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John James Openshaw, MD

Infectious Disease · Stanford

NPI 1679720460

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

Looking this up.

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

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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 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.

Largest Original Medicare bills
Initial hospital care with moderate level of medical decision making at least 75 minutes30$4,030$134
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$3,243$62
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$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

Original Medicare by year
202450111734.19$39,983$9,817
202371138702.19$46,205$11,649
20213467702.72$32,897$8,934
20202665652.58$24,715$7,112
20181627662.73$6,359$1,841
20172361662.48$15,303$4,347
20162776712.34$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

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes44$4,494$62
Initial hospital care with moderate level of medical decision making at least 75 minutes28$3,847$137
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$1,916$96

2021: 2 services

Original Medicare services billed in 2021
Initial hospital care with moderate level of medical decision making at least 75 minutes29$5,310$183
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes20$3,394$94

2020: 2 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes20$4,386$95
Initial hospital care with moderate level of medical decision making at least 75 minutes11$2,053$187

2017: 2 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,496$62
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,243$89

2016: 1 service

Original Medicare services billed in 2016
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$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.

Largest Medicaid services in 2024
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES41$1,186
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES20$595
Medicaid work by year
202461214$1,781
202329115$859
202119112$811
202042219$1,993
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES29$859

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES19$811

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES29$1,008
1ST HOSP IP/OBS HIGH 7513$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
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