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Gary Scheinin, DPM

Podiatry · San Jose

NPI 1700884863

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
31
8 carriers
Office
1

Offices

1 location · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

Plans that list them

31 plans · 8 carriers

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

31 of 31 plans

Plans whose provider directory lists this clinician
Alignment Health Advantage PPO (PPO)Alignment Health PlanListedOct 3, 2026
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
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 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 Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 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

Surgery centers they own

  • Knowles Surgery Center, LLCAmbulatory Surgery Center · Los Gatos, CA2.1% owner since 2015 · accredited by AAAASF
    Probation3 inspections, 2 with deficiencies · last 2017-05-23: Requirements Met

Original Medicare doctor bills

$24,457

Medicare paid this office $24,457 for 24 people.

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

Largest Original Medicare bills
Removal of muscle and/or tissue, 20.0 sq cm or less21$13,182$133
Removal of skin and tissue, 20.0 sq cm or less16$2,922$47

Who their Medicare patients are

24 Original Medicare patients in 2024. Average age 72 · Women 54% · Health risk score 5.81. Sicker patients than 9 in 10 peers; the typical podiatry clinician is at 1.55.

Conditions among them: High blood pressure 75% · Diabetes 75% · Chronic kidney disease 63%.

The office billed $64,020, Medicare allowed $31,008 and paid $24,457; for 250 services of 12 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
202424250725.81$64,020$24,457
2023144861761.96$189,141$86,806
20221931,351741.84$243,053$115,865
20211831,389741.83$257,398$125,912
20201601,445761.95$264,005$119,504
20191911,678761.86$291,261$143,086
20181981,870771.55$309,361$155,181
20171851,886761.70$305,355$136,106
20162142,106771.77$347,176$158,658
20152041,094761.43$198,015$85,005
2014162717761.08$124,101$54,374
2013154705751.04$110,594$50,318

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: 11 services

Original Medicare services billed in 2023
Removal of muscle and/or tissue, 20.0 sq cm or less40$32,993$137
Removal of muscle and/or tissue, 20.0 sq cm or less13$11,208$216
Short return visit (20+ min)51$5,974$83
Removal of skin and tissue, 20.0 sq cm or less26$5,091$46
Return visit (30+ min)33$4,770$114
New patient visit (45+ min)24$2,759$115
New patient visit (45+ min)18$2,578$143
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less11$2,112$62
X-ray of foot, minimum of 3 views25$1,665$36
Removal of fingernails or toenails, 6 or more nails19$1,238$43
Short return visit (20+ min)13$835$60

2022: 15 services

Original Medicare services billed in 2022
Removal of muscle and/or tissue, 20.0 sq cm or less30$35,267$135
Short return visit (20+ min)73$12,026$84
Return visit (30+ min)54$8,436$114
Removal of skin and tissue, 20.0 sq cm or less31$8,226$50
New patient visit (45+ min)52$7,643$147
Removal of muscle and/or tissue, 20.0 sq cm or less14$5,045$202
Destruction of skin growth, 1-14 growths18$3,449$119
X-ray of foot, minimum of 3 views49$3,415$37
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less13$3,040$52
New patient visit (45+ min)21$2,580$123
Removal of fingernails or toenails, 6 or more nails22$1,706$42
Limited ultrasound scan of joint or other extremity structure except blood vessels19$1,578$58
New patient visit (30+ min)15$1,493$100
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and11$1,457$52
Short return visit (20+ min)12$892$56

2021: 15 services

Original Medicare services billed in 2021
Removal of muscle and/or tissue, 20.0 sq cm or less33$38,600$139
Return visit (30+ min)74$14,810$120
Short return visit (20+ min)86$13,878$84
New patient visit (45+ min)61$9,261$152
Removal of skin and tissue, 20.0 sq cm or less24$6,230$49
Removal of muscle and/or tissue, 20.0 sq cm or less11$4,401$220
X-ray of foot, minimum of 3 views62$4,218$37
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less14$3,960$55
New patient visit (45+ min)30$3,563$119
Destruction of skin growth, 1-14 growths19$2,839$109
Short return visit (20+ min)19$2,542$56
Removal of fingernails or toenails, 6 or more nails26$2,015$42
Limited ultrasound scan of joint or other extremity structure except blood vessels17$1,415$59
Return visit (30+ min)11$1,196$92
Complete ultrasound scan of joint11$828$69

2020: 15 services

Original Medicare services billed in 2020
Removal of muscle and/or tissue, 20.0 sq cm or less24$23,335$141
Return visit (30+ min)80$15,322$95
Short return visit (20+ min)69$8,155$69
Removal of skin and tissue, 20.0 sq cm or less23$5,471$51
New patient visit (45+ min)43$5,423$126
Destruction of skin growth, 1-14 growths16$4,852$110
Short return visit (20+ min)25$3,889$46
Removal of fingernails or toenails, 6 or more nails37$3,233$45
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less11$2,845$62
X-ray of foot, minimum of 3 views42$2,525$32
New patient visit (45+ min)20$2,242$112
Limited ultrasound scan of joint or other extremity structure except blood vessels12$1,171$59
Application of chemical to stop tissue regrowth in wound18$1,099$18
Return visit (30+ min)12$1,085$72
Removal of noncancer thickened skin growth, 1 growth18$1,022$51

2019: 14 services

Original Medicare services billed in 2019
Removal of muscle and/or tissue, 20.0 sq cm or less35$46,263$137
Return visit (30+ min)114$26,497$97
Short return visit (20+ min)34$15,297$45
Removal of muscle and/or tissue, 20.0 sq cm or less17$8,994$184
New patient visit (45+ min)58$8,277$143
Short return visit (20+ min)54$5,488$66
Destruction of skin growth, 1-14 growths16$3,379$106
X-ray of foot, minimum of 3 views59$3,237$31
New patient visit (45+ min)22$2,530$115
Return visit (30+ min)19$2,265$69
Removal of fingernails or toenails, 6 or more nails30$2,121$42
Removal of skin and tissue, 20.0 sq cm or less13$1,888$52
Complete ultrasound scan of joint11$1,262$90
Removal of noncancer thickened skin growth, 1 growth15$951$50

2018: 12 services

Original Medicare services billed in 2018
Removal of muscle and/or tissue, 20.0 sq cm or less33$68,076$136
Short return visit (20+ min)33$17,660$45
Short return visit (20+ min)97$12,539$63
Return visit (30+ min)77$10,283$92
New patient visit (45+ min)53$6,989$132
Destruction of skin growth, 1-14 growths28$6,075$108
Removal of muscle and/or tissue, 20.0 sq cm or less15$6,012$172
X-ray of foot, minimum of 3 views61$2,782$28
New patient visit (45+ min)18$2,013$112
Removal of fingernails or toenails, 6 or more nails26$1,582$39
Limited ultrasound scan of joint or other extremity structure except blood vessels12$842$56
Injection, methylprednisolone acetate, 80 mg12$118None

2017: 15 services

Original Medicare services billed in 2017
Removal of muscle and/or tissue, 20.0 sq cm or less35$53,261$130
Short return visit (20+ min)36$18,655$42
Short return visit (20+ min)88$10,516$61
Return visit (30+ min)70$9,380$90
New patient visit (45+ min)52$6,069$117
Removal of skin and tissue, 20.0 sq cm or less19$3,546$49
Destruction of skin growth, 1-14 growths18$3,242$95
X-ray of foot, minimum of 3 views63$3,119$27
Removal of fingernails or toenails, 6 or more nails30$2,579$36
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less11$2,548$42
Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less13$1,801$21
New patient visit (45+ min)15$1,399$93
Return visit (30+ min)15$1,183$62
New patient visit (30+ min)12$944$79
Limited ultrasound scan of joint or other extremity structure except blood vessels13$539$32

2016: 15 services

Original Medicare services billed in 2016
Removal of muscle and/or tissue, 20.0 sq cm or less47$44,778$136
Short return visit (20+ min)51$25,714$44
Removal of skin and tissue, 20.0 sq cm or less31$12,890$54
Short return visit (20+ min)104$9,998$62
Return visit (30+ min)73$9,935$94
New patient visit (45+ min)54$7,068$131
Removal of muscle and/or tissue, 20.0 sq cm or less24$5,437$160
Return visit (30+ min)32$4,668$69
Destruction of skin growth, 1-14 growths21$4,666$97
Removal of fingernails or toenails, 6 or more nails36$3,526$39
X-ray of foot, minimum of 3 views54$3,026$28
New patient visit (45+ min)21$2,261$108
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less12$1,578$54
New patient visit (30+ min)11$888$81
Limited ultrasound scan of joint or other extremity structure except blood vessels14$596$33

2015: 14 services

Original Medicare services billed in 2015
Removal of muscle and/or tissue, 20.0 sq cm or less20$12,828$139
Short return visit (20+ min)93$9,840$63
Removal of muscle and/or tissue, 20.0 sq cm or less14$7,334$204
Destruction of skin growth, 1-14 growths32$6,615$99
Short return visit (20+ min)26$6,203$46
New patient visit (45+ min)40$5,346$134
Removal of skin and tissue, 20.0 sq cm or less13$4,032$106
Return visit (30+ min)34$3,644$91
Removal of fingernails or toenails, 6 or more nails28$3,621$39
X-ray of foot, minimum of 3 views72$3,063$27
New patient visit (30+ min)30$2,737$91
Short return visit40$2,100$39
Removal of skin and tissue, 20.0 sq cm or less17$1,926$57
Limited ultrasound scan of joint or other extremity structure except blood vessels16$611$32

2014: 9 services

Original Medicare services billed in 2014
Short return visit (20+ min)85$8,473$61
Destruction of skin growth, 1-14 growths28$5,920$104
Removal of fingernails or toenails, 6 or more nails36$4,301$41
New patient visit (30+ min)35$3,367$96
New patient visit (45+ min)20$3,036$152
X-ray of foot, minimum of 3 views47$2,865$32
Return visit (30+ min)26$2,817$97
Removal of skin and tissue, 20.0 sq cm or less11$2,685$112
Short return visit48$2,615$38

2013: 11 services

Original Medicare services billed in 2013
Short return visit (20+ min)88$7,817$61
Destruction of skin growth, 1-14 growths24$5,111$109
Removal of fingernails or toenails, 6 or more nails30$3,905$38
New patient visit (30+ min)43$3,813$89
Short return visit65$3,413$39
Removal of skin and tissue, 20.0 sq cm or less11$3,251$116
X-ray of foot, minimum of 3 views53$2,886$31
Return visit (30+ min)15$1,600$94
New patient visit (45+ min)12$1,422$119
Limited ultrasound scan of joint or other extremity structure except blood vessels12$523$33
Injection, methylprednisolone acetate, 80 mg15$69None

Medicaid work

$3,711 in 2024

Medicaid paid $3,711 for 134 billed services this clinician did in 2024, up to 16 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
Service71$3,210
Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less30$501
Medication list documented in medical record (COA)33$0
Medicaid work by year
2024134316$3,711

Drugs they prescribed that Part D paid

$1,492

Pharmacies billed $1,492 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 40) in 2024. Too few prescriptions to compare fairly with other clinicians.

36 generic and fewer than 11 brand-name prescriptions · $1,492 in drug cost · 11 antibiotic prescriptions.

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.

Largest Part D drug costs
Mupirocin16$149$6

Year by year

Part D prescribing by year
202440200% (0)None$1,492
20239553NoneNone$3,541
202258370% (0)None$2,481
202169450% (0)None$1,589
20209737NoneNone$8,001
20198238None13%$3,939
201814557None14%$5,714
201719267None23%$16,969
2016177579% (16)24%$15,802
2015603320% (12)23%$9,180
20143826NoneNone$2,197
20131915NoneNone$825

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
Mupirocin56$677$12

2022: 1 drug

Part D drugs prescribed in 2022
Mupirocin36$323$9

2021: 1 drug

Part D drugs prescribed in 2021
Mupirocin45$353$8

2020: 1 drug

Part D drugs prescribed in 2020
Mupirocin37$295$8

2019: 1 drug

Part D drugs prescribed in 2019
Mupirocin40$275$7

2018: 4 drugs

Part D drugs prescribed in 2018
Santyl13$2,931$225
Mupirocin74$768$10
Ciprofloxacin16$128$8
Cephalexin12$121$10

2017: 4 drugs

Part D drugs prescribed in 2017
Santyl36$9,818$273
Mupirocin83$782$9
Cephalexin15$156$10
Sulfamethoxazole-Trimethoprim12$104$9

2016: 6 drugs

Part D drugs prescribed in 2016
Santyl32$7,396$231
Econazole Nitrate11$2,118$193
Clotrimazole-Betamethasone16$997$62
Mupirocin54$589$11
Hydrocodone-Acetaminophen13$170$13
Cephalexin15$157$10

2015: 1 drug

Part D drugs prescribed in 2015
Econazole Nitrate14$3,718$266

2014: 1 drug

Part D drugs prescribed in 2014
Econazole Nitrate11$957$87

Money from drug and device companies

$190 in 2025

Industry payments by year
202511None$190
202422None$402
202311None$516
202234None$237
202111None$17
202044None$236
201933None$66

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Abbott LaboratoriesEsprit$190
1 payment
  • Meals for Esprit · 2025-10-07 · $190
See the published payment
Every published payment
Abbott LaboratoriesMeals · 2025-10-07Esprit$190
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $402

Payments by company in 2024
ExactechVantage$213
1 payment
  • Meals for Vantage · 2024-06-06 · $213
Treace Medical ConceptsLapiplasty System$190
1 payment
  • Meals for Lapiplasty System · 2024-09-11 · $190

2023: $516

Payments by company in 2023
Treace Medical ConceptsLapiplasty System$516
1 payment
  • Travel for Lapiplasty System · 2023-04-30 · $516

2022: $237

Payments by company in 2022
Musculoskeletal Transplant FoundationNone$184
1 payment
  • Meals · 2022-01-19 · $184
Smith+NephewCollagenase Santyl$27
2 payments
  • Meals for Collagenase Santyl · 2022-10-05 · $14
  • Meals for Collagenase Santyl · 2022-07-29 · $14
OrganogenesisPuraply$25
1 payment
  • Meals for Puraply · 2022-08-25 · $25

2021: $17

Payments by company in 2021
Smith+NephewCollagenase Santyl$17
1 payment
  • Meals for Collagenase Santyl · 2021-10-06 · $17

2020: $236

Payments by company in 2020
Zimmer Biomet HoldingsStratum Foot Plating System$107
1 payment
  • Meals for Stratum Foot Plating System · 2020-02-11 · $107
Wright Medical TechnologyOrtholoc$100
1 payment
  • Meals for Ortholoc · 2020-01-14 · $100
ArthrosurfaceHemicap Mtp Resurfacing$15
1 payment
  • Meals for Hemicap Mtp Resurfacing · 2020-09-15 · $15
Integra LifeSciencesBilayer Wound Matrix (Bwm)$14
1 payment
  • Meals for Bilayer Wound Matrix (Bwm) · 2020-12-01 · $14

2019: $66

Payments by company in 2019
Osiris TherapeuticsStravix$25
1 payment
  • Meals for Stravix · 2019-04-01 · $25
Aroa BiosurgeryNone$24
1 payment
  • Meals · 2019-01-25 · $24
ArthrosurfaceHammertoe Correction System$17
1 payment
  • Meals for Hammertoe Correction System · 2019-02-07 · $17

Professional record

NPI
1700884863
Licence
CA E2146
Trained
California School of Podiatric Medicine, 1977
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 213E00000X (213E00000X)
Mailing address
131 E Hamilton Ave, Campbell, CA, 95008
NPI first listed
2005-07-12
NPI last updated
2022-10-24
NPI record certified
2022-10-24

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

Extra NPI addresses: 555 Knowles Dr, Los Gatos, CA, 95032