John James Openshaw, MD
Infectious Disease · Stanford
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 13
- 2 carriers
- Office
- 1
Offices
1 location · Stanford Health Care · 3,152 clinicians in this group
Plans that list them
13 plans · 2 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Openshaw’s office at (650) 723-4000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
13 of 13 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 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
California Medical Board record
Licence A109301 · Current
Licensed to practise in California · since 2009 · expires 2029-01-31 · University of Pennsylvania School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$9,817
Medicare paid this office $9,817 for 50 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 30 | $4,030 | $134 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 25 | $3,243 | $62 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 11 | $1,939 | $88 |
Who their Medicare patients are
50 Original Medicare patients in 2024. Average age 73 · Women 44% · Also on Medicaid 42% · Health risk score 4.19. Sicker patients than 9 in 10 peers; the typical infectious disease clinician is at 3.
Conditions among them: High blood pressure 75% · Diabetes 58% · Coronary heart disease 56% · Depression 54% · Heart failure 50% · Atrial fibrillation 46% · Chronic kidney disease 44% · COPD 30% · Dementia 30% · Cancer 28% · Stroke 24%.
The office billed $39,983, Medicare allowed $12,362 and paid $9,817; for 111 services of 6 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 | 50 | 111 | 73 | 4.19 | $39,983 | $9,817 |
| 2023 | 71 | 138 | 70 | 2.19 | $46,205 | $11,649 |
| 2021 | 34 | 67 | 70 | 2.72 | $32,897 | $8,934 |
| 2020 | 26 | 65 | 65 | 2.58 | $24,715 | $7,112 |
| 2018 | 16 | 27 | 66 | 2.73 | $6,359 | $1,841 |
| 2017 | 23 | 61 | 66 | 2.48 | $15,303 | $4,347 |
| 2016 | 27 | 76 | 71 | 2.34 | $21,692 | $6,174 |
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
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 44 | $4,494 | $62 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 28 | $3,847 | $137 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 14 | $1,916 | $96 |
2021: 2 services
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 29 | $5,310 | $183 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 20 | $3,394 | $94 |
2020: 2 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 20 | $4,386 | $95 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 11 | $2,053 | $187 |
2017: 2 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 13 | $1,496 | $62 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 11 | $1,243 | $89 |
2016: 1 service
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 11 | $1,327 | $121 |
Medicaid work
$1,781 in 2024
Medicaid paid $1,781 for 61 billed services this clinician did in 2024, 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.
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 41 | $1,186 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 20 | $595 |
| 2024 | 61 | 2 | 14 | $1,781 |
| 2023 | 29 | 1 | 15 | $859 |
| 2021 | 19 | 1 | 12 | $811 |
| 2020 | 42 | 2 | 19 | $1,993 |
See the largest Medicaid services in earlier years
2023
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 29 | $859 |
2021
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 19 | $811 |
2020
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 29 | $1,008 |
| 1ST HOSP IP/OBS HIGH 75 | 13 | $985 |
Professional record
- NPI
- 1679720460
- Licence
- CA A109301, VT 042.0016401California A109301: Current · expires 2029-01-31
- Trained
- Perelman School of Med at the University of Pennsylvania, 2008
- Group
- Stanford Health Care
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207RI0200X (207RI0200X); Internal medicine (207R00000X)
- Mailing address
- 300 Pasteur Dr, Stanford, CA, 94305
- NPI first listed
- 2008-08-22
- NPI last updated
- 2024-08-06
- NPI record certified
- 2024-08-06
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 111 Colchester Ave, Burlington, VT, 05401