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Shahin Foroutan, MD

General Surgery · San Jose

NPI 1508171570

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 · County of Santa Clara · Peacehealth

Looking this up.

Hospitals listed: Sacred Heart Medical Center Riverbend. That is not proof they admit you there this week.

Plan participation

Not verified

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

California Medical Board record

Licence A118403 · Current

Licensed to practise in California · since 2011 · expires 2027-09-30 · University of Vermont College of Medicine.

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

State licence records

1 licence

  • Washington MD.MD.61275961Physician And Surgeon License · since 2022 · expires 2026-09-26Matched by name, not licence number; check the name before relying on it.
    ExpiredNo 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.

  • Sacred Heart Medical Center - RiverbendSpringfield, ORAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Peacehealth, which runs 10 hospitals in 3 statesPatients rate it 3 of 5 · 77% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 0.66 (0.42 to 0.9), Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.203, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.547, Oct 2024 – Sep 2025
See every measure and the patient survey for Sacred Heart Medical Center - Riverbend

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 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 Sacred Heart Medical Center - Riverbend
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.66 (0.42 to 0.9)BetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.203BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.547BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.15 (0.31 to 1.99) · 1,888 casesNo differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths179.52 (135.79 to 223.25) · 134 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.5 · 127 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths12 · 125 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.9 · 229 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths12.1 · 475 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 389 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.5 · 855 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.6 · 6,137 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.17 (0 to 0.36) · 8,517 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.07 to 0.43) · 8,654 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.18 (1.58 to 4.78) · 3,162 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.22 (0 to 2.53) · 1,713 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.14 (0.87 to 3.4) · 2,893 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths5.27 (1.04 to 9.5) · 1,663 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.27 (1.57 to 6.97) · 1,666 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.58 (0.26 to 2.91) · 685 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.11 (0 to 0.67) · 6,499 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.4 · 354 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.454No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.17No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.46No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits12.9 · 494 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits17.3 · 1,061 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-2.7 · 262 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-21.7 · 547 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits4.1 · 401 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.7 · 839 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits4.9 · 320 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.1 · 183 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.2 · 308 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14.5 (11.3 to 18.6) · 1,378 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (1 to 1.5) · 979 casesNo differentJan 2024 – Dec 2024

What patients said (634 patients answered, 27% of those asked)

Patient survey stars by topic at Sacred Heart Medical Center - Riverbend
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Sacred Heart Medical Center - Riverbend
Room was "always" clean74%
Nurses "always" communicated well77%
Doctors "always" communicated well74%
Staff "always" explained61%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand67%
Doctors "always" listened carefully71%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)73%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand74%
Nurses "always" listened carefully72%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night55%
"YES", patients would definitely recommend the hospital77%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$30,443

Medicare paid this office $30,443 for 122 people.

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

Largest Original Medicare bills
Initial hospital care with moderate level of medical decision making at least 75 minutes67$8,717$126
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes38$3,351$60

Procedures Medicare counted

Procedure volume Medicare published
Removal of tissue1-10None

Who their Medicare patients are

122 Original Medicare patients in 2024. Average age 73 · Under 65 15% · 85 and older 16% · Women 53% · Also on Medicaid 28% · Health risk score 1.82. Above the middle of the specialty; the typical general surgery clinician is at 1.69.

Conditions among them: High blood pressure 75% · Heart failure 38% · Chronic kidney disease 35% · Depression 34% · Diabetes 33% · Coronary heart disease 29% · Atrial fibrillation 28% · COPD 21% · Cancer 18% · Dementia 18% · Stroke 13%.

The office billed $119,086, Medicare allowed $39,198 and paid $30,443; for 178 services of 42 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
2024122178731.82$119,086$30,443
2023129193722.06$114,203$33,439
2022114194721.87$163,693$33,042
2021135286761.60$155,256$26,633
2020133266771.94$121,750$26,006
2019188344752.05$162,434$36,487
2018265613761.97$243,284$48,137
2017173386712.08$157,351$42,036
201667162691.34$86,155$25,196

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: 3 services

Original Medicare services billed in 2023
Initial hospital care with moderate level of medical decision making at least 75 minutes55$7,307$133
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes39$3,702$62
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes26$2,432$94

2022: 6 services

Original Medicare services billed in 2022
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes31$3,165$102
Initial hospital care with moderate level of medical decision making at least 75 minutes13$2,071$159
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$1,393$54
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes16$1,209$76
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes11$409$29
Limited ultrasound scan of abdomen12$283$24

2021: 6 services

Original Medicare services billed in 2021
Critical care, first 30-74 minutes13$7,835$178
Initial hospital care with moderate level of medical decision making at least 75 minutes38$5,865$154
Emergency department visit with low level of medical decision making34$1,984$58
Limited ultrasound scan of abdomen83$1,977$24
Emergency department visit with moderate level of medical decision making16$1,586$99
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$1,068$56

2020: 5 services

Original Medicare services billed in 2020
Critical care, first 30-74 minutes16$8,232$183
Initial hospital care with moderate level of medical decision making at least 75 minutes36$6,021$167
Emergency department visit with moderate level of medical decision making28$2,806$97
Limited ultrasound scan of abdomen54$1,351$25
Emergency department visit with low level of medical decision making20$1,068$53

2019: 7 services

Original Medicare services billed in 2019
Critical care, first 30-74 minutes24$12,260$180
Initial hospital care with moderate level of medical decision making at least 75 minutes38$6,265$161
Emergency department visit with moderate level of medical decision making41$3,825$93
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes28$2,256$59
Hospital discharge day management, 30 minutes or less22$1,320$60
Emergency department visit with low level of medical decision making14$699$50
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes12$545$32

2018: 12 services

Original Medicare services billed in 2018
Critical care, first 30-74 minutes22$11,665$172
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes68$7,125$57
Initial hospital care with moderate level of medical decision making at least 75 minutes39$5,781$148
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes44$4,608$105
Emergency department visit with moderate level of medical decision making47$4,217$90
Hospital discharge day management, 30 minutes or less38$2,085$55
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes41$1,853$30
New patient visit (45+ min)14$1,393$100
Ct scan of upper spine without contrast21$842$40
Ct scan head or brain without contrast21$664$32
X-ray of chest, 1 view21$172$7
X-ray of pelvis, 1-2 views22$152$7

2017: 6 services

Original Medicare services billed in 2017
Critical care, first 30-74 minutes25$16,567$173
Initial hospital care with moderate level of medical decision making at least 75 minutes44$6,595$150
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes31$2,363$56
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$1,300$81
Hospital discharge day management, 30 minutes or less20$1,137$57
Short return visit (20+ min)24$986$34

2016: 5 services

Original Medicare services billed in 2016
Critical care, first 30-74 minutes13$5,295$177
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,817$83
Initial hospital care with moderate level of medical decision making at least 75 minutes11$1,769$161
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$1,089$57
Short return visit (20+ min)12$649$41

Medicaid work

$1,969 in 2024

Medicaid paid $1,969 for 29 billed services this clinician did in 2024, up to 12 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
1ST HOSP IP/OBS HIGH 7513$1,428
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES16$542
Medicaid work by year
202429212$1,969
202335115$3,075
202256215$2,809
2021470438$25,812
2020253434$15,520
2019294619$22,539
2018480622$25,044
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
1ST HOSP IP/OBS HIGH 7535$3,075

2022

Largest Medicaid services in 2022
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes14$1,862
ECHO EXAM OF ABDOMEN42$947

2021

Largest Medicaid services in 2021
OFF/OP CNSLTJ NEW/EST MOD 40118$13,791
ECHO EXAM OF ABDOMEN285$6,372
1ST HOSP IP/OBS HIGH 7554$5,206
Service13$443

2020

Largest Medicaid services in 2020
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes49$6,196
OFF/OP CNSLTJ NEW/EST MOD 4030$3,730
1ST HOSP IP/OBS HIGH 7532$2,833
ECHO EXAM OF ABDOMEN142$2,762

2019

Largest Medicaid services in 2019
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes60$8,033
1ST HOSP IP/OBS HIGH 7559$5,513
EMERGENCY DEPT VISIT MOD MDM57$4,145
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES65$2,829
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter30$1,248
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES23$771

2018

Largest Medicaid services in 2018
OFF/OP CNSLTJ NEW/EST MOD 4078$10,019
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES228$9,094
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES133$4,099
1ST HOSP IP/OBS HIGH 7513$940
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter14$493
OFF/OP EST MAY X REQ PHY/QHP14$399

Money from drug and device companies

$33 in 2024

Industry payments by year
202411None$33
202311None$12
2020212None$1,335
201914None$4,606

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
Avita Medical AmericasRecell$33
1 payment
  • Meals for Recell · 2024-07-18 · $33
See the published payment
Every published payment
Avita Medical AmericasMeals · 2024-07-18Recell$33
See earlier years (2023, 2020, 2019)

2023: $12

Payments by company in 2023
KerecisKerecis Omega3 Surgiclose$12
1 payment
  • Meals for Kerecis Omega3 Surgiclose · 2023-03-31 · $12

2020: $1,335

Payments by company in 2020
NuVasiveAlif$1,144
10 payments
  • Travel for Alif · 2020-08-02 · $52
  • Travel for Alif · 2020-08-02 · $134
  • Travel for Alif · 2020-08-02 · $104
  • Travel for Alif · 2020-07-21 · $136
  • Travel for Alif · 2020-07-19 · $587
  • Travel for Alif · 2020-07-18 · $68
  • Travel for Alif · 2020-07-18 · $11
  • Meals for Alif · 2020-07-17 · $32
  • Travel for Alif · 2020-07-07 · $10
  • Travel for Alif · 2020-07-07 · $10
Intuitive SurgicalDa Vinci Surgical System$191
2 payments
  • Meals for Da Vinci Surgical System · 2020-03-27 · $9
  • Meals for Da Vinci Surgical System · 2020-02-21 · $182

2019: $4,606

Payments by company in 2019
Intuitive SurgicalDa Vinci Surgical System$4,606
4 payments
  • Travel for Da Vinci Surgical System · 2019-12-04 · $503
  • Education for Da Vinci Surgical System · 2019-12-03 · $4,000
  • Meals for Da Vinci Surgical System · 2019-12-03 · $91
  • Meals for Da Vinci Surgical System · 2019-12-03 · $13

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
95.1 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1508171570
Licence
CA A118403, OR MD208986, WA MD208986California A118403: Current · expires 2027-09-30Washington MD.MD.61275961: Expired
Trained
University of Vermont College of Medicine, 2010
Group
County of Santa Clara · Peacehealth
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Surgery (208600000X); Federal specialty code 2086S0102X (2086S0102X)
Mailing address
Po Box 1020, Stockton, CA, 95201
NPI first listed
2010-08-13
NPI last updated
2022-06-08
NPI record certified
2022-06-08

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

Extra NPI addresses: 500 W Hospital Rd, French Camp, CA, 95231 · 3355 Riverbend Dr Ste 300, Springfield, OR, 97477