John Brandon Lough, MD

Offices

1 location · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Lough’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Sort by

Plans whose provider directory lists this clinician

Anthem Full Dual Advantage Aligned (HMO D-SNP)	Anthem Blue Cross	Listed	Oct 3, 2026

California Medical Board record

Licence A144363 · Current

Licensed to practise in California · since 2016 · expires 2028-06-30 · Rush Medical College of Rush University.

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

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

American Board of Internal Medicine - Internal Medicine

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score: 80.6 / 100; Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

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.

Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025

See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 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.

Sort by

Every scored measure at Santa Clara Valley Medical Center

SSI - Colon SurgeryInfections	2.572	Worse	Oct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections	0.563	Better	Oct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections	0.256	Better	Oct 2024 – Sep 2025
MRSA BacteremiaInfections	0.369	Better	Oct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths	1.25 (0.3 to 2.2) · 1,535 cases	No different	Jul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths	1.07 (0.76 to 1.38)	No different	Jul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths	214.59 (167.38 to 261.8) · 108 cases	No different	Jul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths	2.8 · 41 cases	None	Jul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths	6 · 141 cases	None	Jul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths	10.2 · 124 cases	None	Jul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths	8.3 · 501 cases	None	Jul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths	14.9 · 653 cases	None	Jul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths	10.1 · 348 cases	None	Jul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths	3 · 4,502 cases	None	Jul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths	0.24 (0.04 to 0.43) · 9,014 cases	No different	Jul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths	0.34 (0.15 to 0.52) · 9,216 cases	No different	Jul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths	4.54 (2.51 to 6.58) · 1,421 cases	No different	Jul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths	1.54 (0 to 3.2) · 288 cases	No different	Jul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths	2.11 (0.66 to 3.56) · 1,446 cases	No different	Jul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths	11.61 (4.09 to 19.14) · 294 cases	No different	Jul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths	7.29 (3.39 to 11.2) · 299 cases	No different	Jul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths	1.9 (0.45 to 3.36) · 333 cases	No different	Jul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths	0.23 (0 to 0.78) · 7,538 cases	No different	Jul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths	5.4 · 94 cases	None	Apr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections	0.735	No different	Oct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections	2.573	No different	Oct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits	14.6 · 185 cases	None	Jul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits	22.1 · 951 cases	None	Jul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits	56.3 · 128 cases	None	Jul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits	6.4 · 644 cases	None	Jul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits	1.3 · 699 cases	None	Jul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits	16.3 · 921 cases	None	Jul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits	5.7 (3.9 to 8.1) · 226 cases	No different	Jan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits	12.6 (9.4 to 16.5) · 226 cases	No different	Jan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits	5.4 · 94 cases	None	Jul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits	11.4 · 54 cases	None	Jul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits	20.3 · 242 cases	None	Jul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits	13.2 (9.9 to 17.4) · 702 cases	No different	Jan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits	1 (0.7 to 1.4) · 195 cases	No different	Jan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Sort by

Patient survey stars by topic at Santa Clara Valley Medical Center

Cleanliness	3
Nurse communication	3
Doctor communication	3
Communication about medicines	3
Discharge information	2
Overall hospital rating	3
Quietness	2
Recommend hospital	4

Sort by

Share of patients giving the best answer at Santa Clara Valley Medical Center

Room was "always" clean	70%
Nurses "always" communicated well	73%
Doctors "always" communicated well	76%
Staff "always" explained	57%
Yes, staff "did" give patients this information	82%
Yes, staff "did" give patients information about help after discharge	82%
Doctors "always" explained things so they could understand	71%
Doctors "always" listened carefully	74%
Doctors "always" treated them with courtesy and respect	82%
Patients who gave a rating of "9" or "10" (high)	67%
Staff "always" explained new medications	71%
Nurses "always" explained things so they could understand	71%
Nurses "always" listened carefully	69%
Nurses "always" treated them with courtesy and respect	80%
"Always" quiet at night	43%
"YES", patients would definitely recommend the hospital	70%
Staff "always" explained possible side effects	44%
Yes, staff "did" give patients information about possible symptoms	83%

Original Medicare doctor bills

$27,334

Medicare paid this office $27,334 for 164 people.

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

Sort by

Largest Original Medicare bills

Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	93	$14,311	$68
Hospital discharge day management, more than 30 minutes	67	$6,938	$102
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes	51	$5,694	$112

Who their Medicare patients are

164 Original Medicare patients in 2024. Average age 73 · Under 65 18% · 85 and older 20% · Women 48% · Also on Medicaid 82% · Health risk score 3.13. Sicker patients than 9 in 10 peers; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Diabetes 65% · Chronic kidney disease 56% · Coronary heart disease 50% · Heart failure 46% · Depression 38% · Atrial fibrillation 35% · Dementia 32% · COPD 28% · Stroke 28% · Cancer 20%.

The office billed $286,842, Medicare allowed $35,515 and paid $27,334; for 334 services of 5 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

Sort by

Original Medicare by year

2024	164	334	73	3.13	$286,842	$27,334
2023	177	379	73	2.63	$321,816	$33,946
2022	181	339	74	2.50	$273,555	$30,552
2021	215	417	74	2.69	$323,438	$37,981
2020	159	314	71	2.91	$222,955	$26,904
2019	170	330	69	3.39	$185,740	$24,674
2018	194	357	70	3.01	$168,519	$27,451
2017	186	292	70	2.80	$149,782	$25,996
2016	27	32	69	2.16	$19,446	$3,389

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

Sort by

Original Medicare services billed in 2023

Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	94	$17,548	$75
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes	74	$8,769	$119
Hospital discharge day management, more than 30 minutes	58	$6,736	$114

2022: 5 services

Sort by

Original Medicare services billed in 2022

Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	107	$15,276	$75
Hospital discharge day management, more than 30 minutes	51	$5,512	$108
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes	28	$3,997	$143
Initial hospital observation care per day, typically 50 minutes	16	$2,149	$134
Hospital observation care on day of discharge	11	$875	$80

2021: 5 services

Sort by

Original Medicare services billed in 2021

Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	128	$17,790	$74
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes	54	$7,898	$144
Hospital discharge day management, more than 30 minutes	58	$6,727	$112
Initial hospital observation care per day, typically 50 minutes	19	$2,659	$140
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes	16	$734	$41

2020: 6 services

Sort by

Original Medicare services billed in 2020

Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	84	$12,600	$75
Hospital discharge day management, more than 30 minutes	47	$5,261	$107
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes	21	$3,173	$151
Initial hospital observation care per day, typically 50 minutes	15	$2,156	$144
Hospital observation care on day of discharge	16	$1,186	$74
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes	15	$909	$40

2019: 6 services

Sort by

Original Medicare services billed in 2019

Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	88	$12,225	$64
Hospital discharge day management, more than 30 minutes	44	$4,202	$95
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes	25	$2,839	$114
Initial hospital observation care per day, typically 50 minutes	18	$1,943	$108
Follow-up observation care per day, typically 25 minutes	14	$1,309	$65
Hospital observation care on day of discharge	15	$998	$67

2018: 6 services

Sort by

Original Medicare services billed in 2018

Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	96	$11,987	$61
Hospital discharge day management, more than 30 minutes	48	$4,938	$97
Initial hospital observation care per day, typically 50 minutes	34	$3,925	$115
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes	26	$2,948	$109
Hospital observation care on day of discharge	16	$1,070	$67
Follow-up observation care per day, typically 25 minutes	11	$858	$66

2017: 5 services

Sort by

Original Medicare services billed in 2017

Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	55	$7,903	$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes	57	$7,200	$122
Initial hospital observation care per day, typically 50 minutes	44	$5,114	$116
Hospital discharge day management, more than 30 minutes	23	$2,222	$97
Hospital observation care on day of discharge	24	$1,593	$66

2016: 1 service

Sort by

Original Medicare services billed in 2016

Initial hospital care with straightforward or low-level medical decision making at least 55 minutes	18	$2,187	$121

Medicaid work

$15,584 in 2024

Medicaid paid $15,584 for 1,128 billed services this clinician did in 2024, up to 42 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.

Sort by

Largest Medicaid services in 2024

SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES	730	$8,720
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter	246	$3,548
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES	152	$3,317

Sort by

Medicaid work by year

2024	1,128	3	42	$15,584
2023	1,267	3	47	$16,275
2022	851	3	39	$14,062
2021	995	3	45	$17,550
2020	492	3	37	$9,173
2019	756	3	33	$12,288
2018	907	3	37	$17,083

See the largest Medicaid services in earlier years

2023

Sort by

Largest Medicaid services in 2023

SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES	891	$10,009
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES	169	$3,525
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter	207	$2,741

2022

Sort by

Largest Medicaid services in 2022

SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES	626	$8,804
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter	173	$4,065
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES	52	$1,193

2021

Sort by

Largest Medicaid services in 2021

SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES	727	$10,755
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter	178	$4,096
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES	90	$2,699

2020

Sort by

Largest Medicaid services in 2020

SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES	369	$6,112
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter	93	$2,344
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES	30	$717

2019

Sort by

Largest Medicaid services in 2019

SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES	543	$7,221
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES	94	$2,695
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter	119	$2,373

2018

Sort by

Largest Medicaid services in 2018

SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES	537	$9,103
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES	164	$4,340
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter	206	$3,640

Drugs they prescribed that Part D paid

$6,175

Pharmacies billed $6,175 in 2024.

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

Opioids were 7% of their Part D prescriptions (11 of 168) in 2024. A higher opioid share than 9 in 10 peers; the typical internal medicine clinician is at 1%.

142 generic and fewer than 11 brand-name prescriptions · $6,175 in drug cost · 37 antibiotic prescriptions to 29 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.

Year by year

Sort by

Part D prescribing by year

2024	168	69	7% (11)	None	$6,175
2023	180	62	None	None	$30,287
2022	163	57	None	None	$17,335
2021	142	63	None	None	$14,092
2020	133	58	None	18%	$8,133
2019	187	72	None	None	$14,822
2018	213	69	None	None	$14,612
2017	95	40	None	None	$4,590

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

See the drugs prescribed each year

2022: 1 drug

Sort by

Part D drugs prescribed in 2022

Atorvastatin	12	$193	$16

2020: 1 drug

Sort by

Part D drugs prescribed in 2020

Atorvastatin	11	$126	$11

2018: 1 drug

Sort by

Part D drugs prescribed in 2018

Furosemide	17	$61	$4

Professional record

NPI: 1629487368
Licence: CA A144363California A144363: Current · expires 2028-06-30
Trained: Rush Medical College of Rush University, 2013 · 13 years ago
Group: County of Santa Clara
Gender: Male

More record details

Sole proprietor: Yes
Taxonomy: Internal medicine (207R00000X)
Mailing address: 40292 Blacow Rd, Fremont, CA, 94538
NPI first listed: 2014-08-07
NPI last updated: 2016-10-05

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