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Nam K Cho, MD

Radiation Oncology · San Jose

NPI 1669668323

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
22
4 carriers
Office
1
Since medical school
22 years
Stanford University School of Medicine, 2004

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

22 plans · 4 carriers

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

22 of 22 plans

Plans whose provider directory lists this clinician
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
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
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A93093 · Current

Licensed to practise in California · since 2005 · expires 2027-07-31 · Stanford University 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 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.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

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

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$18,277

Medicare paid this office $18,277 for 30 people.

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

Largest Original Medicare bills
Return visit (30+ min)13$1,529$85
Short return visit (20+ min)13$744$53
Short return visit12$277$23

Who their Medicare patients are

30 Original Medicare patients in 2024. Average age 68 · Women 47% · Health risk score 1.68. At or below the middle of the specialty; the typical radiation oncology clinician is at 1.69.

Conditions among them: High blood pressure 73% · Cancer 67% · Diabetes 43%.

The office billed $217,388, Medicare allowed $23,403 and paid $18,277; for 274 services of 22 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
202430274681.68$217,388$18,277
202347510691.69$378,502$33,038
2022130286662.14$143,833$16,848
202125125651.48$80,197$7,594
20204491651.85$44,178$4,300
201977392671.64$261,782$22,556
201881413682.13$289,236$25,437
201759333682.06$301,607$21,454
2016154538671.80$378,818$32,870
2015163620681.84$293,112$31,962
20141761,609671.51$933,262$91,548
2013115671681.62$377,799$40,213

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: 6 services

Original Medicare services billed in 2023
Radiation treatment management, 5 treatment sessions14$8,524$178
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy18$2,305$19
Design and construction of complex radiation treatment device12$1,964$58
Calculation of radiation therapy dose19$1,904$30
Complex radiation therapy planning11$1,749$159
Short return visit (20+ min)14$946$53

2022: 4 services

Original Medicare services billed in 2022
Telephone medical discussion with physician, 11-20 minutes87$5,346$59
Telephone medical discussion with physician, 5-10 minutes33$1,156$31
Short return visit (20+ min)14$803$50
Short return visit17$535$31

2020: 2 services

Original Medicare services billed in 2020
Telephone medical discussion with physician, 11-20 minutes15$574$36
Telephone medical discussion with physician, 5-10 minutes12$215$18

2019: 6 services

Original Medicare services billed in 2019
Radiation treatment management, 5 treatment sessions12$6,262$174
Ct guidance for insertion of radiation therapy fields11$2,898$41
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy17$2,172$19
Return visit (30+ min)27$1,821$57
Short return visit (20+ min)34$1,331$38
Calculation of radiation therapy dose13$948$27

2018: 1 service

Original Medicare services billed in 2018
Return visit (30+ min)68$5,389$60

2017: 7 services

Original Medicare services billed in 2017
Radiation treatment management, 5 treatment sessions11$3,713$169
Design and construction of complex radiation treatment device12$2,988$54
Return visit (30+ min)38$2,774$59
Calculation of radiation therapy dose12$2,098$30
Complex radiation therapy planning12$1,614$135
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved13$920$71
Design and construction of intermediate radiation treatment device14$779$35

2016: 5 services

Original Medicare services billed in 2016
Return visit (30+ min)86$6,711$60
Design and construction of complex radiation treatment device11$4,359$58
Short return visit (20+ min)72$3,027$40
Complex radiation therapy planning11$1,745$125
Design and construction of intermediate radiation treatment device12$787$39

2015: 8 services

Original Medicare services billed in 2015
Long return visit (40+ min)71$7,949$83
Return visit (30+ min)83$5,475$62
Design and construction of complex radiation treatment device12$3,161$55
Calculation of radiation therapy dose14$2,054$28
Complex radiation therapy planning17$1,919$107
Short return visit35$1,731$22
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved15$1,116$70
Design and construction of intermediate radiation treatment device13$528$38

2014: 12 services

Original Medicare services billed in 2014
Radiation treatment management, 5 treatment sessions35$21,631$163
Long return visit (40+ min)99$13,480$91
Design and construction of complex radiation treatment device35$12,578$57
X-ray guidance for radiation therapy delivery25$8,121$18
High precision radiation therapy planning21$8,009$364
Calculation of radiation therapy dose36$7,540$29
Complex radiation therapy planning34$5,461$140
Short return visit63$3,415$21
3d radiation therapy planning14$3,057$191
Return visit (30+ min)44$2,748$57
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved30$2,380$72
Design and construction of intermediate radiation treatment device33$1,297$38

2013: 10 services

Original Medicare services billed in 2013
Radiation treatment management, 5 treatment sessions27$14,908$157
Long return visit (40+ min)69$7,039$82
Design and construction of complex radiation treatment device14$3,331$55
Complex radiation therapy planning19$2,292$115
Return visit (30+ min)29$1,889$61
Calculation of radiation therapy dose13$1,887$27
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved14$1,035$69
Design and construction of intermediate radiation treatment device14$558$37
Short return visit13$472$21
Office for the evaluation and management of established patient that may not require presence of healthcare professional19$172$8

Medicaid work

$89 in 2023

Medicaid paid $89 for 14 billed services this clinician did in 2023, 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 2023
Short return visit14$89
Medicaid work by year
202314114$89
2022285147$1,105
202113113$166
201883120$313
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Short return visit285$1,105

2021

Largest Medicaid services in 2021
Short return visit (20+ min)13$166

2018

Largest Medicaid services in 2018
Return visit (30+ min)83$313

Drugs they prescribed that Part D paid

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

Opioids were 20% of their 59 Part D prescriptions in 2016.

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

Year by year

Part D prescribing by year
202317NoneNone0%$345
202215NoneNone0%$252
202113NoneNoneNone$91
202031NoneNoneNone$514
20198026NoneNone$2,714
20189529NoneNone$1,825
20173319NoneNone$1,580
2016592020% (12)None$1,775
20151604030% (48)12%$5,794
20141905620% (37)7%$5,355
20131383716% (22)None$4,096

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

See the drugs prescribed each year

2020: 1 drug

Part D drugs prescribed in 2020
Levothyroxine15$308$21

2019: 1 drug

Part D drugs prescribed in 2019
Levothyroxine31$584$19

2018: 2 drugs

Part D drugs prescribed in 2018
Levothyroxine51$781$15
Tamsulosin15$410$27

2016: 1 drug

Part D drugs prescribed in 2016
Levothyroxine18$283$16

2015: 5 drugs

Part D drugs prescribed in 2015
Oxycodone12$637$53
Levothyroxine16$353$22
Dexamethasone12$321$27
Hydrocodone-Acetaminophen14$255$18
Gabapentin13$186$14

2014: 3 drugs

Part D drugs prescribed in 2014
Levothyroxine34$528$16
Tamsulosin20$386$19
Hydrocodone-Acetaminophen12$311$26

2013: 3 drugs

Part D drugs prescribed in 2013
Levothyroxine39$272$7
Tamsulosin12$253$21
Omeprazole14$144$10

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
1669668323
Licence
CA A93093California A93093: Current · expires 2027-07-31
Trained
Stanford University School of Medicine, 2004 · 22 years ago
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 2085R0001X (2085R0001X)
Mailing address
875 Blake Wilbur Dr, Stanford, CA, 94305
NPI first listed
2007-09-17
NPI last updated
2007-09-17

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