James E Egbert, MD
Ophthalmology · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 25
- 6 carriers
- Office
- 1
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
25 plans · 6 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Egbert’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
25 of 25 plans
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Harmony (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Silicon (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health the ONE (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Prime (HMO-POS) | Anthem Blue Cross Partnership Plan | Listed | Oct 3, 2026 |
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
California Medical Board record
Licence G60005 · Current
Licensed to practise in California · since 1987 · expires 2027-03-31 · University of California, Los Angeles School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
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 itOverall 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.
| 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)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 2 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 4 |
| 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
$4,708
Medicare paid this office $4,708 for 30 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Established patient problem focused exam of visual system | 24 | $1,236 | $41 |
Who their Medicare patients are
30 Original Medicare patients in 2024. Average age 69 · Health risk score 1.26. Above the middle of the specialty; the typical ophthalmology clinician is at 1.16.
Conditions among them: High blood pressure 70% · Diabetes 60%.
The office billed $64,802, Medicare allowed $6,408 and paid $4,708; for 53 services of 16 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
| 2024 | 30 | 53 | 69 | 1.26 | $64,802 | $4,708 |
| 2023 | 20 | 30 | 67 | 1.30 | $35,863 | $2,698 |
| 2022 | 47 | 103 | 68 | 1.46 | $74,941 | $6,128 |
| 2021 | 44 | 72 | 70 | 0.96 | $40,956 | $3,692 |
| 2020 | 26 | 44 | 66 | 1.91 | $40,186 | $2,894 |
| 2019 | 46 | 112 | 68 | 1.61 | $127,978 | $12,244 |
| 2018 | 68 | 162 | 67 | 2.03 | $138,989 | $13,956 |
| 2017 | 65 | 178 | 67 | 1.13 | $181,256 | $20,326 |
| 2016 | 227 | 329 | 68 | 1.37 | $199,585 | $18,217 |
| 2015 | 353 | 430 | 67 | 1.40 | $137,419 | $13,762 |
| 2014 | 705 | 840 | 67 | 1.13 | $224,619 | $21,320 |
| 2013 | 672 | 837 | 67 | 1.28 | $271,285 | $29,128 |
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: 1 service
| Established patient problem focused exam of visual system | 12 | $627 | $37 |
2022: 2 services
| Established patient problem focused exam of visual system | 41 | $1,844 | $36 |
| Exam of visual field with extended testing | 14 | $387 | $24 |
2021: 1 service
| Established patient problem focused exam of visual system | 31 | $1,918 | $45 |
2020: 1 service
| Established patient problem focused exam of visual system | 13 | $550 | $37 |
2019: 1 service
| Established patient problem focused exam of visual system | 36 | $2,325 | $42 |
2018: 3 services
| Established patient problem focused exam of visual system | 51 | $3,312 | $41 |
| Established patient complete exam of visual system | 11 | $665 | $51 |
| Exam of visual field with extended testing | 14 | $391 | $24 |
2017: 2 services
| Established patient problem focused exam of visual system | 45 | $2,803 | $36 |
| Established patient complete exam of visual system | 16 | $963 | $57 |
2016: 3 services
| Established patient problem focused exam of visual system | 53 | $3,566 | $42 |
| Photography of the retina | 162 | $1,644 | $10 |
| Established patient complete exam of visual system | 11 | $742 | $62 |
2015: 2 services
| Photography of the retina | 308 | $5,066 | $16 |
| Established patient problem focused exam of visual system | 36 | $2,145 | $38 |
2014: 4 services
| Photography of the retina | 650 | $10,428 | $14 |
| Insertion of probe into nasal tear duct | 11 | $2,104 | $191 |
| Established patient problem focused exam of visual system | 36 | $1,791 | $37 |
| Photography of the retina | 11 | $45 | $4 |
2013: 3 services
| Photography of the retina | 592 | $8,533 | $13 |
| Established patient problem focused exam of visual system | 57 | $3,387 | $38 |
| Photography of the retina | 14 | $256 | $18 |
Medicaid work
$20,704 in 2024
Medicaid paid $20,704 for 1,195 billed services this clinician did in 2024, up to 76 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.
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient | 730 | $14,451 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 208 | $1,876 |
| Service | 43 | $1,466 |
| DETERMINATION REFRACTIVE STATE | 99 | $1,052 |
| OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | 66 | $976 |
| New patient visit (45+ min) | 25 | $704 |
| INTRM OPH EXAM NEW PATIENT | 12 | $119 |
| SENSORIMOTOR EXAMINATION | 12 | $58 |
| 2024 | 1,195 | 8 | 76 | $20,704 |
| 2023 | 2,040 | 7 | 81 | $24,324 |
| 2022 | 1,392 | 6 | 63 | $18,668 |
| 2021 | 481 | 6 | 54 | $11,228 |
| 2020 | 864 | 5 | 66 | $9,948 |
| 2019 | 2,222 | 7 | 89 | $31,525 |
| 2018 | 2,286 | 6 | 94 | $25,000 |
See the largest Medicaid services in earlier years
2023
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient | 836 | $12,566 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 436 | $4,715 |
| OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | 173 | $2,256 |
| Service | 66 | $2,251 |
| DETERMINATION REFRACTIVE STATE | 437 | $2,037 |
| SENSORIMOTOR EXAMINATION | 50 | $390 |
| Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 42 | $109 |
2022
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient | 657 | $9,899 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 453 | $5,363 |
| Service | 44 | $1,500 |
| DETERMINATION REFRACTIVE STATE | 139 | $1,374 |
| SENSORIMOTOR EXAMINATION | 24 | $365 |
| Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 75 | $166 |
2021
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient | 124 | $4,544 |
| Service | 129 | $4,399 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 91 | $1,022 |
| DETERMINATION REFRACTIVE STATE | 84 | $859 |
| SENSORIMOTOR EXAMINATION | 39 | $290 |
| Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve | 14 | $114 |
2020
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient | 359 | $5,238 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 292 | $2,964 |
| Service | 29 | $955 |
| DETERMINATION REFRACTIVE STATE | 169 | $790 |
| SENSORIMOTOR EXAMINATION | 15 | $0 |
2019
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient | 1,092 | $21,289 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 375 | $3,811 |
| OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | 171 | $3,062 |
| DETERMINATION REFRACTIVE STATE | 533 | $2,311 |
| Service | 26 | $887 |
| Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve | 12 | $114 |
| SENSORIMOTOR EXAMINATION | 13 | $50 |
2018
| Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient | 910 | $13,563 |
| OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST | 424 | $3,659 |
| OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | 218 | $3,174 |
| DETERMINATION REFRACTIVE STATE | 645 | $2,492 |
| Service | 57 | $1,944 |
| SENSORIMOTOR EXAMINATION | 32 | $169 |
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.
Professional record
- NPI
- 1659333540
- Licence
- CA G60005California G60005: Current · expires 2027-03-31
- Trained
- University of California, Geffen School of Medicine, 1985
- Gender
- Male
More record details
- Sole proprietor
- No
- Medicaid ID
- CA 00G600050
- Taxonomy
- Federal specialty code 207W00000X (207W00000X)
- Mailing address
- 751 S Bascom Ave, San Jose, CA, 95128
- NPI first listed
- 2006-04-05
- NPI last updated
- 2007-09-12
This is when the NPI record was last certified, not a medical board exam.