Justin Francis Lucas, MD
Orthopedic Surgery · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 20
- 5 carriers
- Office
- 1
Offices
1 location · County of Santa Clara · 1,000 clinicians in this group
Looking this up.
Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.
Plans that list them
20 plans · 5 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Lucas’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
20 of 20 plans
| 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 |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| 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 |
State licence records
1 licence
- Washington MD.MD.60739523Physician And Surgeon License · since 2017 · expires 2020-02-25ExpiredNo board action on this licenceCheck it with the state
We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.
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.
- Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend itOverall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center
Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| SSI - Colon SurgeryInfections | 2.572 | Worse | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.563 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.256 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.369 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.25 (0.3 to 2.2) · 1,535 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.07 (0.76 to 1.38) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 214.59 (167.38 to 261.8) · 108 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.8 · 41 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 6 · 141 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 10.2 · 124 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 8.3 · 501 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 14.9 · 653 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.1 · 348 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3 · 4,502 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.24 (0.04 to 0.43) · 9,014 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.34 (0.15 to 0.52) · 9,216 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 4.54 (2.51 to 6.58) · 1,421 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.54 (0 to 3.2) · 288 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.11 (0.66 to 3.56) · 1,446 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 11.61 (4.09 to 19.14) · 294 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 7.29 (3.39 to 11.2) · 299 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.9 (0.45 to 3.36) · 333 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.23 (0 to 0.78) · 7,538 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 5.4 · 94 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.735 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 2.573 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.6 · 185 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22.1 · 951 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 56.3 · 128 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 6.4 · 644 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 1.3 · 699 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.3 · 921 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.7 (3.9 to 8.1) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 12.6 (9.4 to 16.5) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.4 · 94 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 11.4 · 54 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.3 · 242 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.2 (9.9 to 17.4) · 702 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.4) · 195 cases | No different | Jan 2024 – Dec 2024 |
What patients said (4,032 patients answered, 29% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 2 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 4 |
| Room was "always" clean | 70% |
| Nurses "always" communicated well | 73% |
| Doctors "always" communicated well | 76% |
| Staff "always" explained | 57% |
| Yes, staff "did" give patients this information | 82% |
| Yes, staff "did" give patients information about help after discharge | 82% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 74% |
| Doctors "always" treated them with courtesy and respect | 82% |
| Patients who gave a rating of "9" or "10" (high) | 67% |
| Staff "always" explained new medications | 71% |
| Nurses "always" explained things so they could understand | 71% |
| Nurses "always" listened carefully | 69% |
| Nurses "always" treated them with courtesy and respect | 80% |
| "Always" quiet at night | 43% |
| "YES", patients would definitely recommend the hospital | 70% |
| Staff "always" explained possible side effects | 44% |
| Yes, staff "did" give patients information about possible symptoms | 83% |
Original Medicare doctor bills
$35,735
Medicare paid this office $35,735 for 117 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 30 | $3,001 | $68 |
| Short return visit (20+ min) | 46 | $2,992 | $52 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 26 | $2,816 | $108 |
Procedures Medicare counted
| Removal of tissue | 1-10 | None |
Who their Medicare patients are
117 Original Medicare patients in 2024. Average age 76 · Under 65 13% · 85 and older 24% · Women 63% · Also on Medicaid 56% · Health risk score 1.96. Sicker patients than 9 in 10 peers; the typical orthopedic surgery clinician is at 1.13.
Conditions among them: High blood pressure 75% · Diabetes 41% · Coronary heart disease 35% · Chronic kidney disease 31% · Depression 29% · Dementia 26% · Heart failure 25% · Atrial fibrillation 24% · Stroke 23% · COPD 20% · Cancer 14%.
The office billed $483,745, Medicare allowed $46,103 and paid $35,735; for 205 services of 39 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 | 117 | 205 | 76 | 1.96 | $483,745 | $35,735 |
| 2023 | 114 | 179 | 74 | 2.10 | $393,064 | $33,115 |
| 2022 | 64 | 117 | 71 | 1.55 | $324,043 | $25,657 |
| 2021 | 83 | 169 | 75 | 2.04 | $294,911 | $27,469 |
| 2020 | 45 | 82 | 71 | 1.68 | $215,209 | $20,024 |
| 2019 | 63 | 104 | 74 | 1.99 | $263,208 | $27,107 |
| 2018 | 55 | 71 | 72 | 1.87 | $91,210 | $13,328 |
| 2017 | 22 | 25 | 68 | 2.95 | $7,063 | $1,723 |
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
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 39 | $3,794 | $77 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 26 | $3,049 | $117 |
| Short return visit (20+ min) | 36 | $2,623 | $56 |
| New patient visit (30+ min) | 13 | $985 | $76 |
2022: 3 services
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 22 | $3,333 | $151 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 24 | $2,649 | $80 |
| Short return visit (20+ min) | 13 | $740 | $49 |
2021: 3 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 35 | $4,662 | $82 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 27 | $4,290 | $153 |
| Short return visit (20+ min) | 23 | $1,488 | $57 |
2020: 1 service
| Short return visit (20+ min) | 19 | $1,085 | $45 |
2019: 2 services
| Short return visit (20+ min) | 37 | $1,785 | $41 |
| New patient visit (30+ min) | 15 | $744 | $50 |
2018: 2 services
| Short return visit (20+ min) | 21 | $1,112 | $44 |
| New patient visit (30+ min) | 11 | $730 | $66 |
2017: 1 service
| Short return visit (20+ min) | 15 | $593 | $40 |
Medicaid work
$11,101 in 2024
Medicaid paid $11,101 for 652 billed services this clinician did in 2024, up to 42 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.
| Short return visit (20+ min) | 220 | $3,801 |
| Service | 107 | $3,649 |
| New patient visit (30+ min) | 51 | $1,997 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 66 | $981 |
| New patient visit (45+ min) | 15 | $674 |
| Medication list documented in medical record (COA) | 193 | $0 |
| 2024 | 652 | 6 | 42 | $11,101 |
| 2023 | 387 | 5 | 26 | $6,514 |
| 2022 | 141 | 2 | 25 | $2,323 |
| 2021 | 401 | 4 | 26 | $6,761 |
| 2020 | 85 | 1 | 19 | $1,389 |
| 2019 | 141 | 2 | 17 | $2,231 |
| 2018 | 45 | 3 | 16 | $1,643 |
See the largest Medicaid services in earlier years
2023
| Short return visit (20+ min) | 202 | $2,564 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 93 | $1,193 |
| Service | 30 | $1,014 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 28 | $895 |
| New patient visit (30+ min) | 34 | $847 |
2022
| Short return visit (20+ min) | 124 | $1,833 |
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 17 | $489 |
2021
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 203 | $3,938 |
| Short return visit (20+ min) | 172 | $2,081 |
| Service | 12 | $409 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 14 | $333 |
2020
| Short return visit (20+ min) | 85 | $1,389 |
2019
| Service | 49 | $1,637 |
| Short return visit (20+ min) | 92 | $595 |
2018
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 15 | $1,440 |
| New patient visit (30+ min) | 16 | $204 |
| Short return visit (20+ min) | 14 | $0 |
Money from drug and device companies
$58 in 2025
| 2025 | 1 | 1 | None | $58 |
| 2023 | 1 | 2 | $540 | $1,670 |
| 2022 | 2 | 6 | $1,535 | $3,205 |
| 2020 | 1 | 1 | None | $113 |
| 2019 | 2 | 5 | None | $2,605 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| DePuy Synthes Sales | Na | $58 | 1 payment
|
See the published payment
| DePuy Synthes Sales | Meals · 2025-10-18 | Na | $58 |
See earlier years (2023, 2022, 2020, 2019)
2023: $1,670
| Synthes GmbH | None | $1,670 | 2 payments
|
2022: $3,205
| Synthes GmbH | None | $3,094 | 5 payments
|
| CurvaFix | Curvafix Im Implant | $111 | 1 payment
|
2020: $113
| Zimmer Biomet Holdings | Foot & Ankle-None | $113 | 1 payment
|
2019: $2,605
| OsteoCentric Technologies | Unifi Technology | $2,461 | 4 payments
|
| Stryker | T2 | $144 | 1 payment
|
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 80.6 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1356600605
- Licence
- WA MD60739523Washington MD.MD.60739523: Expired
- Trained
- Tulane University School of Medicine, 2012
- Gender
- Male
More record details
- Sole proprietor
- No
- Medicaid ID
- WA 1356600605
- Taxonomy
- Federal specialty code 207XX0801X (207XX0801X); Orthopedic surgery (207X00000X)
- Mailing address
- Po Box 50095, Seattle, WA, 98145
- NPI first listed
- 2012-05-08
- NPI last updated
- 2022-07-21
This is when the NPI record was last certified, not a medical board exam.