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Shiv M Jain, MD

Family Practice · Los Altos

NPI 1740535608

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

Offices

1 location · Sutter Bay Medical Foundation · 3,783 clinicians in this group

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Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Jain’s office at (650) 254-5200 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
Alignment Health Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026

California Medical Board record

Licence A139100 · Current

Licensed to practise in California · since 2015 · expires 2027-11-30 · University of Miami School of Medicine.

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

Original Medicare doctor bills

$38,371

Medicare paid this office $38,371 for 115 people.

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

Largest Original Medicare bills
Return visit (30+ min)77$10,598$99
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit47$7,376$157
Long return visit (40+ min)40$7,132$140
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use14$4,062$290
Sarscov2 vac 50 mcg/0.5ml im12$1,793$149
See all 8 services
Every Original Medicare service billed
Return visit (30+ min)77$10,598$99
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit47$7,376$157
Long return visit (40+ min)40$7,132$140
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use14$4,062$290
Sarscov2 vac 50 mcg/0.5ml im12$1,793$149
Short return visit (20+ min)16$1,037$65
Admn sarscov2 vacc 1 dose12$625$52
Administration of pneumococcal vaccine17$616$36

Who their Medicare patients are

115 Original Medicare patients in 2024. Average age 73 · Women 39% · Health risk score 0.67. At or below the middle of the specialty; the typical family practice clinician is at 1.13.

Conditions among them: High blood pressure 55% · Coronary heart disease 24% · Diabetes 15% · Chronic kidney disease 13% · Cancer 13% · Atrial fibrillation 13% · Depression 11%.

The office billed $102,648, Medicare allowed $49,151 and paid $38,371; for 334 services of 30 kinds; $7,633 of it was for drugs given in the office and $30,738 for care.

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
2024115334730.67$102,648$38,371
2023108306740.65$86,015$34,391
2022124320740.69$86,804$33,584
2021124330730.75$85,907$33,234
2020138341740.74$79,473$26,773
2019199543740.98$128,046$40,882
2018230612730.85$149,139$48,602
2017131367730.94$83,849$28,391
201695202730.91$45,711$14,907
20154972711.07$11,754$4,899

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: 6 services

Original Medicare services billed in 2023
Return visit (30+ min)73$11,754$103
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit55$8,775$160
Long return visit (40+ min)31$5,272$146
Short return visit (20+ min)21$1,457$63
Administration of influenza virus vaccine13$492$38
Administration of pneumococcal vaccine12$421$35

2022: 6 services

Original Medicare services billed in 2022
Return visit (30+ min)90$11,769$101
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit51$8,075$158
Long return visit (40+ min)34$6,074$132
Short return visit (20+ min)28$2,392$75
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage13$913$70
Administration of influenza virus vaccine16$606$38

2021: 6 services

Original Medicare services billed in 2021
Return visit (30+ min)85$14,865$107
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit44$6,408$146
Long return visit (40+ min)25$4,173$135
Short return visit (20+ min)32$2,267$63
Influenza vaccine split virus, preservative free13$840$65
Administration of influenza virus vaccine14$304$22

2020: 7 services

Original Medicare services billed in 2020
Return visit (30+ min)94$11,400$81
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit32$4,518$141
Long return visit (40+ min)19$2,322$111
Short return visit (20+ min)32$2,181$59
Influenza vaccine split virus, preservative free17$1,062$59
Administration of influenza virus vaccine17$375$21
Administration of pneumococcal vaccine13$271$21

2019: 8 services

Original Medicare services billed in 2019
Return visit (30+ min)121$15,857$85
Long return visit (40+ min)42$6,703$110
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit45$6,290$140
Short return visit (20+ min)70$4,213$51
Pneumococcal vaccine, 23-valent16$1,759$110
Influenza vaccine split virus, preservative free21$1,114$53
Administration of influenza virus vaccine22$451$21
Administration of pneumococcal vaccine21$431$21

2018: 9 services

Original Medicare services billed in 2018
Return visit (30+ min)138$17,633$84
Long return visit (40+ min)50$10,025$121
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit45$5,909$131
Short return visit (20+ min)77$4,375$50
Pneumococcal vaccine, 13-valent15$2,954$197
Pneumococcal vaccine, 23-valent12$1,267$106
Influenza vaccine split virus, preservative free20$875$44
Administration of pneumococcal vaccine25$669$26
Administration of influenza virus vaccine21$540$26

2017: 7 services

Original Medicare services billed in 2017
Return visit (30+ min)66$7,302$80
Short return visit (20+ min)60$5,579$60
Long return visit (40+ min)22$4,412$119
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit31$3,949$127
Influenza vaccine split virus, preservative free15$634$42
Administration of influenza virus vaccine16$511$32
Administration of pneumococcal vaccine14$425$30

2016: 4 services

Original Medicare services billed in 2016
Return visit (30+ min)40$3,390$74
Short return visit (20+ min)50$3,255$55
Pneumococcal vaccine, 13-valent11$1,929$175
Administration of pneumococcal vaccine12$365$30

2015: 1 service

Original Medicare services billed in 2015
New patient visit (30+ min)28$2,359$84

Drugs they prescribed that Part D paid

$50,913

Pharmacies billed $50,913 in 2024.

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

Opioids were 3% of their Part D prescriptions (39 of 1,210) in 2024. Above the middle of the specialty; the typical family practice clinician is at 2%.

1,106 generic and fewer than 11 brand-name prescriptions · $50,913 in drug cost · 18 antibiotic prescriptions to 15 people.

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
Rosuvastatin87$1,254$14
Atorvastatin87$993$11
Amlodipine Besylate111$895$8
Synthroid11$801$73
Lisinopril95$692$7
See all 26 drugs
Every Part D drug this clinician prescribed
Rosuvastatin87$1,254$14
Atorvastatin87$993$11
Amlodipine Besylate111$895$8
Synthroid11$801$73
Lisinopril95$692$7
Levothyroxine35$442$13
Tamsulosin38$436$11
Finasteride34$384$11
Albuterol Sulfate Hfa16$343$21
Valsartan23$335$15
Sertraline27$289$11
Losartan50$182$4
Gabapentin18$180$10
Hydrochlorothiazide42$179$4
Clonazepam15$175$12
Hydroxyzine11$163$15
Acetaminophen-Codeine12$157$13
Trazodone12$95$8
Metformin29$91$3
Metformin Hcl Er23$73$3
Atenolol14$72$5
Alendronate18$63$4
Cyclobenzaprine14$55$4
Zolpidem16$45$3
Tramadol12$36$3
Temazepam11$36$3

Year by year

Part D prescribing by year
20241,2101213% (39)None$50,913
20231,0531172% (22)7%$62,000
2022914105NoneNone$48,838
20218381052% (18)None$37,748
20208681152% (19)None$54,001
20191,0651391% (15)None$63,234
20181,0311433% (29)None$58,555
2017740946% (45)None$36,107
20162927510% (29)13%$14,774
2015178310% (0)None$11,210
201421130NoneNone$9,826
20139718None24%$5,376

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

See the drugs prescribed each year

2023: 23 drugs

Part D drugs prescribed in 2023
Rosuvastatin68$2,258$33
Amlodipine Besylate95$1,358$14
Lisinopril81$1,162$14
Atorvastatin75$1,035$14
Tamsulosin16$594$37
Levothyroxine36$537$15
Sertraline31$528$17
Finasteride27$518$19
Losartan34$424$12
Omeprazole16$323$20
Metformin23$320$14
Pantoprazole12$256$21
Gabapentin14$244$17
Donepezil12$230$19
Hydrochlorothiazide44$197$4
Metformin Hcl Er21$143$7
Triamcinolone Acetonide16$120$7
Zolpidem19$111$6
Atenolol15$109$7
Clonazepam15$90$6
Alendronate12$86$7
Cyclobenzaprine14$45$3
Tramadol12$30$2

2022: 21 drugs

Part D drugs prescribed in 2022
Triazolam11$1,820$165
Rosuvastatin37$1,745$47
Lisinopril82$1,049$13
Amlodipine Besylate67$874$13
Atorvastatin71$768$11
Metoprolol21$734$35
Levothyroxine38$626$16
Tamsulosin18$606$34
Fluticasone Propionate12$352$29
Omeprazole15$343$23
Finasteride16$315$20
Losartan37$282$8
Donepezil13$222$17
Hydrochlorothiazide41$209$5
Sertraline21$206$10
Atenolol16$179$11
Metformin23$150$7
Cyclobenzaprine16$147$9
Triamcinolone Acetonide11$91$8
Simvastatin11$61$6
Temazepam12$35$3

2021: 18 drugs

Part D drugs prescribed in 2021
Atorvastatin88$1,543$18
Rosuvastatin23$1,134$49
Amlodipine Besylate50$1,049$21
Metoprolol30$651$22
Lisinopril64$649$10
Levothyroxine22$599$27
Losartan34$497$15
Fluticasone Propionate11$380$35
Sertraline16$304$19
Alendronate16$297$19
Hydrochlorothiazide35$251$7
Omeprazole17$234$14
Metformin31$217$7
Atenolol15$161$11
Cyclobenzaprine24$147$6
Simvastatin15$121$8
Temazepam13$86$7
Cephalexin12$67$6

2020: 20 drugs

Part D drugs prescribed in 2020
Morphine Sulfate12$1,886$157
Atorvastatin75$1,131$15
Levothyroxine31$865$28
Atomoxetine11$813$74
Metoprolol34$784$23
Losartan37$558$15
Albuterol Sulfate Hfa12$554$46
Fluticasone Propionate11$498$45
Amlodipine Besylate55$441$8
Metformin28$364$13
Lisinopril54$346$6
Tamsulosin13$293$23
Omeprazole14$203$14
Carvedilol14$162$12
Sertraline13$161$12
Hydrochlorothiazide35$160$5
Atenolol15$152$10
Cyclobenzaprine17$141$8
Zolpidem12$98$8
Simvastatin17$89$5

2019: 29 drugs

Part D drugs prescribed in 2019
Morphine Sulfate11$1,684$153
Levothyroxine52$1,404$27
Metoprolol44$1,275$29
Proair Hfa16$1,120$70
Atorvastatin62$892$14
Clorazepate Dipotassium12$766$64
Losartan48$620$13
Tamsulosin18$519$29
Amlodipine Besylate46$423$9
Finasteride12$387$32
Metformin31$334$11
Diclofenac11$294$27
Lisinopril34$292$9
Omeprazole20$242$12
Atenolol11$231$21
Fluticasone Propionate11$229$21
Mirtazapine12$226$19
Zolpidem12$192$16
Sertraline16$189$12
Gabapentin15$183$12
Trazodone17$181$11
Carvedilol12$157$13
Cephalexin12$138$12
Alendronate15$136$9
Simvastatin16$132$8
Amitriptyline17$127$7
Triamcinolone Acetonide17$118$7
Azithromycin15$116$8
Hydrochlorothiazide19$84$4

2018: 32 drugs

Part D drugs prescribed in 2018
Levothyroxine46$1,348$29
Atorvastatin47$974$21
Proair Hfa13$870$67
Metoprolol30$717$24
Tamsulosin15$595$40
Ventolin Hfa11$578$53
Losartan38$549$14
Celecoxib12$532$44
Mirtazapine19$492$26
Memantine12$406$34
Gabapentin36$378$10
Amlodipine Besylate39$342$9
Pantoprazole14$340$24
Omeprazole22$322$15
Fluticasone Propionate11$302$27
Sotalol11$245$22
Hydrocodone-Acetaminophen13$235$18
Lisinopril31$230$7
Metformin20$212$11
Atenolol19$208$11
Prednisone14$153$11
Azithromycin21$152$7
Clonazepam13$127$10
Sertraline11$123$11
Alendronate11$123$11
Cephalexin11$115$10
Amoxicillin-Clavulanate Potass11$107$10
Hydrochlorothiazide18$87$5
Metformin Hcl Er11$76$7
Lisinopril-Hydrochlorothiazide12$75$6
Simvastatin11$64$6
Triamcinolone Acetonide11$58$5

2017: 16 drugs

Part D drugs prescribed in 2017
Morphine Sulfate11$1,392$127
Levothyroxine37$1,171$32
Tamsulosin12$693$58
Atorvastatin36$654$18
Metoprolol15$272$18
Pantoprazole15$271$18
Losartan15$258$17
Gabapentin26$248$10
Hydrocodone-Acetaminophen16$221$14
Sertraline23$169$7
Lisinopril34$150$4
Hydrochlorothiazide22$132$6
Omeprazole18$128$7
Amlodipine Besylate30$124$4
Metformin Hcl Er11$88$8
Simvastatin20$85$4

2016: 4 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen15$477$32
Gabapentin14$103$7
Naproxen12$84$7
Zolpidem12$33$3

2015: 2 drugs

Part D drugs prescribed in 2015
Tamsulosin12$285$24
Naproxen16$139$9

2014: 4 drugs

Part D drugs prescribed in 2014
Metformin14$344$25
Lisinopril14$150$11
Tamsulosin11$140$13
Warfarin19$131$7

Money from drug and device companies

$49 in 2022

Industry payments by year
202211None$49
202111None$28

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
CooperSurgicalParagard$49
1 payment
  • Meals for Paragard · 2022-10-19 · $49
See the published payment
Every published payment
CooperSurgicalMeals · 2022-10-19Paragard$49
See earlier years (2021)

2021: $28

Payments by company in 2021
CooperSurgicalParagard$28
1 payment
  • Meals for Paragard · 2021-03-30 · $28

Professional record

NPI
1740535608
Licence
CA A139100, IL 125-06420California A139100: Current · expires 2027-11-30
Trained
University of Miami, Lm Miller School of Medicine, 2012
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2012-07-17
NPI last updated
2020-05-29
NPI record certified
2020-05-29

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