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Nathaniel P Cohen, MD

Orthopedic Surgery · Los Gatos

NPI 1437187051

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
27
7 carriers
Office
1

Offices

1 location · Golden State Orthopedics and Spine · 186 clinicians in this group

Looking this up.

Hospitals listed: El Camino Health · Good Samaritan Hospital. That is not proof they admit you there this week.

Plans that list them

27 plans · 7 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Cohen’s office at (408) 412-8100 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

27 of 27 plans

Plans whose provider directory lists this clinician
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 Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 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
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

California Medical Board record

Licence A75584 · Current

Licensed to practise in California · since 2001 · expires 2028-12-31 · Columbia University College of Physicians and Surgeons.

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

Surgery centers they own

  • Silicon Valley Surgery Center, LPAmbulatory Surgery Center · Campbell, CA4.26% owner since 2007 · accredited by AAAHC
    Accreditation Renewed4 inspections, 1 with deficiencies · last 2024-09-16
  • Silicon Valley Surgery Center, LP - BascomAmbulatory Surgery Center · Campbell, CA4.26% owner since 2007 · accredited by AAAHC
    Accreditation RenewedNo inspections published

Hospitals they work in

2 hospitals

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

  • El Camino HealthMountain View, CAAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of El Camino Health, which runs 2 hospitalsPatients rate it 4 of 5 · 80% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.291, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.393, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0, Oct 2024 – Sep 2025
  • Good Samaritan HospitalSan Jose, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of HCA Healthcare, which runs 185 hospitals in 19 statesPatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.337, Oct 2024 – Sep 2025
See every measure and the patient survey for El Camino Health

Behind the star rating — Deaths: 3 better, 5 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 1 better, 9 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.

Every scored measure at El Camino Health
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.291BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.393BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.96 (0.12 to 1.79) · 2,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.28)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths167.38 (125.03 to 209.73) · 96 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.6 · 68 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 185 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.8 · 200 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.9 · 814 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13 · 842 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 361 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 4,633 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.34) · 11,474 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.1 to 0.45) · 11,626 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.14 (1.39 to 4.9) · 2,814 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2 (0.61 to 3.39) · 1,327 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.8 to 3.43) · 2,641 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.39 (4.18 to 14.6) · 1,287 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.57 (3.47 to 9.68) · 1,308 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.14 (0.71 to 3.57) · 827 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.6 (0.05 to 1.15) · 9,460 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.5 · 122 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.993No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.706No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.376No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.5 · 218 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.5 · 962 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits3.8 · 200 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-17 · 922 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits18.6 · 860 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.7 · 827 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.1 (4.5 to 8.2) · 313 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.4 (10.6 to 16.5) · 313 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.7 · 237 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.8 (10 to 16.1) · 1,639 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.8 to 1.1) · 1,619 casesNo differentJan 2024 – Dec 2024

What patients said (1,535 patients answered, 22% of those asked)

Patient survey stars by topic at El Camino Health
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at El Camino Health
Room was "always" clean75%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)76%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect87%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Good Samaritan Hospital

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 1 worse of 8 measures. Readmissions: 0 better, 5 the same, 4 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 Good Samaritan Hospital
Clostridium Difficile (C.Diff)Infections0.337BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.75 (0 to 1.67) · 1,340 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.84 (0.54 to 1.14)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths143.59 (98.7 to 188.49) · 98 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.7 · 45 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.1 · 100 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.7 · 270 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.3 · 573 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.6 · 820 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.5 · 482 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.3 · 3,711 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.12 (0 to 0.3) · 8,866 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.01 to 0.38) · 9,051 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.65 (0.74 to 4.56) · 1,929 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.8 (0.21 to 3.39) · 670 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.33 (0.88 to 3.78) · 1,836 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.73 (0 to 13.46) · 669 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.58 (3.96 to 11.19) · 654 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.59 (0.13 to 3.04) · 496 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.27 (0 to 0.87) · 7,373 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.1 · 152 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.08No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.542No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.484No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.565No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 327 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits24.2 · 703 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits61.1 · 289 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits36.3 · 665 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits25.4 · 856 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits19 · 978 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits6.3 · 144 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits12.3 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.2 · 135 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.8 (10.1 to 18.6) · 129 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.9 to 1.5) · 531 casesNo differentJan 2024 – Dec 2024

What patients said (704 patients answered, 24% of those asked)

Patient survey stars by topic at Good Samaritan Hospital
Cleanliness3
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Good Samaritan Hospital
Room was "always" clean66%
Nurses "always" communicated well75%
Doctors "always" communicated well71%
Staff "always" explained54%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge81%
Doctors "always" explained things so they could understand66%
Doctors "always" listened carefully69%
Doctors "always" treated them with courtesy and respect78%
Patients who gave a rating of "9" or "10" (high)63%
Staff "always" explained new medications68%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night38%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$154,979

Medicare paid this office $154,979 for 349 people.

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

Largest Original Medicare bills
Short return visit (20+ min)181$21,767$84
Return visit (30+ min)131$17,355$114
Repair of shoulder rotator cuff using an endoscope18$16,806$934
Prosthetic repair of shoulder joint, total shoulder12$15,993$1,230
New patient visit (30+ min)120$11,535$96
See all 21 services
Every Original Medicare service billed
Short return visit (20+ min)181$21,767$84
Return visit (30+ min)131$17,355$114
Repair of shoulder rotator cuff using an endoscope18$16,806$934
Prosthetic repair of shoulder joint, total shoulder12$15,993$1,230
New patient visit (30+ min)120$11,535$96
Long return visit (40+ min)49$8,095$162
Mri scan of arm joint without contrast44$7,317$159
Aspiration and/or injection of fluid from large joint77$6,033$66
X-ray of shoulder, minimum of 2 views112$4,881$34
Mri scan of leg joint without contrast28$4,141$148
X-ray of knee, 4 or more views67$3,340$43
New patient visit (45+ min)17$2,592$152
Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days13$1,640$53
Shaving of part of shoulder bone and repair of ligament using an endoscope11$1,639$149
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg11$1,130None
X-ray of upper spine, 2-3 views23$966$42
X-ray of hip, 1 view24$838$35
X-ray of lower and sacral spine, 2-3 views17$722$42
X-ray of elbow, minimum of 3 views12$425$33
Set-up and patient education for remote monitoring of therapy13$285$22
Injection, methylprednisolone acetate, 1 mg54$258None

Procedures Medicare counted

Procedure volume Medicare published
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10None
Upper limb (arm) arthroscopy (minimally invasive joint repair)32More than 76% of doctors who do this

Who their Medicare patients are

349 Original Medicare patients in 2024. Average age 75 · Women 64% · Also on Medicaid 6% · Health risk score 1.01. At or below the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 73% · Diabetes 29% · Coronary heart disease 26% · Chronic kidney disease 16% · Depression 16% · Atrial fibrillation 15% · Cancer 13% · Heart failure 11% · COPD 10% · Stroke 7% · Dementia 4%.

The office billed $721,860, Medicare allowed $201,087 and paid $154,979; for 6,544 services of 58 kinds; $2,274 of it was for drugs given in the office and $152,704 for care.

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
20243496,544751.01$721,860$154,979
20234142,815760.95$736,100$166,272
20224191,930760.99$753,128$191,502
20214622,913760.96$728,091$225,909
20203932,428751.10$636,579$179,031
20194872,720751.12$826,732$224,369
20184542,168761.05$703,029$188,897
20173461,703751.05$557,696$150,182
20163451,644751.11$584,252$156,457
20152671,152751.16$406,561$109,822
20142531,213751.11$464,406$118,525
20132831,245751.10$468,276$111,336

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: 21 services

Original Medicare services billed in 2023
Repair of shoulder rotator cuff using an endoscope23$22,821$992
Short return visit (20+ min)183$21,450$82
Return visit (30+ min)135$17,713$116
New patient visit (30+ min)156$14,509$93
Mri scan of arm joint without contrast56$9,187$161
Long return visit (40+ min)43$7,500$167
Removal of knee cartilage using an endoscope13$6,730$481
X-ray of shoulder, minimum of 2 views133$5,703$35
Release of tendon connecting biceps muscle and shoulder using an endoscope13$5,700$438
Aspiration and/or injection of fluid from large joint82$5,148$61
Mri scan of leg joint without contrast28$4,717$157
X-ray of knee, 4 or more views73$3,941$46
New patient visit (45+ min)17$2,152$127
Shaving of part of shoulder bone and repair of ligament using an endoscope11$1,664$151
Removal of extensive shoulder joint tissue using an endoscope14$1,576$113
X-ray of upper spine, 2-3 views26$1,140$42
X-ray of hip, 1 view32$1,095$32
X-ray of wrist, minimum of 3 views13$790$40
X-ray of elbow, minimum of 3 views15$556$35
X-ray of lower and sacral spine, 2-3 views15$511$34
Injection, methylprednisolone acetate, 40 mg61$385None

2022: 19 services

Original Medicare services billed in 2022
Short return visit (20+ min)236$36,548$86
Return visit (30+ min)178$25,129$121
Repair of shoulder rotator cuff using an endoscope20$19,952$998
Prosthetic repair of shoulder joint, total shoulder13$17,367$1,336
New patient visit (30+ min)136$14,369$106
Mri scan of arm joint without contrast43$7,026$163
X-ray of shoulder, minimum of 2 views127$6,432$36
Removal of knee cartilage using an endoscope12$6,199$517
Aspiration and/or injection of fluid from large joint65$5,096$61
X-ray of knee, 4 or more views88$5,047$50
Mri scan of leg joint without contrast27$4,474$166
Removal of extensive shoulder joint tissue using an endoscope16$2,439$152
Mri scan of lower spinal canal without contrast11$1,617$147
X-ray of wrist, minimum of 3 views15$1,458$44
X-ray of hip, 1 view27$993$33
X-ray of lower and sacral spine, 2-3 views24$983$41
X-ray of upper spine, 2-3 views21$891$42
X-ray of elbow, minimum of 3 views17$662$35
Injection, methylprednisolone acetate, 40 mg47$266None

2021: 26 services

Original Medicare services billed in 2021
Short return visit (20+ min)310$56,032$83
Return visit (30+ min)135$18,821$121
Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg11$17,527None
New patient visit (30+ min)165$16,233$98
Repair of shoulder rotator cuff using an endoscope14$13,991$999
Mri scan of arm joint without contrast46$8,387$171
X-ray of shoulder, minimum of 2 views139$7,011$35
Aspiration and/or injection of fluid from large joint78$6,870$58
X-ray of knee, 4 or more views102$5,754$47
Mri scan of leg joint without contrast31$5,001$161
Mri scan of lower spinal canal without contrast22$3,310$150
X-ray of lower and sacral spine, 2-3 views51$2,163$41
X-ray of hip, 1 view58$2,056$33
Aspiration and/or injection of fluid large joint using ultrasound guidance17$2,031$97
New patient visit (45+ min)11$1,610$146
X-ray of wrist, minimum of 3 views21$1,369$40
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,364$114
X-ray of upper spine, 2-3 views28$1,078$38
X-ray of hip, 2-3 views20$904$45
Short return visit17$896$50
X-ray of foot, minimum of 3 views12$771$34
X-ray of knee, 3 views13$741$44
X-ray of hand, minimum of 3 views11$702$37
X-ray of elbow, minimum of 3 views17$688$31
Injection, methylprednisolone acetate, 40 mg55$325None
Injection, methylprednisolone acetate, 80 mg22$232None

2020: 22 services

Original Medicare services billed in 2020
Short return visit (20+ min)298$42,266$68
Repair of shoulder rotator cuff using an endoscope17$17,012$1,001
Return visit (30+ min)111$12,755$100
New patient visit (30+ min)134$12,697$95
Mri scan of arm joint without contrast50$8,635$169
X-ray of shoulder, minimum of 2 views142$7,161$30
Aspiration and/or injection of fluid from large joint55$4,420$51
Mri scan of leg joint without contrast23$3,875$161
Removal of extensive shoulder joint tissue using an endoscope18$3,584$199
X-ray of knee, 4 or more views63$2,972$37
Aspiration and/or injection of fluid large joint using ultrasound guidance19$1,975$86
Mri scan of lower spinal canal without contrast12$1,817$151
X-ray of wrist, minimum of 3 views24$1,514$34
X-ray of upper spine, 2-3 views26$1,115$36
X-ray of lower and sacral spine, 2-3 views21$839$40
X-ray of wrist, 2 views13$734$24
X-ray of hip, 1 view20$694$29
X-ray of hip, 2-3 views13$623$48
X-ray of hand, minimum of 3 views15$551$31
X-ray of ankle, minimum of 3 views13$513$32
X-ray of elbow, minimum of 3 views13$423$30
Injection, methylprednisolone acetate, 40 mg52$299None

2019: 22 services

Original Medicare services billed in 2019
Short return visit (20+ min)380$56,130$67
Repair of shoulder rotator cuff using an endoscope33$31,453$953
New patient visit (30+ min)168$16,310$97
Return visit (30+ min)124$15,252$97
Mri scan of arm joint without contrast51$9,170$173
X-ray of shoulder, minimum of 2 views156$6,585$29
Release of tendon connecting biceps muscle and shoulder using an endoscope17$6,570$386
Mri scan of leg joint without contrast27$4,645$172
Aspiration and/or injection of fluid from large joint62$4,371$53
X-ray of knee, 4 or more views80$3,964$42
Aspiration and/or injection of fluid large joint using ultrasound guidance38$3,539$86
Mri scan of lower spinal canal without contrast21$3,242$154
Removal of extensive shoulder joint tissue using an endoscope14$3,111$207
X-ray of hip, 1 view65$2,230$29
Shaving of part of shoulder bone and repair of ligament using an endoscope12$1,767$147
X-ray of lower and sacral spine, 2-3 views43$1,621$37
X-ray of wrist, minimum of 3 views23$1,531$36
X-ray of upper spine, 2-3 views33$1,199$35
X-ray of elbow, minimum of 3 views17$641$29
X-ray of ankle, minimum of 3 views14$619$33
X-ray of hand, minimum of 3 views11$421$32
Injection, methylprednisolone acetate, 40 mg65$390None

2018: 21 services

Original Medicare services billed in 2018
Short return visit (20+ min)335$45,792$64
Repair of shoulder rotator cuff using an endoscope23$22,371$973
New patient visit (30+ min)176$16,294$93
Prosthetic repair of shoulder joint, total shoulder13$15,672$1,206
Return visit (30+ min)125$15,044$96
Mri scan of arm joint without contrast38$6,919$173
X-ray of shoulder, minimum of 2 views140$6,010$29
Release of tendon connecting biceps muscle and shoulder using an endoscope13$5,638$434
Aspiration and/or injection of fluid from large joint69$4,997$54
Mri scan of leg joint without contrast23$4,472$179
X-ray of knee, 4 or more views68$2,725$35
X-ray of hip, 1 view63$2,091$28
Mri scan of lower spinal canal without contrast12$1,721$143
Review by radiologist of hip joint image13$1,141$81
X-ray of elbow, minimum of 3 views21$804$30
X-ray of lower and sacral spine, 2-3 views23$783$34
X-ray of wrist, minimum of 3 views12$612$36
X-ray of ankle, minimum of 3 views13$547$30
X-ray of upper spine, 2-3 views17$543$30
Injection, methylprednisolone acetate, 40 mg56$350None
Injection, methylprednisolone acetate, 80 mg15$188None

2017: 17 services

Original Medicare services billed in 2017
Short return visit (20+ min)259$37,293$61
Repair of shoulder rotator cuff using an endoscope14$13,096$935
Return visit (30+ min)105$12,986$95
Prosthetic repair of shoulder joint, total shoulder11$12,194$1,109
New patient visit (30+ min)130$12,112$93
X-ray of shoulder, minimum of 2 views112$5,007$28
Aspiration and/or injection of fluid from large joint57$4,770$50
X-ray of knee, 4 or more views53$2,296$38
X-ray of wrist, minimum of 3 views18$1,065$33
X-ray of elbow, minimum of 3 views20$807$28
X-ray of ankle, minimum of 3 views15$753$31
X-ray of lower and sacral spine, 2-3 views22$730$33
X-ray of hip, 1 view20$677$29
X-ray of upper spine, 2-3 views12$325$27
X-ray of hand, minimum of 3 views11$306$24
Injection, methylprednisolone acetate, 40 mg32$163None
Injection, methylprednisolone acetate, 80 mg15$147None

2016: 20 services

Original Medicare services billed in 2016
Short return visit (20+ min)235$31,687$63
Prosthetic repair of shoulder joint, total shoulder13$18,411$1,315
Return visit (30+ min)124$15,892$95
New patient visit (30+ min)144$13,138$91
Repair of shoulder rotator cuff using an endoscope11$10,122$920
X-ray of shoulder, minimum of 2 views102$4,998$27
Anchoring of biceps tendon13$4,792$369
Removal of extensive shoulder joint tissue using an endoscope13$4,001$308
Aspiration and/or injection of fluid from large joint48$3,690$53
X-ray of knee, 4 or more views55$2,418$37
Shaving of part of shoulder bone and repair of ligament using an endoscope15$2,328$155
X-ray of hip, 2-3 views34$1,503$40
X-ray of ankle, minimum of 3 views18$1,121$30
X-ray of wrist, minimum of 3 views15$934$33
X-ray of lower and sacral spine, 2-3 views25$908$35
X-ray of elbow, minimum of 3 views13$514$29
X-ray of hand, minimum of 3 views13$495$26
X-ray of wrist, 2 views11$409$26
X-ray of upper spine, 2-3 views11$333$30
Injection, methylprednisolone acetate, 40 mg31$124None

2015: 13 services

Original Medicare services billed in 2015
Short return visit (20+ min)164$19,154$63
Return visit (30+ min)107$16,748$96
New patient visit (30+ min)80$7,501$94
Aspiration and/or injection of fluid from large joint38$3,314$55
X-ray of shoulder, minimum of 2 views64$2,982$26
X-ray of knee, 4 or more views45$1,964$38
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,444$120
Shaving of part of shoulder bone and repair of ligament using an endoscope11$1,431$130
X-ray of ribs of one side of body, minimum of 2 views26$1,059$37
X-ray of pelvis, 1-2 views21$579$25
X-ray of lower and sacral spine, 2-3 views14$420$30
X-ray of knee, 1-2 views12$393$26
Injection, methylprednisolone acetate, 40 mg33$104None

2014: 16 services

Original Medicare services billed in 2014
Short return visit (20+ min)158$21,380$64
Return visit (30+ min)87$11,131$95
Repair of shoulder rotator cuff using an endoscope12$10,666$889
New patient visit (30+ min)94$8,843$94
X-ray of shoulder, minimum of 2 views69$3,854$31
Aspiration and/or injection of fluid from large joint37$2,959$58
Removal of extensive shoulder joint tissue using an endoscope13$2,136$164
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$1,969$116
X-ray of knee, 4 or more views36$1,768$39
Shaving of part of shoulder bone and repair of ligament using an endoscope11$1,570$143
X-ray of wrist, minimum of 3 views18$1,462$37
X-ray of ribs of one side of body, minimum of 2 views25$1,267$37
X-ray of pelvis, 1-2 views30$1,033$28
X-ray of lower and sacral spine, 2-3 views21$770$35
X-ray of knee, 1-2 views11$524$31
Injection, methylprednisolone acetate, 40 mg33$101None

2013: 14 services

Original Medicare services billed in 2013
Short return visit (20+ min)189$25,022$64
New patient visit (30+ min)101$9,512$94
Return visit (30+ min)56$6,515$93
Aspiration and/or injection of fluid from large joint44$3,890$54
New patient visit (45+ min)23$3,065$133
X-ray of shoulder, minimum of 2 views55$2,623$31
X-ray of knee, 4 or more views50$2,467$44
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$1,656$118
X-ray of ribs of one side of body, minimum of 2 views36$1,636$39
X-ray of wrist, minimum of 3 views20$1,596$36
X-ray of foot, minimum of 3 views17$788$33
X-ray of knee, 1-2 views14$490$29
X-ray of lower and sacral spine, 2-3 views11$401$36
Injection, methylprednisolone acetate, 40 mg32$91None

Drugs they prescribed that Part D paid

$799

Pharmacies billed $799 in 2024.

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

142 generic and 0 brand-name prescriptions · $799 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
Ondansetron42$258$6
Meloxicam44$172$4
Naproxen15$43$3

Year by year

Part D prescribing by year
202414293None0%$799
202313082None0%$1,523
20221779813% (23)0%$2,278
202117610915% (26)0%$2,601
20201087312% (13)None$1,038
20191358513% (17)None$2,125
20181448620% (29)12%$2,344
20171267029% (37)None$1,640
20161768754% (95)None$3,521
20151296064% (83)None$4,680
20141556657% (88)None$4,592
20131895738% (72)20%$8,996

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

See the drugs prescribed each year

2023: 4 drugs

Part D drugs prescribed in 2023
Ondansetron50$482$10
Celecoxib12$312$26
Methylprednisolone11$113$10
Naproxen19$103$5

2022: 6 drugs

Part D drugs prescribed in 2022
Ondansetron62$1,033$17
Celecoxib13$487$37
Oxycodone-Acetaminophen15$176$12
Naproxen19$101$5
Meloxicam18$96$5
Gabapentin11$55$5

2021: 6 drugs

Part D drugs prescribed in 2021
Celecoxib15$800$53
Ondansetron44$748$17
Methylprednisolone13$153$12
Naproxen16$149$9
Oxycodone-Acetaminophen13$127$10
Gabapentin12$57$5

2020: 2 drugs

Part D drugs prescribed in 2020
Ondansetron21$356$17
Naproxen23$195$8

2019: 3 drugs

Part D drugs prescribed in 2019
Ondansetron30$445$15
Naproxen23$165$7
Methylprednisolone12$162$14

2018: 4 drugs

Part D drugs prescribed in 2018
Diclofenac15$516$34
Ondansetron26$329$13
Oxycodone-Acetaminophen12$280$23
Naproxen21$138$7

2017: 4 drugs

Part D drugs prescribed in 2017
Ondansetron25$295$12
Oxycodone-Acetaminophen11$169$15
Hydrocodone-Acetaminophen14$150$11
Naproxen20$108$5

2016: 4 drugs

Part D drugs prescribed in 2016
Oxycodone-Acetaminophen41$919$22
Hydrocodone-Acetaminophen42$792$19
Ondansetron22$230$10
Naproxen15$134$9

2015: 2 drugs

Part D drugs prescribed in 2015
Oxycodone-Acetaminophen31$826$27
Hydrocodone-Acetaminophen46$806$18

2014: 4 drugs

Part D drugs prescribed in 2014
Oxycodone-Acetaminophen30$991$33
Hydrocodone-Acetaminophen46$616$13
Ondansetron11$149$14
Naproxen14$111$8

2013: 4 drugs

Part D drugs prescribed in 2013
Celebrex13$2,183$168
Hydrocodone-Acetaminophen38$603$16
Oxycodone-Acetaminophen17$248$15
Naproxen14$78$6

Money from drug and device companies

$1,455,179 in 2025

Industry payments by year
2025520$1,449,896$1,455,179
202429$944,542$944,620
202337$932,916$933,006
202236$846,852$847,086
2021711$849,849$850,373
202039$707,645$707,769
2019618$703,038$704,069

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
Smith+NephewQ-Fix$1,454,171
14 payments
  • Meals · 2025-12-05 · $27
  • Royalties for Q-Fix · 2025-11-25 · $373,595
  • Travel · 2025-11-04 · $123
  • Travel · 2025-11-04 · $263
  • Travel · 2025-11-04 · $221
  • Travel · 2025-11-04 · $245
  • Meals · 2025-11-04 · $28
  • Meals · 2025-11-04 · $10
  • Travel · 2025-11-04 · $1,148
  • Travel · 2025-11-03 · $2,181
  • Meals for Bioinductive Implant With Arthroscopic Delivery System - Medium · 2025-10-27 · $28
  • Royalties for Q-Fix · 2025-08-30 · $385,647
  • Royalties for Q-Fix · 2025-05-21 · $360,457
  • Royalties for Q-Fix · 2025-02-23 · $330,197
Miach OrthopaedicsNone$807
2 payments
  • Meals · 2025-05-12 · $190
  • Travel · 2025-03-19 · $617
Zimmer Biomet HoldingsAvenir$141
1 payment
  • Meals for Avenir · 2025-01-09 · $141
Electronic Waveform LabNone$39
1 payment
  • Meals · 2025-03-24 · $39
VericelMaci$22
1 payment
  • Meals for Maci · 2025-01-28 · $22
See all 19 published payments
Every published payment
Smith+NephewMeals · 2025-12-05None$27
Smith+NephewRoyalties · 2025-11-25Q-Fix$373,595
Smith+NephewTravel · 2025-11-04None$123
Smith+NephewTravel · 2025-11-04None$263
Smith+NephewTravel · 2025-11-04None$221
Smith+NephewTravel · 2025-11-04None$245
Smith+NephewMeals · 2025-11-04None$28
Smith+NephewMeals · 2025-11-04None$10
Smith+NephewTravel · 2025-11-04None$1,148
Smith+NephewTravel · 2025-11-03None$2,181
Smith+NephewMeals · 2025-10-27Bioinductive Implant With Arthroscopic Delivery System - Medium$28
Smith+NephewRoyalties · 2025-08-30Q-Fix$385,647
Smith+NephewRoyalties · 2025-05-21Q-Fix$360,457
Miach OrthopaedicsMeals · 2025-05-12None$190
Electronic Waveform LabMeals · 2025-03-24None$39
Miach OrthopaedicsTravel · 2025-03-19None$617
Smith+NephewRoyalties · 2025-02-23Q-Fix$330,197
VericelMeals · 2025-01-28Maci$22
Zimmer Biomet HoldingsMeals · 2025-01-09Avenir$141
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $944,620

Payments by company in 2024
Smith+NephewQ-Fix$944,542
4 payments
  • Royalties for Q-Fix · 2024-11-18 · $223,286
  • Royalties for Q-Fix · 2024-08-02 · $221,674
  • Royalties for Q-Fix · 2024-05-08 · $248,559
  • Royalties for Q-Fix · 2024-02-10 · $251,022
Electronic Waveform LabNone$79
5 payments
  • Meals · 2024-08-07 · $27
  • Meals · 2024-05-07 · $8
  • Meals · 2024-04-08 · $7
  • Meals · 2024-03-25 · $15
  • Meals · 2024-03-20 · $22

2023: $933,006

Payments by company in 2023
Smith+NephewQ-Fix$932,967
5 payments
  • Royalties for Q-Fix · 2023-11-07 · $216,065
  • Royalties for Q-Fix · 2023-08-08 · $234,915
  • Royalties for Q-Fix · 2023-05-03 · $239,584
  • Meals for Q-Fix · 2023-03-08 · $52
  • Royalties for Q-Fix · 2023-01-31 · $242,352
Baxter HealthcareFloseal$23
1 payment
  • Meals for Floseal · 2023-04-18 · $23
TrevenaOlinvyk$16
1 payment
  • Meals for Olinvyk · 2023-02-03 · $16

2022: $847,086

Payments by company in 2022
Smith+NephewQ-Fix$846,852
4 payments
  • Royalties for Q-Fix · 2022-11-15 · $193,218
  • Royalties for Q-Fix · 2022-08-24 · $216,672
  • Royalties for Q-Fix · 2022-05-17 · $221,056
  • Royalties for Q-Fix · 2022-02-02 · $215,906
Catalyst OrthoScienceCatalyst Total Csr$150
1 payment
  • Meals for Catalyst Total Csr · 2022-03-24 · $150
MedtronicMazor X System$85
1 payment
  • Meals for Mazor X System · 2022-11-10 · $85

2021: $850,373

Payments by company in 2021
Smith+NephewQ-Fix Hip$849,896
5 payments
  • Royalties for Q-Fix Hip · 2021-11-17 · $187,456
  • Meals for Q-Fix · 2021-09-01 · $47
  • Royalties for Q-Fix Hip · 2021-08-24 · $211,783
  • Royalties for Q-Fix Hip · 2021-05-18 · $216,279
  • Royalties for Q-Fix Hip · 2021-02-17 · $234,332
NuVasiveXlif$125
1 payment
  • Meals for Xlif · 2021-11-16 · $125
Heron TherapeuticsZynrelef$122
1 payment
  • Meals for Zynrelef · 2021-10-12 · $122
DjoProcare$94
1 payment
  • Meals for Procare · 2021-10-14 · $94
StrykerNa$83
1 payment
  • Meals for Na · 2021-09-02 · $83
Maruho MedicalApollo$26
1 payment
  • Meals for Apollo · 2021-07-09 · $26
Zimmer Biomet HoldingsScp Bone Substitute$26
1 payment
  • Meals for Scp Bone Substitute · 2021-05-14 · $26

2020: $707,769

Payments by company in 2020
Smith+NephewQ-Fix Hip$690,783
4 payments
  • Royalties for Q-Fix Hip · 2020-11-10 · $186,623
  • Royalties for Q-Fix Hip · 2020-08-11 · $115,127
  • Royalties for Q-Fix Hip · 2020-05-11 · $171,984
  • Royalties for Q-Fix Hip · 2020-02-11 · $217,049
StrykerReelx Stt$16,861
4 payments
  • Royalties for Reelx Stt · 2020-08-13 · $1,404
  • Royalties for Reelx Stt · 2020-08-13 · $10
  • Royalties for Reelx Stt · 2020-04-16 · $115
  • Royalties for Reelx Stt · 2020-02-13 · $15,332
Zimmer Biomet HoldingsAccufill$124
1 payment
  • Meals for Accufill · 2020-02-25 · $124

2019: $704,069

Payments by company in 2019
Smith+NephewQ-Fix$643,814
5 payments
  • Royalties for Q-Fix · 2019-11-11 · $154,265
  • Royalties for Q-Fix · 2019-09-06 · $155,796
  • Royalties for Q-Fix · 2019-05-22 · $156,490
  • Meals for Regeneten · 2019-04-16 · $121
  • Royalties for Q-Fix · 2019-03-05 · $177,142
StrykerReelx Stt$59,843
9 payments
  • Royalties for Reelx Stt · 2019-11-14 · $13,744
  • Meals for Axsos · 2019-10-15 · $168
  • Meals for T2 · 2019-10-15 · $161
  • Royalties for Reelx Stt · 2019-08-01 · $15,154
  • Meals for Reunion · 2019-07-24 · $120
  • Meals for Reunion · 2019-07-24 · $8
  • Meals for Reunion · 2019-05-10 · $41
  • Royalties for Reelx Stt · 2019-05-09 · $14,631
  • Royalties for Reelx Stt · 2019-01-31 · $15,816
NuVasiveNone$143
1 payment
  • Meals · 2019-05-02 · $143
Zimmer Biomet HoldingsAccufill$134
1 payment
  • Meals for Accufill · 2019-06-19 · $134
Wright Medical TechnologyOrtholoc$122
1 payment
  • Meals for Ortholoc · 2019-03-14 · $122
Fidia Pharma USANudyn$14
1 payment
  • Meals for Nudyn · 2019-06-05 · $14

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
75.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1437187051
Licence
CA A75584California A75584: Current · expires 2028-12-31
Trained
Columbia University College of Physicians and Surgeons, 1994
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 207XX0005X (207XX0005X)
Mailing address
Po Box 31396, Walnut Creek, CA, 94598
NPI first listed
2006-06-30
NPI last updated
2023-11-08
NPI record certified
2023-11-08

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