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Prabhjot Kaur, DC

Chiropractor · San Jose

NPI 1568119410

Medicare standing
1 flag on the record
Listed below.
Plans that list them
26
6 carriers
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plans that list them

26 plans · 6 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Kaur’s office at (425) 418-2828 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

26 of 26 plans

Plans whose provider directory lists this clinician
Aetna Medicare Enhanced (HMO-POS)Aetna MedicareListedSep 8, 2026
Aetna Medicare Enhanced Extra (HMO-POS)Aetna MedicareListedSep 8, 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
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedOct 29, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedOct 29, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedOct 29, 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

Original Medicare doctor bills

$3,398

Medicare paid this office $3,398 for 18 people.

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

Largest Original Medicare bills
Chiropractic manipulative treatment, 3-4 spinal regions16$2,369$34

Who their Medicare patients are

18 Original Medicare patients in 2024. Average age 70 · 85 and older 0% · Health risk score 1.20. Sicker patients than 9 in 10 peers; the typical chiropractic clinician is at 0.86.

Conditions among them: High blood pressure 75%.

The office billed $17,671, Medicare allowed $4,366 and paid $3,398; for 99 services of 3 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20241899701.20$17,671$3,398
202334156691.00$13,151$5,491

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 2 services

Original Medicare services billed in 2023
Chiropractic manipulative treatment, 5 spinal regions27$3,871$38
Chiropractic manipulative treatment, 3-4 spinal regions19$1,287$33

Medicaid work

$1,286 in 2024

Medicaid paid $1,286 for 57 billed services this clinician did in 2024, up to 14 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
CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS57$1,286
Medicaid work by year
202457114$1,286
2023345226$11,202
202216113$539
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS294$10,768
MASSAGE THERAPY51$434

2022

Largest Medicaid services in 2022
CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS16$539

Professional record

NPI
1568119410
Licence
CA DC36257
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 111N00000X (111N00000X)
Mailing address
2242 Camden Ave Ste 203, San Jose, CA, 95124
NPI first listed
2022-03-09
NPI last updated
2023-08-29
NPI record certified
2023-08-29

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