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Sami S. Dughman, MD

Orthopaedic Surgery · Hayward

NPI 1679651434

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
14
3 carriers
Office
1

Offices

1 location

Plans that list them

14 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Dughman’s office at (510) 784-4000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

14 of 14 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
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

California Medical Board record

Licence A35556 · Current

Licensed to practise in California · since 1980 · expires 2027-10-31 · Catholic University of Louvain Faculty of Medicine. Board flags: Arbitration Award.

Public record actions

Actions the Medical Board of California publishes for this licence
2004-04-07Arbitration award$25,315 · Concluded as a contractual arbitration claim · N/a

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 Orthopaedic Surgery - Orthopaedic Surgery

Medicaid work

$122,799 in 2023

Medicaid paid $122,799 for 1,332 billed services this clinician did in 2023, up to 47 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
Clinic visit/encounter, all-inclusive434$115,414
New patient visit (30+ min)530$6,562
Short return visit (20+ min)90$406
Injection, triamcinolone acetonide, not otherwise specified, 10 mg150$203
Short return visit19$116
Arthrocentesis and injection of knee joint109$99
Medicaid work by year
20231,332647$122,799
2022418437$48,550
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive173$45,371
New patient visit (30+ min)211$3,032
Arthrocentesis and injection of knee joint16$90
Injection, triamcinolone acetonide, not otherwise specified, 10 mg18$58

Drugs they prescribed that Part D paid

$172

Pharmacies billed $172 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 13) in 2024. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.

13 generic and 0 brand-name prescriptions · $172 in drug cost.

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

Part D prescribing by year
202413None0% (0)0%$172
202324None0% (0)0%$560
201333412947% (156)14%$16,730

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

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Naproxen11$152$14

2013: 6 drugs

Part D drugs prescribed in 2013
Celebrex20$4,265$213
Hydrocodone-Acetaminophen102$2,355$23
Oxycodone-Acetaminophen30$666$22
Amoxicillin57$626$11
Clindamycin14$244$17
Ibuprofen12$195$16

Money from drug and device companies

$34 in 2023

A payment is not proof that care is biased.

Payments by company
DexcomDexcom G6 Transmitter$19
1 payment
  • Meals for Dexcom G6 Transmitter · 2023-12-20 · $19
Paratek PharmaceuticalsNuzyra$15
1 payment
  • Meals for Nuzyra · 2023-08-23 · $15
See all 2 published payments
Every published payment
DexcomMeals · 2023-12-20Dexcom G6 Transmitter$19
Paratek PharmaceuticalsMeals · 2023-08-23Nuzyra$15

Professional record

NPI
1679651434
Licence
CA A35556California A35556: Current · expires 2027-10-31
More record details
Sole proprietor
No
Medicaid ID
CA 00A355560
Taxonomy
Orthopedic surgery (207X00000X)
Mailing address
1800 Harrison St Fl 7, Oakland, CA, 94612
NPI first listed
2006-11-01
NPI last updated
2007-07-08

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