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Leo Afshin Calafi, MD

Orthopedic Surgery · Walnut Creek

NPI 1720079072

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
1 carrier
Offices
7
Since medical school
24 years
Northwestern University Feinberg Medical School, 2002

Offices

7 locations · Golden State Orthopedics and Spine · John Muir Trauma Physicians Billing Service

Looking this up.

Hospitals listed: John Muir Medical Center - Walnut Creek Campus. That is not proof they admit you there this week.

Plans that list them

3 plans · 1 carrier

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

Plans whose provider directory lists this clinician
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

California Medical Board record

Licence A86062 · Current

Licensed to practise in California · since 2004 · expires 2027-08-31 · Northwestern University Medical School.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Surgery centers they own

  • Porter Ambulatory Surgery CenterSan Ramon, CA18.1% owner since 2020 · accredited by AAAHC
    Initial Accreditation1 inspection · last 2021-02-27
  • Sequoia Surgical Center, LP dba Sequoia Surgical PavilionAmbulatory Surgery Center · Walnut Creek, CA2.8% owner since 2016 · accredited by AAAHC
    Accreditation Renewed5 inspections, 1 with deficiencies · last 2024-05-15

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

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.

  • John Muir Medical Center - Walnut Creek CampusWalnut Creek, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of John Muir Health, which runs 3 hospitalsPatients rate it 3 of 5 · 77% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — Abdominopelvic accidental puncture or laceration rate: 2.01 (1.17 to 2.85) · 2,206 cases, Jul 2022 – Jun 2024Worse than the national rate — Death rate among surgical inpatients with serious treatable complications: 222.42 (177.82 to 267.02) · 120 cases, Jul 2022 – Jun 2024Worse than the national rate — Pressure ulcer rate: 1.4 (0.91 to 1.9) · 9,764 cases, Jul 2022 – Jun 2024Worse than the national rate — SSI - Colon Surgery: 2.734, Oct 2024 – Sep 2025Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.536, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.341, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.455, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.245, Oct 2024 – Sep 2025
See every measure and the patient survey for John Muir Medical Center - Walnut Creek Campus

Behind the star rating — Deaths: 3 better, 2 the same, 2 worse of 7 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 3 better, 5 the same, 2 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at John Muir Medical Center - Walnut Creek Campus
Abdominopelvic accidental puncture or laceration rateComplications and deaths2.01 (1.17 to 2.85) · 2,206 casesWorseJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths222.42 (177.82 to 267.02) · 120 casesWorseJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths1.4 (0.91 to 1.9) · 9,764 casesWorseJul 2022 – Jun 2024
SSI - Colon SurgeryInfections2.734WorseOct 2024 – Sep 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.536BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.341BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.455BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.245BetterOct 2024 – Sep 2025
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.14 (0.87 to 1.4)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths6.4 · 131 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10 · 148 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.8 · 695 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.5 · 827 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths14.1 · 509 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.4 · 4,483 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.35 (0.18 to 0.53) · 11,630 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.22 (0.05 to 0.39) · 11,793 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.33 (1.69 to 4.96) · 3,268 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.37 (0 to 2.94) · 1,631 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.76 (1.43 to 4.09) · 3,066 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.12 (0.22 to 12.02) · 1,580 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.43 (1.21 to 7.64) · 1,594 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.82 (0.4 to 3.24) · 685 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.9 · 615 casesNoneApr 2023 – Mar 2025
SSI - Abdominal HysterectomyInfections1.88No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.7 · 93 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.9 · 729 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-30.1 · 91 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-13 · 736 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits34.8 · 842 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.7 · 818 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.3 (3.3 to 8.4) · 28 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.8 (7.2 to 15.5) · 28 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits4.9 · 584 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.4 · 139 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.9) · 222 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.1 (0.8 to 1.5) · 321 casesNo differentJan 2024 – Dec 2024

What patients said (758 patients answered, 24% of those asked)

Patient survey stars by topic at John Muir Medical Center - Walnut Creek Campus
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information4
Overall hospital rating3
Quietness3
Recommend hospital4
Share of patients giving the best answer at John Muir Medical Center - Walnut Creek Campus
Room was "always" clean65%
Nurses "always" communicated well75%
Doctors "always" communicated well76%
Staff "always" explained55%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)69%
Staff "always" explained new medications68%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully72%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital77%
Staff "always" explained possible side effects42%
Yes, staff "did" give patients information about possible symptoms87%

Original Medicare doctor bills

$138,864

Medicare paid this office $138,864 for 306 people.

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

Largest Original Medicare bills
Treatment of broken neck of thigh bone with bone implant19$21,032$1,107
Return visit (30+ min)92$16,893$120
New patient visit (45+ min)48$7,367$153
Short return visit (20+ min)73$6,894$77
Initial hospital care with moderate level of medical decision making at least 75 minutes32$4,736$148
See all 19 services
Every Original Medicare service billed
Treatment of broken neck of thigh bone with bone implant19$21,032$1,107
Return visit (30+ min)92$16,893$120
New patient visit (45+ min)48$7,367$153
Short return visit (20+ min)73$6,894$77
Initial hospital care with moderate level of medical decision making at least 75 minutes32$4,736$148
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes37$3,856$104
Mri scan of leg joint without contrast20$2,977$149
Mri scan of lower spinal canal without contrast21$2,236$106
Mri scan of arm joint without contrast14$2,023$145
X-ray of shoulder, minimum of 2 views24$1,643$35
X-ray of wrist, 2 views20$1,622$35
X-ray of hip, 2-3 views24$1,580$45
X-ray of knee, 1-2 views18$1,150$33
X-ray of ankle, minimum of 3 views16$951$34
X-ray of pelvis, 1-2 views19$772$26
X-ray of collar bone14$719$34
X-ray of thigh bone, minimum 2 views12$601$30
Test or measurement for functional capacity, each 15 minutes13$600$30
X-ray of foot, minimum of 3 views13$562$31

Procedures Medicare counted

Procedure volume Medicare published
Removal of tissue1-10None

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Treatment of broken neck of thigh bone with bone implant222420212219
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement1218–17––
Placement of stabilizing device for upper end of broken thigh bone1311––––
Application of elbow to finger cast––––17–
Closed treatment of broken top of upper arm bone––12–––

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

306 Original Medicare patients in 2024. Average age 76 · Under 65 8% · 85 and older 23% · Women 67% · Also on Medicaid 18% · Health risk score 1.37. Above the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 74% · Depression 30% · Chronic kidney disease 25% · Diabetes 24% · Coronary heart disease 24% · Atrial fibrillation 22% · Cancer 17% · Heart failure 15% · COPD 13% · Dementia 12% · Stroke 11%.

The office billed $624,323, Medicare allowed $178,916 and paid $138,864; for 979 services of 98 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
2024306979761.37$624,323$138,864
2023287939771.33$634,121$142,223
2022319906761.45$734,536$176,185
20212841,102771.32$506,383$167,079
20202581,922781.38$418,874$153,929
20193431,148771.47$479,931$170,650
20182881,847801.58$437,393$156,278
20172761,047781.64$422,598$140,916
20162511,227791.77$407,062$142,379
2015201764791.69$273,933$101,499
201461102731.54$82,636$27,439
2013157428741.79$179,913$49,770

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: 17 services

Original Medicare services billed in 2023
Treatment of broken neck of thigh bone with bone implant21$24,422$1,110
Return visit (30+ min)95$16,665$117
Short return visit (20+ min)68$7,102$81
New patient visit (45+ min)48$6,381$133
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes56$6,185$110
Mri scan of lower spinal canal without contrast30$4,619$154
Mri scan of leg joint without contrast17$3,060$180
Initial hospital care with moderate level of medical decision making at least 75 minutes14$2,152$154
X-ray of wrist, 2 views26$1,961$32
X-ray of ankle, minimum of 3 views16$1,493$32
Application of elbow to finger cast15$1,472$87
X-ray of hip, 2-3 views26$1,381$37
X-ray of shoulder, minimum of 2 views22$1,057$29
X-ray of knee, 1-2 views16$754$29
X-ray of thigh bone, minimum 2 views19$718$26
Cast supplies, short arm cast, adult (11 years +), fiberglass15$508$18
X-ray of pelvis, 1-2 views13$332$24

2022: 19 services

Original Medicare services billed in 2022
Treatment of broken neck of thigh bone with bone implant21$23,172$1,103
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement17$18,352$1,080
Return visit (30+ min)88$12,503$117
New patient visit (45+ min)46$7,084$154
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes50$5,892$118
Mri scan of lower spinal canal without contrast26$4,234$163
Short return visit (20+ min)33$2,904$81
Mri scan of leg joint without contrast16$2,721$170
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes29$2,551$88
Initial hospital care with moderate level of medical decision making at least 75 minutes14$2,448$175
X-ray of wrist, 2 views24$1,692$35
X-ray of hip, 2-3 views24$1,401$45
X-ray of shoulder, minimum of 2 views21$1,158$33
X-ray of thigh bone, minimum 2 views21$891$30
X-ray of ankle, minimum of 3 views15$792$33
X-ray of knee, 1-2 views17$618$29
Cast supplies, short arm cast, adult (11 years +), fiberglass15$573$17
X-ray of collar bone13$475$30
X-ray of pelvis, 1-2 views11$456$28

2021: 17 services

Original Medicare services billed in 2021
Treatment of broken neck of thigh bone with bone implant20$22,538$1,127
Return visit (30+ min)74$9,993$119
New patient visit (45+ min)64$7,862$123
Initial hospital care with moderate level of medical decision making at least 75 minutes24$4,015$167
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes36$3,889$108
Closed treatment of broken top of upper arm bone12$3,820$318
Short return visit (20+ min)40$3,556$76
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes35$3,109$89
Mri scan of lower spinal canal without contrast17$2,588$152
X-ray of hip, 2-3 views24$1,398$34
X-ray of shoulder, minimum of 2 views24$1,368$31
X-ray of wrist, 2 views24$1,244$32
X-ray of ankle, minimum of 3 views19$1,174$31
X-ray of knee, 1-2 views18$805$31
X-ray of pelvis, 1-2 views18$651$21
X-ray of thigh bone, minimum 2 views14$644$32
Cast supplies, short arm cast, adult (11 years +), fiberglass13$506$16

2020: 15 services

Original Medicare services billed in 2020
Treatment of broken neck of thigh bone with bone implant24$26,307$1,096
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement18$19,977$1,110
Placement of stabilizing device for upper end of broken thigh bone11$9,322$847
Initial hospital care with moderate level of medical decision making at least 75 minutes49$8,327$170
Short return visit (20+ min)86$7,816$67
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes61$7,115$117
Return visit (30+ min)38$4,314$98
New patient visit (30+ min)41$3,633$89
X-ray of hip, 2-3 views34$1,763$36
X-ray of ankle, minimum of 3 views24$1,632$33
X-ray of knee, 1-2 views21$1,504$33
X-ray of wrist, 2 views25$1,490$32
Cast supplies, short arm cast, adult (11 years +), fiberglass11$610$16
X-ray of shoulder, minimum of 2 views13$582$31
X-ray of foot, minimum of 3 views13$576$30

2019: 18 services

Original Medicare services billed in 2019
Treatment of broken neck of thigh bone with bone implant22$24,660$1,121
Initial hospital care with moderate level of medical decision making at least 75 minutes78$14,124$179
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement12$13,084$1,090
Short return visit (20+ min)132$11,824$67
Placement of stabilizing device for upper end of broken thigh bone13$10,857$835
Return visit (30+ min)57$6,906$97
New patient visit (30+ min)71$6,814$96
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes34$4,156$122
X-ray of wrist, 2 views35$2,389$31
X-ray of shoulder, minimum of 2 views33$1,655$28
Mri scan of lower spinal canal without contrast11$1,567$142
X-ray of hip, 2-3 views34$1,558$32
X-ray of ankle, minimum of 3 views18$1,195$29
X-ray of knee, 1-2 views23$960$29
X-ray of pelvis, 1-2 views24$820$26
X-ray of foot, minimum of 3 views17$665$30
X-ray of thigh bone, minimum 2 views16$618$27
X-ray of upper arm, minimum of 2 views12$461$23

2018: 16 services

Original Medicare services billed in 2018
Treatment of broken neck of thigh bone with bone implant20$21,132$1,057
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement17$17,599$1,035
Short return visit (20+ min)135$11,906$62
Initial hospital care with moderate level of medical decision making at least 75 minutes65$11,100$171
Return visit (30+ min)65$8,249$92
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes51$5,975$115
New patient visit (30+ min)60$5,566$93
X-ray of wrist, 2 views31$2,074$29
X-ray of hip, 2-3 views32$1,759$33
X-ray of shoulder, minimum of 2 views31$1,698$26
X-ray of thigh bone, minimum 2 views35$1,591$25
X-ray of ankle, minimum of 3 views18$1,307$26
X-ray of knee, 1-2 views12$1,236$27
X-ray of pelvis, 1-2 views25$984$27
X-ray of elbow, 2 views18$964$22
Cast supplies, short arm cast, adult (11 years +), fiberglass12$415$14

2017: 17 services

Original Medicare services billed in 2017
Treatment of broken neck of thigh bone with bone implant23$23,674$1,029
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement15$14,222$948
Initial hospital care with moderate level of medical decision making at least 75 minutes66$10,837$164
Short return visit (20+ min)110$8,075$56
Return visit (30+ min)58$6,661$93
New patient visit (30+ min)66$5,544$84
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes45$5,072$110
X-ray of wrist, 2 views35$1,932$25
X-ray of thigh bone, minimum 2 views34$1,300$21
X-ray of hip, 2-3 views28$1,137$30
X-ray of ankle, minimum of 3 views19$1,037$25
Application of elbow to finger cast12$993$71
X-ray of elbow, 2 views20$807$24
X-ray of pelvis, 1-2 views19$741$25
Cast supplies, short arm cast, adult (11 years +), fiberglass19$638$15
X-ray of shoulder, minimum of 2 views21$573$20
X-ray of wrist, minimum of 3 views13$499$31

2016: 17 services

Original Medicare services billed in 2016
Treatment of broken neck of thigh bone with bone implant23$24,091$1,047
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement20$20,426$1,021
Initial hospital care with moderate level of medical decision making at least 75 minutes68$11,424$168
Return visit (30+ min)85$11,369$93
Short return visit (20+ min)89$6,279$59
New patient visit (30+ min)64$5,788$90
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes39$4,451$114
X-ray of wrist, 2 views33$1,588$25
Application of elbow to finger cast16$1,455$81
X-ray of hip, 2-3 views25$1,311$29
X-ray of pelvis, 1-2 views31$1,188$21
X-ray of thigh bone, minimum 2 views25$1,006$21
X-ray of shoulder, minimum of 2 views23$904$23
X-ray of lower leg, 2 views11$624$22
Cast supplies, short arm cast, adult (11 years +), fiberglass17$589$15
X-ray of ankle, minimum of 3 views11$513$21
X-ray of upper arm, minimum of 2 views11$369$23

2015: 13 services

Original Medicare services billed in 2015
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement18$17,704$984
Treatment of broken neck of thigh bone with bone implant14$14,876$1,063
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes56$6,760$117
Initial hospital care with moderate level of medical decision making at least 75 minutes36$6,211$173
Short return visit (20+ min)63$5,645$65
New patient visit (30+ min)44$4,016$91
Return visit (30+ min)33$3,738$96
X-ray of ribs of one side of body, minimum of 2 views21$973$27
X-ray of thigh, 2 views25$815$18
X-ray of knee, 1-2 views11$611$23
X-ray of wrist, 2 views14$606$26
X-ray of pelvis, 1-2 views19$567$19
X-ray of shoulder, minimum of 2 views13$490$26

2014: 2 services

Original Medicare services billed in 2014
Short return visit (20+ min)22$1,256$50
Short return visit15$550$32

2013: 5 services

Original Medicare services billed in 2013
Short return visit (20+ min)40$1,784$40
Short return visit39$1,154$26
X-ray of ribs of one side of body, minimum of 2 views12$442$19
X-ray of pelvis, 1-2 views27$440$11
X-ray of hip on one side of body, 1 view16$215$11

Medicaid work

$1,346 in 2020

Medicaid paid $1,346 for 31 billed services this clinician did in 2020, up to 15 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 2020
Short return visit (20+ min)15$1,336
Additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other non-facility service(s), when performed during a Public Health Emergency, as defined by law, due to respiratory-transmitted infectious disease16$10
Medicaid work by year
202031215$1,346
201915115$1,924
See the largest Medicaid services in earlier years

2019

Largest Medicaid services in 2019
New patient visit (30+ min)15$1,924

Drugs they prescribed that Part D paid

$259

Pharmacies billed $259 in 2024.

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

Opioids were 89% of their Part D prescriptions (25 of 28) in 2024. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.

28 generic and 0 brand-name prescriptions · $259 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.

Largest Part D drug costs
Hydrocodone-Acetaminophen19$189$9

Year by year

Part D prescribing by year
2024282489% (25)0%$259
2023292393% (27)0%$321
2022503690% (45)0%$450
2021423888% (37)0%$459
2020593080% (47)None$640
2019503584% (42)None$677
2018764682% (62)0%$870
2017684259% (40)None$8,890
2016703873% (51)None$19,087
2015443980% (35)None$772
201413NoneNoneNone$1,898
2013522477% (40)None$818

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
Hydrocodone-Acetaminophen22$198$9

2022: 1 drug

Part D drugs prescribed in 2022
Hydrocodone-Acetaminophen39$371$10

2021: 1 drug

Part D drugs prescribed in 2021
Hydrocodone-Acetaminophen24$324$13

2020: 1 drug

Part D drugs prescribed in 2020
Hydrocodone-Acetaminophen30$287$10

2019: 2 drugs

Part D drugs prescribed in 2019
Hydrocodone-Acetaminophen25$251$10
Tramadol15$66$4

2018: 1 drug

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen45$525$12

2017: 1 drug

Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen31$356$11

2016: 2 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen26$447$17
Oxycodone-Acetaminophen15$386$26

2015: 1 drug

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen25$370$15

2013: 1 drug

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen35$468$13

Money from drug and device companies

$702 in 2025

Industry payments by year
202579None$702
2024911None$548
2023611None$517
202248None$237
202144None$112
202033None$96
2019785$28,750$35,974

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
CuronixPns Freedom-4a Permanent Neurostimulator Receiver Kit Channel A$311
3 payments
  • Meals for Pns Freedom-4a Permanent Neurostimulator Receiver Kit Channel A · 2025-03-19 · $5
  • Meals for Pns Freedom-4a Permanent Neurostimulator Receiver Kit Channel A · 2025-03-19 · $18
  • Meals for Pns Freedom-4a Permanent Neurostimulator Receiver Kit Channel A · 2025-03-12 · $288
Zimmer Biomet HoldingsComprehensive Shoulder System$198
1 payment
  • Meals for Comprehensive Shoulder System · 2025-03-10 · $198
Globus MedicalPrecice® Intramedullary Limb Lengthening System$100
1 payment
  • Meals for Precice® Intramedullary Limb Lengthening System · 2025-01-08 · $100
StrykerPangea$34
1 payment
  • Meals for Pangea · 2025-07-17 · $34
Skeletal DynamicsGeminus$23
1 payment
  • Meals for Geminus · 2025-09-09 · $23
Molnlycke Health Care USAvance$21
1 payment
  • Meals for Avance · 2025-01-15 · $21
See all 9 published payments
Every published payment
BioventusMeals · 2025-11-17Exogen Ultrasound Bone Healing System$16
Skeletal DynamicsMeals · 2025-09-09Geminus$23
StrykerMeals · 2025-07-17Pangea$34
CuronixMeals · 2025-03-19Pns Freedom-4a Permanent Neurostimulator Receiver Kit Channel A$5
CuronixMeals · 2025-03-19Pns Freedom-4a Permanent Neurostimulator Receiver Kit Channel A$18
CuronixMeals · 2025-03-12Pns Freedom-4a Permanent Neurostimulator Receiver Kit Channel A$288
Zimmer Biomet HoldingsMeals · 2025-03-10Comprehensive Shoulder System$198
Molnlycke Health Care USMeals · 2025-01-15Avance$21
Globus MedicalMeals · 2025-01-08Precice® Intramedullary Limb Lengthening System$100
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $548

Payments by company in 2024
StrykerAxsos$157
2 payments
  • Meals for Variax · 2024-04-18 · $53
  • Meals for Axsos · 2024-03-06 · $104
Zimmer Biomet HoldingsTapestry$147
1 payment
  • Meals for Tapestry · 2024-09-04 · $147
Paragon 28Ankle Fracture$81
1 payment
  • Meals for Ankle Fracture · 2024-12-05 · $81
Molnlycke Health Care USAvance$41
2 payments
  • Meals for Avance · 2024-08-21 · $23
  • Meals for Mepilex Border Post-Op Ag · 2024-07-25 · $17
TeleflexQuikclot$30
1 payment
  • Meals for Quikclot · 2024-05-03 · $30
Orthofix MedicalPhysio-Stim$28
1 payment
  • Meals for Physio-Stim · 2024-08-27 · $28
Globus MedicalDistal Radius II$26
1 payment
  • Meals for Distal Radius II · 2024-03-28 · $26
BioventusExogen Ultrasound Bone Healing System$19
1 payment
  • Meals for Exogen Ultrasound Bone Healing System · 2024-10-16 · $19
Evolution SurgicalNone$19
1 payment
  • Meals · 2024-10-13 · $19

2023: $517

Payments by company in 2023
Paragon 28Portfolio$312
4 payments
  • Meals for Monkey Rings · 2023-09-18 · $86
  • Meals for Ankle Fracture · 2023-09-17 · $30
  • Travel for Portfolio · 2023-09-16 · $149
  • Meals for Portfolio · 2023-09-16 · $47
Skeletal DynamicsGeminus$97
2 payments
  • Meals for Geminus · 2023-05-24 · $83
  • Meals for Geminus · 2023-03-14 · $14
Smith+NephewStravix$42
1 payment
  • Meals for Stravix · 2023-04-14 · $42
Globus MedicalProximal Humerus Strut$29
1 payment
  • Meals for Proximal Humerus Strut · 2023-10-11 · $29
Acera SurgicalRestrata Wound Matrix$22
1 payment
  • Meals for Restrata Wound Matrix · 2023-11-30 · $22
Sanara MedTechCelleraterx$16
1 payment
  • Meals for Celleraterx · 2023-12-11 · $16

2022: $237

Payments by company in 2022
Sanara MedTechCelleraterx$77
2 payments
  • Meals for Celleraterx · 2022-06-02 · $56
  • Meals for Celleraterx · 2022-02-03 · $21
Paragon 28Ankle 360$66
2 payments
  • Meals for Ankle 360 · 2022-11-17 · $33
  • Meals for Ankle 360 · 2022-09-02 · $33
Si-BoneNone$49
2 payments
  • Meals · 2022-02-09 · $28
  • Meals · 2022-01-05 · $21
Globus MedicalAnthem$45
2 payments
  • Meals for Anthem · 2022-03-09 · $25
  • Meals for Anthem · 2022-01-06 · $20

2021: $112

Payments by company in 2021
MedtronicAquamantys$52
1 payment
  • Meals for Aquamantys · 2021-08-03 · $52
Globus MedicalAnkle Fracture System$27
1 payment
  • Meals for Ankle Fracture System · 2021-06-11 · $27
Sanara MedTechCelleraterx$21
1 payment
  • Meals for Celleraterx · 2021-11-09 · $21
BioventusExogen Ultrasound Bone Healing System$12
1 payment
  • Meals for Exogen Ultrasound Bone Healing System · 2021-02-18 · $12

2020: $96

Payments by company in 2020
StrykerGamma$38
1 payment
  • Meals for Gamma · 2020-08-06 · $38
Zimmer Biomet HoldingsZnn$32
1 payment
  • Meals for Znn · 2020-06-10 · $32
BioventusExogen$26
1 payment
  • Meals for Exogen · 2020-06-18 · $26

2019: $35,974

Payments by company in 2019
Zimmer Biomet HoldingsNcb Instruments/Plates/Screws$32,999
63 payments
  • Meals for Fastframe · 2019-10-30 · $16
  • Consulting for Ncb Instruments/Plates/Screws · 2019-08-30 · $1,250
  • Consulting for Ncb Instruments/Plates/Screws · 2019-08-30 · $5,750
  • Consulting for Ncb Instruments/Plates/Screws · 2019-08-30 · $4,250
  • Consulting for Ncb Instruments/Plates/Screws · 2019-08-30 · $2,000
  • Consulting for Ncb Instruments/Plates/Screws · 2019-08-30 · $4,000
  • Meals for Hips Product Portfolio · 2019-08-22 · $25
  • Meals for Hips Product Portfolio · 2019-08-22 · $12
  • Meals for Hips Product Portfolio · 2019-08-22 · $37
  • Meals for Hips Product Portfolio · 2019-08-22 · $9
  • Meals for Hips Product Portfolio · 2019-08-22 · $11
  • Meals for Hips Product Portfolio · 2019-08-22 · $7
  • Meals for Hips Product Portfolio · 2019-08-22 · $9
  • Meals for Hips Product Portfolio · 2019-08-18 · $1
  • Meals for Hips Product Portfolio · 2019-08-17 · $0
  • Meals for Hips Product Portfolio · 2019-08-17 · $1
  • Travel for Hips Product Portfolio · 2019-08-17 · $63
  • Travel for Hips Product Portfolio · 2019-08-17 · $2
  • Travel for Hips Product Portfolio · 2019-08-17 · $2
  • Travel for Hips Product Portfolio · 2019-08-17 · $2
  • Meals for Hips Product Portfolio · 2019-08-17 · $6
  • Travel for Hips Product Portfolio · 2019-08-16 · $2
  • Travel for Hips Product Portfolio · 2019-08-16 · $4
  • Travel for Hips Product Portfolio · 2019-08-16 · $2
  • Travel for Hips Product Portfolio · 2019-08-16 · $2
  • Meals for Hips Product Portfolio · 2019-08-16 · $119
  • Meals for Hips Product Portfolio · 2019-08-16 · $8
  • Travel for Trauma Product Portfolio · 2019-08-16 · $2
  • Travel for Hips Product Portfolio · 2019-08-15 · $205
  • Meals for Hips Product Portfolio · 2019-08-15 · $118
  • Meals for Hips Product Portfolio · 2019-08-15 · $2
  • Travel for Knees Product Portfolio · 2019-08-15 · $331
  • Travel for Hips Product Portfolio · 2019-08-10 · $4
  • Travel for Hips Product Portfolio · 2019-08-10 · $4
  • Travel for Hips Product Portfolio · 2019-08-10 · $4
  • Travel for Hips Product Portfolio · 2019-08-09 · $4
  • Meals for Hips Product Portfolio · 2019-08-09 · $19
  • Travel for Hips Product Portfolio · 2019-08-09 · $4
  • Travel for Hips Product Portfolio · 2019-08-09 · $4
  • Travel for Hips Product Portfolio · 2019-08-09 · $4
  • Travel for Hips Product Portfolio · 2019-08-09 · $4
  • Travel for Knees Product Portfolio · 2019-07-31 · $443
  • Travel for Knees Product Portfolio · 2019-07-31 · $34
  • Consulting for Trauma Product Portfolio · 2019-07-03 · $1,000
  • Consulting for Trauma Product Portfolio · 2019-07-03 · $2,500
  • Consulting for Trauma Product Portfolio · 2019-07-03 · $4,000
  • Travel · 2019-06-01 · $179
  • Meals · 2019-06-01 · $17
  • Meals · 2019-06-01 · $61
  • Meals · 2019-06-01 · $28
  • Meals · 2019-06-01 · $73
  • Travel · 2019-05-31 · $25
  • Travel · 2019-05-31 · $688
  • Travel · 2019-05-31 · $916
  • Travel · 2019-05-31 · $34
  • Travel · 2019-05-31 · $25
  • Travel · 2019-05-31 · $229
  • Travel · 2019-05-31 · $87
  • Travel · 2019-05-31 · $245
  • Meals · 2019-05-31 · $119
  • Consulting for G7 · 2019-01-16 · $375
  • Consulting for G7 · 2019-01-16 · $2,000
  • Consulting for Cable Ready Cable Grip · 2019-01-16 · $1,625
Globus MedicalClavical Fixation (16-186)$2,562
8 payments
  • Meals for Proximal Femoral Nail · 2019-11-25 · $15
  • Travel for Excelsius - Gps · 2019-11-25 · $563
  • Travel for Anthem · 2019-11-24 · $18
  • Meals for Anthem · 2019-11-24 · $48
  • Travel for Clavical Fixation (16-186) · 2019-11-24 · $1,872
  • Travel for Clavical Fixation (16-186) · 2019-11-06 · $7
  • Meals for Anthem · 2019-06-20 · $16
  • Meals for Anthem · 2019-05-21 · $23
Smith+NephewT-Fix$170
1 payment
  • Meals for T-Fix · 2019-03-13 · $170
BioventusExogen$132
7 payments
  • Meals for Exogen · 2019-09-27 · $16
  • Meals for Exogen · 2019-09-03 · $18
  • Meals for Exogen · 2019-08-06 · $18
  • Meals for Exogen · 2019-07-05 · $19
  • Meals for Exogen · 2019-06-11 · $20
  • Meals for Exogen · 2019-05-10 · $20
  • Meals for Exogen · 2019-04-11 · $21
StrykerReunion$60
1 payment
  • Meals for Reunion · 2019-10-24 · $60
Flexion TherapeuticsZilretta$32
1 payment
  • Meals for Zilretta · 2019-03-07 · $32
Team_Makena_LLCNone$20
1 payment
  • Meals · 2019-10-03 · $20

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.4 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1720079072
Licence
CA A86062, IN 01067336ACalifornia A86062: Current · expires 2027-08-31
Trained
Northwestern University Feinberg Medical School, 2002 · 24 years ago
Group
Golden State Orthopedics and Spine · John Muir Trauma Physicians Billing Service
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Orthopedic surgery (207X00000X); Federal specialty code 207XX0801X (207XX0801X)
Mailing address
Po Box 31396, Walnut Creek, CA, 94598
NPI first listed
2005-11-03
NPI last updated
2015-11-16

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