Skip to main content
UniHealth

Doctor search

Joshua Mcissac Tobin, MD

Anesthesiology · San Antonio

NPI 1578508362

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
26 years
Graduated 2000

Offices

1 location · Community Medicine Associates · 590 clinicians in this group

Looking this up.

Hospitals listed: University Health System. 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. Tobin’s office at (210) 358-2015 to ask if they take your plan before you enroll.

California Medical Board record

Licence A92457 · Current

Licensed to practise in California · since 2005 · expires 2028-12-31 · Boston University School of Medicine.

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

State licence records

1 licence

  • Texas T8068Physician License · since 2022 · expires 2028-08-31
    ActiveNo 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.

  • University Health SystemSan Antonio, TXAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of University Health SystemPatients rate it 4 of 5 · 78% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.405, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.388, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.3, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.361, Oct 2024 – Sep 2025
See every measure and the patient survey for University Health System

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 5 better, 2 the same, 0 worse of 7 measures. Readmissions: 1 better, 9 the same, 0 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at University Health System
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.405BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.388BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.3BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.361BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.75 (0 to 1.67) · 1,792 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.97 (0.7 to 1.25)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths150.43 (105.5 to 195.36) · 136 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.9 · 40 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.7 · 29 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.6 · 85 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.6 · 162 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.3 · 185 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths12.3 · 254 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.6 · 3,580 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.15 (0 to 0.36) · 6,576 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.4) · 6,682 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.61 (0.71 to 4.51) · 2,071 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.22 (0.76 to 3.69) · 678 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.78 (0.51 to 3.05) · 2,029 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.56 (0.92 to 12.2) · 778 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.58 (2.42 to 8.75) · 759 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.12 (0.7 to 3.55) · 509 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.93 (0.36 to 1.5) · 6,250 casesNo differentJul 2022 – Jun 2024
SSI - Abdominal HysterectomyInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.547No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.2 · 181 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.6 · 405 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits8.8 · 88 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits20.2 · 189 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-16 · 197 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 395 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5 (3.3 to 7.6) · 73 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.8 (7.9 to 14.9) · 73 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits9.5 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.6 · 92 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.8 to 17.7) · 492 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.1 (0.8 to 1.5) · 362 casesNo differentJan 2024 – Dec 2024

What patients said (2,347 patients answered, 22% of those asked)

Patient survey stars by topic at University Health System
Cleanliness4
Nurse communication4
Doctor communication3
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness4
Recommend hospital5
Share of patients giving the best answer at University Health System
Room was "always" clean76%
Nurses "always" communicated well78%
Doctors "always" communicated well79%
Staff "always" explained60%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand73%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)77%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night59%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects48%
Yes, staff "did" give patients information about possible symptoms85%

Original Medicare doctor bills

$13,777

Medicare paid this office $13,777 for 61 people.

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

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Insertion of artery tube for blood sampling or infusion through skin––2118––

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

61 Original Medicare patients in 2024. Average age 74 · Women 57% · Also on Medicaid 20% · Health risk score 1.73. Above the middle of the specialty; the typical anesthesiology clinician is at 1.54.

Conditions among them: High blood pressure 75% · Coronary heart disease 36% · Diabetes 33% · Depression 33% · Chronic kidney disease 31% · Stroke 30% · Heart failure 23% · COPD 21% · Dementia 21% · Cancer 20% · Atrial fibrillation 20%.

The office billed $133,579, Medicare allowed $17,030 and paid $13,777; for 82 services of 38 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
20246182741.73$133,579$13,777
20232833672.91$54,880$6,724
2022118151722.06$263,783$29,042
2021114140732.12$265,008$29,161
20201218702.07$36,722$3,786
20191213741.77$13,180$1,898
201389156702.36$200,267$32,291

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

2022: 1 service

Original Medicare services billed in 2022
Insertion of artery tube for blood sampling or infusion through skin18$677$38

2021: 2 services

Original Medicare services billed in 2021
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope19$2,413$121
Insertion of artery tube for blood sampling or infusion through skin21$832$40

2013: 2 services

Original Medicare services billed in 2013
Critical care, first 30-74 minutes39$16,575$180
Insertion of artery tube for blood sampling or infusion through skin11$450$41

Professional record

NPI
1578508362
Licence
CA A92457, MD D71866, TX T8068California A92457: Current · expires 2028-12-31Texas T8068: Active
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
MD 570136800
Taxonomy
Federal specialty code 207LC0200X (207LC0200X); Federal specialty code 207L00000X (207L00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2006-06-17
NPI last updated
2024-05-01
NPI record certified
2024-05-01

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

Extra NPI addresses: 4502 Medical Dr, San Antonio, TX, 78229