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Kelvin Chang, PA

Physician Assistant · San Carlos

NPI 1376019869

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

Offices

2 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Kelvin Chang’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$70,868

Medicare paid this office $70,868 for 497 people.

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

Largest Original Medicare bills
Return visit (30+ min)486$62,060$95
Short return visit (20+ min)19$4,528$72
Long return visit (40+ min)14$4,280$143

Who their Medicare patients are

497 Original Medicare patients in 2024. Average age 75 · Under 65 2% · 85 and older 11% · Women 52% · Also on Medicaid 3% · Health risk score 0.93. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 68% · Coronary heart disease 27% · Diabetes 24% · Atrial fibrillation 21% · Chronic kidney disease 17% · Cancer 17% · Depression 17% · Heart failure 9% · COPD 8% · Dementia 4% · Stroke 3%.

The office billed $278,190, Medicare allowed $96,011 and paid $70,868; for 744 services of 3 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
2024497744750.93$278,190$70,868
20235760760.87$16,663$4,342
2022202236720.83$27,459$10,717
2021262278741.05$20,652$12,257
2020107110700.66$9,432$5,571
20195253710.62$4,812$2,896

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
Return visit (30+ min)22$2,193$100
Short return visit (20+ min)31$1,714$55

2022: 7 services

Original Medicare services billed in 2022
Short return visit (20+ min)62$3,998$63
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage22$1,546$70
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 50 mcg/0.25ml dosage, booster dose21$904$43
Office for the evaluation and management of established patient that may not require presence of healthcare professional46$886$19
Administration of influenza virus vaccine24$751$31
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose12$518$43
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose11$474$43

2021: 7 services

Original Medicare services billed in 2021
Influenza vaccine split virus, preservative free44$2,871$65
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 50 mcg/0.25ml dosage, booster dose53$2,225$42
Short return visit (20+ min)32$1,953$61
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; third dose45$1,882$42
Office for the evaluation and management of established patient that may not require presence of healthcare professional43$955$22
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose14$601$43
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose16$519$32

2020: 2 services

Original Medicare services billed in 2020
Influenza vaccine split virus, preservative free59$3,598$61
Short return visit (20+ min)33$861$26

2019: 2 services

Original Medicare services billed in 2019
Short return visit (20+ min)21$1,304$59
Influenza vaccine split virus, preservative free23$1,127$49

Drugs they prescribed that Part D paid

$875

Pharmacies billed $875 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 45) in 2024. Too few prescriptions to compare fairly with other clinicians.

45 generic and 0 brand-name prescriptions · $875 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.

Largest Part D drug costs
Gabapentin21$238$11

Year by year

Part D prescribing by year
202445150% (0)0%$875
202325210% (0)None$312
202248420% (0)None$656
202124220% (0)None$398
202041310% (0)27%$933
201914176NoneNone$2,073
201829220% (0)None$295

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

See the drugs prescribed each year

2019: 2 drugs

Part D drugs prescribed in 2019
Amoxicillin-Clavulanate Potass19$194$10
Azithromycin11$79$7

Money from drug and device companies

$1,287 in 2025

Industry payments by year
202518None$1,287
202344None$364
202211None$125
202122None$126

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

A payment is not proof that care is biased.

Payments by company
Inspire Medical SystemsInspire$1,287
8 payments
  • Travel for Inspire · 2025-10-07 · $106
  • Meals for Inspire · 2025-10-03 · $80
  • Meals for Inspire · 2025-10-03 · $73
  • Meals for Inspire · 2025-10-03 · $56
  • Travel for Inspire · 2025-10-03 · $38
  • Meals for Inspire · 2025-10-02 · $143
  • Travel for Inspire · 2025-10-02 · $324
  • Travel for Inspire · 2025-07-23 · $467
See all 8 published payments
Every published payment
Inspire Medical SystemsTravel · 2025-10-07Inspire$106
Inspire Medical SystemsMeals · 2025-10-03Inspire$80
Inspire Medical SystemsMeals · 2025-10-03Inspire$73
Inspire Medical SystemsMeals · 2025-10-03Inspire$56
Inspire Medical SystemsTravel · 2025-10-03Inspire$38
Inspire Medical SystemsMeals · 2025-10-02Inspire$143
Inspire Medical SystemsTravel · 2025-10-02Inspire$324
Inspire Medical SystemsTravel · 2025-07-23Inspire$467
See earlier years (2023, 2022, 2021)

2023: $364

Payments by company in 2023
Amylyx PharmaceuticalsRelyvrio$114
1 payment
  • Meals for Relyvrio · 2023-03-16 · $114
Gilead SciencesEpclusa$108
1 payment
  • Meals for Epclusa · 2023-11-16 · $108
EisaiNone$106
1 payment
  • Meals · 2023-01-19 · $106
GenzymeFabrazyme$35
1 payment
  • Meals for Fabrazyme · 2023-07-20 · $35

2022: $125

Payments by company in 2022
AbbvieNone$125
1 payment
  • Meals · 2022-11-17 · $125

2021: $126

Payments by company in 2021
AmgenNone$99
1 payment
  • Meals · 2021-08-04 · $99
VYNE PharmaceuticalsAmzeeq$27
1 payment
  • Meals for Amzeeq · 2021-08-12 · $27

Professional record

NPI
1376019869
Licence
CA PA56171
Trained
University of California, Davis School of Medicine, 2018
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Physician assistant (363A00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2018-10-23
NPI last updated
2020-06-03
NPI record certified
2020-06-03

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

Extra NPI addresses: 1680 E Capitol Expy Ste 10, San Jose, CA, 95121