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen44$419$10

2017: 1 drug

Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen63$591$9

2016: 2 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen66$793$12
Oxycodone-Acetaminophen14$403$29

2015: 2 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen54$660$12
Simvastatin12$145$12

2014: 2 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen88$694$8
Simvastatin12$213$18

2013: 1 drug

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen67$504$8

Money from drug and device companies

$9,996 in 2025

Industry payments by year
2025315$7,224$9,996
2024330$8,550$10,641
2023311None$825
2022211None$1,941
202111None$48
2020110None$1,208
201939None$656

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

Published ownership or investment in a drug or device company. This is not proof that care is biased.

A payment is not proof that care is biased.

Payments by company
MedtronicPivox Oblique Lateral Spinal System$9,889
13 payments
  • Paid to speak or teach · 2025-10-08 · $3,240
  • Meals · 2025-10-03 · $37
  • Travel · 2025-10-03 · $50
  • Travel for Pivox Oblique Lateral Spinal System · 2025-10-03 · $197
  • Travel for Pivox Oblique Lateral Spinal System · 2025-10-03 · $226
  • Travel for Pivox Oblique Lateral Spinal System · 2025-10-03 · $202
  • Travel for Pivox Oblique Lateral Spinal System · 2025-10-02 · $206
  • Travel for Pivox Oblique Lateral Spinal System · 2025-10-02 · $29
  • Travel · 2025-09-02 · $824
  • Travel · 2025-09-02 · $35
  • Travel · 2025-06-17 · $35
  • Travel · 2025-06-17 · $824
  • Paid to speak or teach for Pivox Oblique Lateral Spinal System · 2025-04-30 · $3,984
Biotissue HoldingsNone$92
1 payment
  • Meals · 2025-01-24 · $92
DexcomDexcom G6 Transmitter$15
1 payment
  • Meals for Dexcom G6 Transmitter · 2025-12-11 · $15
See all 15 published payments
Every published payment
DexcomMeals · 2025-12-11Dexcom G6 Transmitter$15
MedtronicPaid to speak or teach · 2025-10-08None$3,240
MedtronicMeals · 2025-10-03None$37
MedtronicTravel · 2025-10-03None$50
MedtronicTravel · 2025-10-03Pivox Oblique Lateral Spinal System$197
MedtronicTravel · 2025-10-03Pivox Oblique Lateral Spinal System$226
MedtronicTravel · 2025-10-03Pivox Oblique Lateral Spinal System$202
MedtronicTravel · 2025-10-02Pivox Oblique Lateral Spinal System$206
MedtronicTravel · 2025-10-02Pivox Oblique Lateral Spinal System$29
MedtronicTravel · 2025-09-02None$824
MedtronicTravel · 2025-09-02None$35
MedtronicTravel · 2025-06-17None$35
MedtronicTravel · 2025-06-17None$824
MedtronicPaid to speak or teach · 2025-04-30Pivox Oblique Lateral Spinal System$3,984
Biotissue HoldingsMeals · 2025-01-24None$92
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $10,641

Payments by company in 2024
MedtronicPivox Oblique Lateral Spinal System$10,047
24 payments
  • Paid to speak or teach · 2024-07-31 · $2,880
  • Travel for Mazor X System · 2024-07-27 · $44
  • Meals for Mazor X System · 2024-07-27 · $27
  • Travel for Mazor X System · 2024-07-26 · $254
  • Travel for Mazor X System · 2024-07-26 · $31
  • Travel for Mazor X System · 2024-07-26 · $44
  • Meals for Mazor X System · 2024-07-26 · $13
  • Meals for Mazor X System · 2024-07-26 · $85
  • Travel for Mazor X System · 2024-07-25 · $44
  • Meals for Mazor X System · 2024-07-25 · $36
  • Travel for Mazor X System · 2024-07-24 · $44
  • Paid to speak or teach for Anteralign Spinal System With Titan Nanolock Surface Technology · 2024-06-06 · $270
  • Paid to speak or teach · 2024-04-04 · $360
  • Paid to speak or teach · 2024-04-02 · $360
  • Paid to speak or teach for Pivox Oblique Lateral Spinal System · 2024-02-07 · $4,680
  • Travel for Anteralign Spinal System With Titan Nanolock Surface Technology · 2024-01-26 · $179
  • Travel for Anteralign Spinal System With Titan Nanolock Surface Technology · 2024-01-26 · $24
  • Travel for Pivox Oblique Lateral Spinal System · 2024-01-20 · $40
  • Meals for Pivox Oblique Lateral Spinal System · 2024-01-20 · $17
  • Travel for Pivox Oblique Lateral Spinal System · 2024-01-20 · $299
  • Meals for Clydesdale Ptc Spinal System · 2024-01-20 · $11
  • Meals for Pivox Oblique Lateral Spinal System · 2024-01-19 · $29
  • Travel for Pivox Oblique Lateral Spinal System · 2024-01-19 · $213
  • Meals for Stealthstation S8 Platform · 2024-01-18 · $64
Biotissue HoldingsNone$563
5 payments
  • Meals · 2024-12-23 · $131
  • Meals · 2024-08-31 · $131
  • Meals · 2024-07-22 · $123
  • Meals · 2024-05-27 · $89
  • Meals · 2024-05-27 · $90
Astellas Pharma USVeozah$31
1 payment
  • Meals for Veozah · 2024-04-11 · $31

2023: $825

Payments by company in 2023
MedtronicPivox Oblique Lateral Spinal System$747
9 payments
  • Travel for Pivox Oblique Lateral Spinal System · 2023-12-22 · $302
  • Travel for Pivox Oblique Lateral Spinal System · 2023-12-22 · $34
  • Travel for Midas Rex · 2023-12-14 · $111
  • Travel for Midas Rex · 2023-12-14 · $138
  • Travel for Midas Rex · 2023-12-14 · $34
  • Travel for Midas Rex · 2023-12-14 · $34
  • Meals for Anteralign Spinal System With Titan Nanolock Surface Technology · 2023-09-05 · $60
  • Meals for Sonicision · 2023-08-23 · $13
  • Meals for Cd Horizon Spinal System · 2023-07-14 · $19
Biotissue HoldingsNeox$54
1 payment
  • Meals for Neox · 2023-09-04 · $54
Ethicon USEnseal$23
1 payment
  • Meals for Enseal · 2023-01-29 · $23

2022: $1,941

Payments by company in 2022
MedtronicPivox Oblique Lateral Spinal System$1,910
10 payments
  • Meals for Clydesdale Ptc Spinal System · 2022-11-10 · $40
  • Meals for Mazor X System · 2022-06-23 · $107
  • Travel for Pivox Oblique Lateral Spinal System · 2022-05-03 · $635
  • Travel for Pivox Oblique Lateral Spinal System · 2022-05-03 · $635
  • Travel for Pivox Oblique Lateral Spinal System · 2022-05-03 · $58
  • Meals for Clydesdale Ptc Spinal System · 2022-05-01 · $177
  • Travel for Pivox Oblique Lateral Spinal System · 2022-05-01 · $25
  • Travel for Pivox Oblique Lateral Spinal System · 2022-05-01 · $197
  • Meals for Pivox Oblique Lateral Spinal System · 2022-04-27 · $19
  • Meals for Pivox Oblique Lateral Spinal System · 2022-04-27 · $17
Ethicon USEnseal$30
1 payment
  • Meals for Enseal · 2022-03-10 · $30

2021: $48

Payments by company in 2021
MedtronicPowerease$48
1 payment
  • Meals for Powerease · 2021-09-23 · $48

2020: $1,208

Payments by company in 2020
Medtronic USAPivox Oblique Lateral Spinal System$1,208
10 payments
  • Meals for Pivox Oblique Lateral Spinal System · 2020-11-15 · $58
  • Meals for Pivox Oblique Lateral Spinal System · 2020-11-15 · $8
  • Meals for Pivox Oblique Lateral Spinal System · 2020-11-15 · $3
  • Travel for Pivox Oblique Lateral Spinal System · 2020-11-15 · $976
  • Meals for Pivox Oblique Lateral Spinal System · 2020-11-15 · $29
  • Meals for Pivox Oblique Lateral Spinal System · 2020-11-15 · $29
  • Meals for Pivox Oblique Lateral Spinal System · 2020-11-15 · $29
  • Meals for Pivox Oblique Lateral Spinal System · 2020-11-15 · $25
  • Meals for Pivox Oblique Lateral Spinal System · 2020-11-15 · $25
  • Meals for Pivox Oblique Lateral Spinal System · 2020-11-15 · $25

2019: $656

Payments by company in 2019
Medtronic VascularEndurant$328
4 payments
  • Meals for Endurant · 2019-11-21 · $110
  • Meals for Endurant · 2019-10-21 · $65
  • Meals for Endurant · 2019-08-12 · $16
  • Meals for Endurant · 2019-04-12 · $136
Ethicon USLinx Reflux Management System$297
4 payments
  • Meals for Linx Reflux Management System · 2019-10-29 · $118
  • Meals for Echelon Powered Circular · 2019-08-08 · $22
  • Meals for Linx Reflux Management System · 2019-03-20 · $36
  • Meals for Linx Reflux Management System · 2019-03-19 · $122
AcellNone$31
1 payment
  • Meals · 2019-09-05 · $31

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
67.4 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1346242005
Licence
CA A68461California A68461: Current · expires 2027-05-31
Trained
Loma Linda University School of Medicine, 2002 · 24 years ago
Group
Associated Surgeons of San Luis Obispo · Southern Monterey County Memorial Hospital
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00A684610
Taxonomy
Surgery (208600000X)
Mailing address
292 Posada Ln, Ste C, Templeton, CA, 93465
NPI first listed
2005-08-12
NPI last updated
2022-08-16
NPI record certified
2022-08-16

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