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Robert A Eppley, MD

Orthopedic Surgery · Berkeley

NPI 1497784888

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
10
2 carriers
Offices
4

Offices

4 locations · California Sports and Orthopaedic · Sutter Bay Medical Foundation

Looking this up.

Hospitals listed: Alta Bates Summit Medical Center · Alta Bates Summit Medical Center - Alta Bates Camp. That is not proof they admit you there this week.

Plans that list them

10 plans · 2 carriers

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

10 of 10 plans

Plans whose provider directory lists this clinician
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
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025

California Medical Board record

Licence G63226 · Current

Licensed to practise in California · since 1988 · expires 2027-12-31 · Case Western Reserve University School of Medicine.

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

Surgery centers they own

  • The Surgery Center of Alta Bates Summit Medical CenterAmbulatory Surgery Center · Oakland, CAOwner · accredited by JC
    Initial Accreditation4 inspections, 4 with deficiencies · last 2017-07-27: Requirements Met

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.

  • Alta Bates Summit Medical CenterOakland, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 3 of 5 · 78% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Death rate among surgical inpatients with serious treatable complications: 130.09 (87.72 to 172.46) · 109 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.274, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.227, Oct 2024 – Sep 2025
  • Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 2 of 5 · 67% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.298, Oct 2024 – Sep 2025
See every measure and the patient survey for Alta Bates Summit Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 4 better, 3 the same, 0 worse of 7 measures. Readmissions: 3 better, 6 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 Alta Bates Summit Medical Center
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths130.09 (87.72 to 172.46) · 109 casesBetterJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.274BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.227BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1 (0.06 to 1.94) · 1,209 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.88 (0.6 to 1.16)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2 · 89 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.9 · 105 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.8 · 270 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.9 · 447 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.7 · 341 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.2 · 381 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.6 · 2,811 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.31) · 7,167 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.4) · 7,659 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.93 (0.92 to 4.94) · 1,668 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.25 (0 to 2.75) · 580 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.67 (1.19 to 4.15) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.17 (0.33 to 12.02) · 633 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths8.11 (4.67 to 11.55) · 619 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.15 to 3.07) · 309 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.39 (0 to 0.96) · 6,085 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.8 · 217 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.724No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.425No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.716No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits12.7 · 416 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.6 · 606 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-30.4 · 359 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-31.8 · 555 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-14.4 · 358 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16 · 382 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.1 (3.2 to 8.2) · 25 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.8 (7.3 to 16) · 25 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits4.5 · 232 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.9 · 56 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 152 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14.8 (11.1 to 20) · 251 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.9 to 1.5) · 579 casesNo differentJan 2024 – Dec 2024

What patients said (535 patients answered, 18% of those asked)

Patient survey stars by topic at Alta Bates Summit Medical Center
Cleanliness4
Nurse communication3
Doctor communication4
Communication about medicines2
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Alta Bates Summit Medical Center
Room was "always" clean73%
Nurses "always" communicated well75%
Doctors "always" communicated well81%
Staff "always" explained58%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)75%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand69%
Nurses "always" listened carefully72%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects43%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Alta Bates Summit Medical Center - Alta Bates Camp

Behind the star rating — Deaths: 2 better, 5 the same, 0 worse of 7 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 6 the same, 1 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 Alta Bates Summit Medical Center - Alta Bates Camp
Clostridium Difficile (C.Diff)Infections0.298BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.18 (0.16 to 2.2) · 730 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.87 (0.51 to 1.23)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths188.12 (132.31 to 243.94) · 50 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths6.8 · 50 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.4 · 189 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.6 · 184 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 103 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.9 · 1,585 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.18 (0 to 0.4) · 3,929 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.31 (0.11 to 0.51) · 3,954 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.15 (0.95 to 5.36) · 754 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.62 (0 to 3.33) · 325 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.99 (0.39 to 3.59) · 717 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.85 (2.27 to 19.44) · 326 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.79 (1.08 to 8.49) · 302 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.68 (0.19 to 3.18) · 184 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.17 (0 to 0.88) · 3,240 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.4 · 161 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.207No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.48No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.785No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.4 · 243 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-58.2 · 194 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-12.3 · 177 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.8 · 209 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.4 (3.8 to 7.5) · 215 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.2 (9.4 to 15.5) · 215 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits4.8 · 150 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.2 · 81 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.4 (10 to 18.1) · 315 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.6 to 1.2) · 137 casesNo differentJan 2024 – Dec 2024

What patients said (449 patients answered, 15% of those asked)

Patient survey stars by topic at Alta Bates Summit Medical Center - Alta Bates Camp
Cleanliness2
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information2
Overall hospital rating2
Quietness2
Recommend hospital3
Share of patients giving the best answer at Alta Bates Summit Medical Center - Alta Bates Camp
Room was "always" clean62%
Nurses "always" communicated well72%
Doctors "always" communicated well75%
Staff "always" explained53%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand68%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect83%
Patients who gave a rating of "9" or "10" (high)58%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully66%
Nurses "always" treated them with courtesy and respect81%
"Always" quiet at night49%
"YES", patients would definitely recommend the hospital67%
Staff "always" explained possible side effects38%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$166,346

Medicare paid this office $166,346 for 275 people.

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

Largest Original Medicare bills
Prosthetic repair of shoulder joint, total shoulder25$34,219$1,316
Return visit (30+ min)193$28,754$121
Replacement of knee joint, both sides of knee25$28,699$1,148
Repair of shoulder rotator cuff using an endoscope13$12,781$983
New patient visit (45+ min)46$6,916$150
See all 17 services
Every Original Medicare service billed
Prosthetic repair of shoulder joint, total shoulder25$34,219$1,316
Return visit (30+ min)193$28,754$121
Replacement of knee joint, both sides of knee25$28,699$1,148
Repair of shoulder rotator cuff using an endoscope13$12,781$983
New patient visit (45+ min)46$6,916$150
Release of tendon connecting biceps muscle and shoulder using an endoscope12$5,732$478
Biopsy of deep bone31$4,696$151
Short return visit (20+ min)43$3,953$86
Aspiration and/or injection of fluid large joint using ultrasound guidance33$3,476$97
Shaving of part of shoulder bone and repair of ligament using an endoscope19$2,828$149
X-ray of knee, 1-2 views41$2,191$36
Harvest of graft from small bone26$2,104$81
X-ray of shoulder, minimum of 2 views48$2,071$37
X-ray of knee, 3 views34$1,441$41
X-ray of both knees while standing32$1,369$43
Imaging guidance for procedure, 60 minutes or less14$183$13
Injection, triamcinolone acetonide, not otherwise specified, 10 mg24$81None

Procedures Medicare counted

Procedure volume Medicare published
Knee replacement15More than 45% of doctors who do this
Lower limb (leg) arthroscopy (minimally invasive joint repair)17More than 90% of doctors who do this
Upper limb (arm) arthroscopy (minimally invasive joint repair)54More than 88% of doctors who do this

Who their Medicare patients are

275 Original Medicare patients in 2024. Average age 74 · Women 57% · Health risk score 0.81. At or below the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 55% · Depression 20% · Coronary heart disease 19% · Diabetes 16% · Cancer 15% · Chronic kidney disease 13% · Atrial fibrillation 13% · Heart failure 5% · COPD 5% · Stroke 5%.

The office billed $557,043, Medicare allowed $209,906 and paid $166,346; for 1,806 services of 49 kinds; $923 of it was for drugs given in the office and $165,423 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
20242751,806740.81$557,043$166,346
20232561,120740.82$576,679$158,502
20223001,823740.71$683,115$188,322
20213443,650740.74$669,914$196,429
202035819,843730.82$827,054$258,495
20193361,003730.81$774,410$213,096
20183131,102730.78$730,788$193,288
20173216,848720.84$756,912$231,704
20163341,875730.79$757,562$222,185
20153122,142730.77$699,001$200,388
20143022,466720.71$632,826$187,512
20132711,750720.80$712,495$213,251

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: 17 services

Original Medicare services billed in 2023
Replacement of knee joint, both sides of knee36$41,405$1,150
Prosthetic repair of shoulder joint, total shoulder19$25,788$1,289
Return visit (30+ min)152$19,604$108
Repair of shoulder rotator cuff using an endoscope17$16,327$960
Biopsy of deep bone43$6,637$151
New patient visit (45+ min)37$4,649$126
Release of tendon connecting biceps muscle and shoulder using an endoscope11$4,371$397
Short return visit (20+ min)49$3,798$72
Shaving of part of shoulder bone and repair of ligament using an endoscope21$3,130$149
Tendon graft11$2,600$236
Harvest of graft from small bone31$2,501$81
X-ray of knee, 1-2 views45$2,217$31
Aspiration and/or injection of fluid large joint using ultrasound guidance20$1,977$94
X-ray of shoulder, minimum of 2 views33$1,362$34
X-ray of knee, 3 views32$1,214$37
X-ray of both knees while standing30$1,148$38
Injection, triamcinolone acetonide, not otherwise specified, 10 mg17$56None

2022: 17 services

Original Medicare services billed in 2022
Replacement of knee joint, both sides of knee39$47,128$1,149
Prosthetic repair of shoulder joint, total shoulder20$25,944$1,297
Return visit (30+ min)185$23,713$113
Repair of shoulder rotator cuff using an endoscope17$17,151$953
Relocation of one muscle of shoulder or upper arm16$9,303$581
Biopsy of deep bone54$8,691$152
New patient visit (45+ min)51$7,034$138
Short return visit (20+ min)71$5,908$73
Harvest of graft from small bone47$4,032$81
X-ray of knee, 1-2 views79$3,919$32
Shaving of part of shoulder bone and repair of ligament using an endoscope19$2,966$148
X-ray of shoulder, minimum of 2 views61$2,706$35
Tendon graft11$2,578$234
X-ray of both knees while standing50$2,088$42
New patient visit (30+ min)16$1,651$103
Aspiration and/or injection of fluid large joint using ultrasound guidance15$1,351$90
Injection, triamcinolone acetonide, not otherwise specified, 10 mg12$38None

2021: 17 services

Original Medicare services billed in 2021
Replacement of knee joint, both sides of knee32$37,503$1,172
Prosthetic repair of shoulder joint, total shoulder25$34,423$1,324
Return visit (30+ min)180$23,893$115
Repair of shoulder rotator cuff using an endoscope18$17,783$988
Relocation of one muscle of shoulder or upper arm21$13,030$592
Short return visit (20+ min)113$10,154$74
Biopsy of deep bone58$9,175$156
New patient visit (45+ min)62$8,879$143
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg12$4,607None
Aspiration and/or injection of fluid large joint using ultrasound guidance43$4,313$90
New patient visit (30+ min)46$4,228$92
Shaving of part of shoulder bone and repair of ligament using an endoscope24$3,699$154
Tendon graft11$2,627$239
Harvest of graft from small bone30$2,480$83
Harvest of graft from large bone18$2,259$125
Imaging guidance for procedure, 60 minutes or less13$177$14
Injection, triamcinolone acetonide, not otherwise specified, 10 mg30$119None

2020: 20 services

Original Medicare services billed in 2020
Replacement of knee joint, both sides of knee32$41,478$1,257
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg33$32,761None
Repair of shoulder rotator cuff using an endoscope26$26,182$1,007
Prosthetic repair of shoulder joint, total shoulder18$24,391$1,355
Return visit (30+ min)156$19,948$98
Aspiration and/or injection of fluid large joint using ultrasound guidance108$19,737$95
Short return visit (20+ min)136$11,673$69
Relocation of one muscle of shoulder or upper arm18$10,873$604
Release of tendon connecting biceps muscle and shoulder using an endoscope18$8,369$465
Biopsy of deep bone51$8,335$160
New patient visit (45+ min)51$6,505$128
Shaving of part of shoulder bone and repair of ligament using an endoscope32$5,086$159
Harvest of graft from large bone34$4,548$130
New patient visit (30+ min)52$4,519$87
Tendon graft17$4,133$243
Removal of extensive shoulder joint tissue using an endoscope15$4,005$267
Complete ultrasound scan of joint20$1,698$77
Short return visit29$1,397$40
Injection, triamcinolone acetonide, not otherwise specified, 10 mg81$443None
Imaging guidance for procedure, 60 minutes or less15$211$14

2019: 18 services

Original Medicare services billed in 2019
Repair of shoulder rotator cuff using an endoscope36$34,641$962
Replacement of knee joint, both sides of knee28$33,612$1,200
Prosthetic repair of shoulder joint, total shoulder18$23,506$1,306
Return visit (30+ min)197$22,803$98
Removal or shaving of knee joint cartilage using an endoscope24$13,680$570
Release of tendon connecting biceps muscle and shoulder using an endoscope25$11,618$465
Relocation of one muscle of shoulder or upper arm17$11,045$650
Short return visit (20+ min)103$7,500$66
New patient visit (45+ min)49$6,718$137
Shaving of part of shoulder bone and repair of ligament using an endoscope42$6,616$154
Removal of extensive shoulder joint tissue using an endoscope30$5,859$195
Biopsy of deep bone33$5,294$160
Tendon graft21$4,904$234
Harvest of graft from large bone36$4,593$128
Aspiration and/or injection of fluid large joint using ultrasound guidance39$3,412$83
New patient visit (30+ min)19$1,706$90
Injection, triamcinolone acetonide, not otherwise specified, 10 mg39$196None
Imaging guidance for procedure, 60 minutes or less11$149$14

2018: 23 services

Original Medicare services billed in 2018
Repair of shoulder rotator cuff using an endoscope37$33,505$906
Replacement of knee joint, both sides of knee28$32,015$1,143
Prosthetic repair of shoulder joint, total shoulder22$26,683$1,213
Return visit (30+ min)162$16,450$88
Relocation of one muscle of shoulder or upper arm18$9,648$536
Release of tendon connecting biceps muscle and shoulder using an endoscope24$9,342$389
New patient visit (45+ min)58$7,473$129
Short return visit (20+ min)104$7,443$61
Shaving of part of shoulder bone and repair of ligament using an endoscope42$6,106$145
Removal of extensive shoulder joint tissue using an endoscope26$4,979$191
Harvest of graft from large bone37$4,416$119
Mri scan of arm joint without contrast67$3,808$56
Training for self-care or home management, each 15 minutes114$3,598$31
Tendon graft13$2,857$220
New patient visit (30+ min)24$2,053$86
Biopsy of deep tissue of shoulder13$2,031$156
Mri scan of leg joint without contrast30$1,789$56
Aspiration and/or injection of fluid large joint using ultrasound guidance14$1,110$79
X-ray of shoulder, minimum of 2 views31$291$8
X-ray of knee, 1-2 views16$164$7
X-ray of knee, 4 or more views12$116$8
Imaging guidance for procedure, 60 minutes or less14$101$7
Injection, triamcinolone acetonide, not otherwise specified, 10 mg12$75None

2017: 22 services

Original Medicare services billed in 2017
Repair of shoulder rotator cuff using an endoscope48$44,339$924
Prosthetic repair of shoulder joint, total shoulder24$30,448$1,269
Replacement of knee joint, both sides of knee16$18,513$1,157
Return visit (30+ min)159$17,332$92
Relocation of one muscle of shoulder or upper arm23$14,283$621
Aspiration and/or injection of fluid large joint using ultrasound guidance64$9,131$86
Short return visit (20+ min)114$8,882$63
Removal of extensive shoulder joint tissue using an endoscope44$8,331$189
Shaving of part of shoulder bone and repair of ligament using an endoscope42$6,400$152
Release of tendon connecting biceps muscle and shoulder using an endoscope16$6,247$390
New patient visit (45+ min)42$5,792$138
Mri scan of arm joint before and after contrast55$4,746$83
Harvest of graft from large bone29$3,748$129
New patient visit (30+ min)30$2,642$88
Complete ultrasound scan of joint20$2,489$113
Mri scan of leg joint without contrast40$2,422$58
Mri scan of arm joint without contrast38$2,355$60
Biopsy of deep tissue of shoulder11$1,786$162
Training for self-care or home management, each 15 minutes34$1,176$33
X-ray of shoulder, minimum of 2 views40$380$8
Injection, triamcinolone acetonide, not otherwise specified, 10 mg53$355None
X-ray of knee, 3 views20$194$8

2016: 20 services

Original Medicare services billed in 2016
Repair of shoulder rotator cuff using an endoscope34$32,676$908
Replacement of knee joint, both sides of knee21$22,688$1,080
Prosthetic repair of shoulder joint, total shoulder16$19,838$1,240
Short return visit (20+ min)176$15,117$60
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose27$13,025None
Return visit (30+ min)113$11,994$91
Aspiration and/or injection of fluid large joint using ultrasound guidance75$10,217$84
Removal of extensive shoulder joint tissue using an endoscope25$8,297$332
Shaving of part of shoulder bone and repair of ligament using an endoscope47$7,055$147
New patient visit (45+ min)44$6,107$139
Complete ultrasound scan of joint41$4,647$101
Anchoring of biceps tendon12$4,504$375
Harvest of graft from large bone30$3,886$125
Mri scan of leg joint without contrast59$3,827$56
Mri scan of arm joint before and after contrast38$3,646$91
New patient visit (30+ min)41$3,531$86
Mri scan of arm joint without contrast63$3,515$55
Training for self-care or home management, each 15 minutes24$746$31
Measurement of range of motion in arm, leg or each spine section30$558$16
Injection, triamcinolone acetonide, not otherwise specified, 10 mg81$544None

2015: 18 services

Original Medicare services billed in 2015
Repair of shoulder rotator cuff using an endoscope42$38,463$916
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose31$17,693None
Prosthetic repair of shoulder joint, total shoulder14$17,083$1,220
Short return visit (20+ min)186$16,432$59
Replacement of knee joint, both sides of knee14$16,258$1,161
Aspiration and/or injection of fluid large joint using ultrasound guidance80$10,560$83
Return visit (30+ min)65$7,574$92
Shaving of part of shoulder bone and repair of ligament using an endoscope47$6,966$148
Mri scan of arm joint without contrast94$6,235$58
Release of tendon connecting biceps muscle and shoulder using an endoscope15$6,077$405
Complete ultrasound scan of joint41$5,069$110
New patient visit (30+ min)50$4,219$84
New patient visit (45+ min)25$3,411$136
Harvest of graft from large bone22$2,684$122
Mri scan of leg joint without contrast37$2,268$57
Measurement of range of motion in arm, leg or each spine section70$1,546$17
Limited ultrasound scan of joint or other extremity structure except blood vessels16$930$32
Injection, triamcinolone acetonide, not otherwise specified, 10 mg96$735None

2014: 18 services

Original Medicare services billed in 2014
Repair of shoulder rotator cuff using an endoscope30$28,990$935
Short return visit (20+ min)222$24,856$60
Ultrasonic guidance for needle placement107$15,189$68
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose28$14,869None
Aspiration and/or injection of fluid from large joint110$12,966$56
Return visit (30+ min)62$5,678$83
Shaving of part of shoulder bone and repair of ligament using an endoscope36$5,560$150
Removal of both knee cartilages using an endoscope11$5,468$497
New patient visit (45+ min)35$4,863$139
Mri scan of arm joint without contrast77$4,771$59
New patient visit (30+ min)43$4,066$95
Harvest of graft from large bone15$1,975$123
Mri scan of leg joint without contrast32$1,900$56
Measurement of range of motion in arm, leg or each spine section57$1,258$16
Short return visit14$633$40
Injection, triamcinolone acetonide, not otherwise specified, 10 mg60$542None
Injection, methylprednisolone acetate, 40 mg30$77None
Injection, methylprednisolone acetate, 80 mg16$76None

2013: 21 services

Original Medicare services billed in 2013
Ultrasonic guidance for needle placement70$38,405$201
Repair of shoulder rotator cuff using an endoscope32$29,780$931
Short return visit (20+ min)191$21,999$63
Prosthetic repair of shoulder joint, total shoulder16$20,990$1,235
Replacement of knee joint, both sides of knee12$15,996$1,333
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose20$12,710None
Removal of extensive shoulder joint tissue using an endoscope40$10,397$248
Aspiration and/or injection of fluid from large joint70$9,130$49
Shaving of part of shoulder bone and repair of ligament using an endoscope40$6,028$147
Mri scan of arm joint without contrast86$5,135$56
Removal of knee cartilage using an endoscope11$4,555$414
New patient visit (45+ min)31$4,347$140
Return visit (30+ min)45$4,295$93
Harvest of graft from large bone23$3,057$133
New patient visit (30+ min)35$3,048$87
Measurement of range of motion in arm, leg or each spine section83$2,475$17
Mri scan of leg joint without contrast27$1,578$56
Short return visit11$399$36
Injection, methylprednisolone acetate, 40 mg39$109None
Injection, methylprednisolone acetate, 80 mg15$91None
Injection, triamcinolone acetonide, not otherwise specified, 10 mg16$74None

Drugs they prescribed that Part D paid

$4,984

Pharmacies billed $4,984 in 2024.

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

Opioids were 20% of their Part D prescriptions (39 of 200) in 2024. At or below the middle of the specialty; the typical orthopedic surgery clinician is at 31%.

199 generic and fewer than 11 brand-name prescriptions · $4,984 in drug cost · 28 antibiotic prescriptions to 26 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
Celecoxib45$3,035$42
Oxycodone-Acetaminophen37$214$5
Ondansetron27$104$4
Prednisone13$70$4
Cephalexin24$61$2

Year by year

Part D prescribing by year
20242009220% (39)None$4,984
20232569513% (33)0%$5,736
20222158814% (29)0%$3,889
202122310017% (38)None$4,297
20201167035% (40)0%$1,386
20191539242% (64)0%$2,089
20181336435% (47)None$4,112
20171588637% (58)None$3,876
20161889444% (83)10%$5,073
20151747831% (54)9%$3,183
201426910736% (97)13%$9,639
20132589535% (91)12%$8,682

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

See the drugs prescribed each year

2023: 6 drugs

Part D drugs prescribed in 2023
Celecoxib106$4,720$45
Oxycodone-Acetaminophen32$240$8
Meloxicam24$161$7
Ondansetron18$150$8
Prednisone23$145$6
Cephalexin28$68$2

2022: 5 drugs

Part D drugs prescribed in 2022
Celecoxib120$3,149$26
Oxycodone-Acetaminophen27$160$6
Prednisone18$86$5
Cephalexin12$30$2
Meloxicam17$25$1

2021: 4 drugs

Part D drugs prescribed in 2021
Celecoxib105$3,389$32
Oxycodone-Acetaminophen33$203$6
Cephalexin35$48$1
Meloxicam13$38$3

2020: 3 drugs

Part D drugs prescribed in 2020
Celecoxib15$551$37
Oxycodone-Acetaminophen29$299$10
Cephalexin28$45$2

2019: 4 drugs

Part D drugs prescribed in 2019
Celecoxib20$852$43
Oxycodone-Acetaminophen46$485$11
Hydrocodone-Acetaminophen12$90$8
Cephalexin27$56$2

2018: 4 drugs

Part D drugs prescribed in 2018
Celecoxib31$2,462$79
Oxycodone-Acetaminophen29$323$11
Amoxicillin14$60$4
Cephalexin15$24$2

2017: 6 drugs

Part D drugs prescribed in 2017
Celecoxib34$2,305$68
Oxycodone-Acetaminophen32$473$15
Hydrocodone-Acetaminophen11$81$7
Meloxicam15$63$4
Tramadol11$50$5
Cephalexin20$25$1

2016: 5 drugs

Part D drugs prescribed in 2016
Celecoxib17$1,525$90
Oxycodone-Acetaminophen59$778$13
Meloxicam13$110$8
Cephalexin38$70$2
Amoxicillin11$46$4

2015: 5 drugs

Part D drugs prescribed in 2015
Oxycodone-Acetaminophen37$650$18
Cephalexin42$91$2
Ibuprofen13$61$5
Meloxicam11$48$4
Amoxicillin11$41$4

2014: 8 drugs

Part D drugs prescribed in 2014
Celebrex14$4,294$307
Voltaren12$889$74
Hydrocodone-Acetaminophen27$656$24
Oxycodone-Acetaminophen36$638$18
Meloxicam22$141$6
Cephalexin38$135$4
Zolpidem12$127$11
Amoxicillin13$56$4

2013: 8 drugs

Part D drugs prescribed in 2013
Celebrex13$2,345$180
Hydrocodone-Acetaminophen33$306$9
Meloxicam22$171$8
Oxycodone-Acetaminophen19$119$6
Ibuprofen13$91$7
Cephalexin33$88$3
Amoxicillin20$70$3
Tramadol12$61$5

Money from drug and device companies

$94 in 2025

Industry payments by year
202523None$94
202411None$14
202216$148$148
2021229$677$703
2020323$267$306
201958$24$1,150

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+NephewBone Anchors With Arthroscopic Delivery System$52
1 payment
  • Meals for Bone Anchors With Arthroscopic Delivery System · 2025-04-30 · $52
StrykerAequalis Perform Reversed$42
2 payments
  • Meals for Aequalis Perform Reversed · 2025-12-16 · $25
  • Meals for Blueprint Patient Specific Instrumentation · 2025-03-26 · $17
See all 3 published payments
Every published payment
StrykerMeals · 2025-12-16Aequalis Perform Reversed$25
Smith+NephewMeals · 2025-04-30Bone Anchors With Arthroscopic Delivery System$52
StrykerMeals · 2025-03-26Blueprint Patient Specific Instrumentation$17
See earlier years (2024, 2022, 2021, 2020, 2019)

2024: $14

Payments by company in 2024
BioventusGelsyn-3$14
1 payment
  • Meals for Gelsyn-3 · 2024-11-27 · $14

2022: $148

Payments by company in 2022
DjoProcare$148
6 payments
  • Paid to speak or teach for Procare · 2022-06-14 · $38
  • Paid to speak or teach for Procare · 2022-05-12 · $38
  • Paid to speak or teach for Procare · 2022-04-21 · $38
  • Paid to speak or teach for Procare · 2022-03-30 · $11
  • Paid to speak or teach for Procare · 2022-02-23 · $11
  • Paid to speak or teach for Procare · 2022-01-26 · $11

2021: $703

Payments by company in 2021
DjoProcare Bracing & Supports$677
27 payments
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-12-21 · $11
  • Paid to speak or teach for Procare Bracing & Supports · 2021-12-21 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-12-02 · $11
  • Paid to speak or teach for Procare Bracing & Supports · 2021-12-02 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-10-28 · $11
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-10-28 · $27
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-09-23 · $11
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-09-23 · $27
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-09-03 · $11
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-09-03 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-07-14 · $11
  • Paid to speak or teach for Procare Bracing & Supports · 2021-07-14 · $27
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-06-24 · $11
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-06-24 · $27
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-05-20 · $11
  • Paid to speak or teach for Procare Bracing & Supports · 2021-05-20 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-04-29 · $11
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-04-29 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-03-18 · $11
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-03-18 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-02-18 · $11
  • Paid to speak or teach for Aircast Bracing & Supports · 2021-02-18 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-01-26 · $11
  • Paid to speak or teach for Procare Bracing & Supports · 2021-01-26 · $27
  • Paid to speak or teach for Procare Bracing & Supports · 2021-01-07 · $11
  • Paid to speak or teach for Procare Bracing & Supports · 2021-01-07 · $182
  • Paid to speak or teach for Procare Bracing & Supports · 2021-01-07 · $27
Pacira TherapeuticsZilretta$26
2 payments
  • Meals for Zilretta · 2021-11-17 · $12
  • Meals for Zilretta · 2021-08-25 · $14

2020: $306

Payments by company in 2020
DjoNone$267
21 payments
  • Paid to speak or teach · 2020-12-08 · $11
  • Paid to speak or teach · 2020-12-08 · $13
  • Paid to speak or teach · 2020-11-06 · $11
  • Paid to speak or teach · 2020-11-06 · $13
  • Paid to speak or teach · 2020-09-24 · $11
  • Paid to speak or teach · 2020-09-24 · $13
  • Paid to speak or teach · 2020-08-13 · $11
  • Paid to speak or teach · 2020-08-13 · $13
  • Paid to speak or teach · 2020-07-16 · $11
  • Paid to speak or teach · 2020-07-16 · $13
  • Paid to speak or teach · 2020-07-01 · $11
  • Paid to speak or teach · 2020-07-01 · $13
  • Paid to speak or teach · 2020-05-22 · $11
  • Paid to speak or teach · 2020-05-22 · $13
  • Paid to speak or teach · 2020-04-21 · $11
  • Paid to speak or teach · 2020-04-21 · $13
  • Paid to speak or teach · 2020-04-10 · $26
  • Paid to speak or teach · 2020-04-09 · $11
  • Paid to speak or teach · 2020-04-09 · $13
  • Paid to speak or teach · 2020-03-31 · $11
  • Paid to speak or teach · 2020-03-31 · $13
BioventusExogen$21
1 payment
  • Meals for Exogen · 2020-12-16 · $21
Ferring PharmaceuticalsEuflexxa$18
1 payment
  • Meals for Euflexxa · 2020-06-30 · $18

2019: $1,150

Payments by company in 2019
Evolution SurgicalNone$1,025
2 payments
  • Education · 2019-10-23 · $922
  • Meals · 2019-08-14 · $103
Flexion TherapeuticsZilretta$49
2 payments
  • Meals for Zilretta · 2019-09-17 · $11
  • Meals for Zilretta · 2019-04-17 · $38
DePuy Synthes SalesMonovisc$30
1 payment
  • Meals for Monovisc · 2019-08-14 · $30
DjoNone$24
2 payments
  • Paid to speak or teach · 2019-11-26 · $13
  • Paid to speak or teach · 2019-11-26 · $11
FX Shoulder USANone$22
1 payment
  • Meals · 2019-08-14 · $22

Checkups this office reported

1 measures · 2023

Medicare asked this office to report how often certain checkups happened in 2023. This is not a grade for the doctor. A specialist’s patients may not need every screening.

Medicare’s overall office score
84.9 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Checkup rates this office reported to Medicare
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)As Medicare defines this measure0%None

Professional record

NPI
1497784888
Licence
CA G63226California G63226: Current · expires 2027-12-31
Trained
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University, 1983
Group
California Sports and Orthopaedic · Sutter Bay Medical Foundation
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Orthopedic surgery (207X00000X)
Mailing address
2999 Regent St, Ste 225, Berkeley, CA, 94705
NPI first listed
2006-06-30
NPI last updated
2013-02-26

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