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Everett Lai, MD

Internal Medicine · San Jose

NPI 1770019416

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
4
1 carrier
Office
1

Offices

1 location · Permanente Medical Group Inc · 10,928 clinicians in this group

Looking this up.

Hospitals listed: Kaiser Foundation Hospital-San Jose · Kaiser Foundation Hospital-Santa Clara. That is not proof they admit you there this week.

Plans that list them

4 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Lai’s office at (408) 972-3000 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
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Dual Complete North P23 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Basic Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026

California Medical Board record

Licence A159713 · Current

Licensed to practise in California · since 2018 · expires 2026-11-30 · Albert Einstein College of Medicine of Yeshiva University.

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

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
97.2 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Hospitals they work in

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Kaiser Foundation Hospital-San JoseSan Jose, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Kaiser Permanente, which runs 41 hospitals in 3 statesPatients rate it 3 of 5 · 66% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.258, Oct 2024 – Sep 2025
  • Kaiser Foundation Hospital-Santa ClaraSanta Clara, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Kaiser Permanente, which runs 41 hospitals in 3 statesPatients rate it 3 of 5 · 75% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.38, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital-San Jose

Behind the star rating — Deaths: 0 better, 3 the same, 0 worse of 3 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 2 the same, 0 worse of 2 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Kaiser Foundation Hospital-San Jose
Clostridium Difficile (C.Diff)Infections0.258BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.3 (0.22 to 2.37) · 181 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.89 (0.43 to 1.34)No differentJul 2022 – Jun 2024
Death rate for pneumonia patientsComplications and deaths14.2 · 27 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.6 · 271 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 2,952 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.27 (0.04 to 0.5) · 894 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 908 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.19 (0.67 to 5.72) · 176 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.63 (0 to 3.34) · 61 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.23 (0.53 to 3.92) · 168 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.11 (0 to 17.58) · 68 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.85 (0.67 to 9.03) · 63 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.74 (0.22 to 3.26) · 51 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.43 (0 to 1.53) · 630 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 48 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.843No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.88No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.611No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15 · 171 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.9 · 571 casesNoneJul 2023 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits147.1 · 28 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits21 · 639 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.6 · 48 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 157 casesNoneJul 2023 – Jun 2025

What patients said (1,294 patients answered, 21% of those asked)

Patient survey stars by topic at Kaiser Foundation Hospital-San Jose
Cleanliness4
Nurse communication2
Doctor communication4
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Kaiser Foundation Hospital-San Jose
Room was "always" clean71%
Nurses "always" communicated well70%
Doctors "always" communicated well79%
Staff "always" explained54%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)61%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully66%
Nurses "always" treated them with courtesy and respect78%
"Always" quiet at night37%
"YES", patients would definitely recommend the hospital66%
Staff "always" explained possible side effects41%
Yes, staff "did" give patients information about possible symptoms85%
See every measure and the patient survey for Kaiser Foundation Hospital-Santa Clara

Behind the star rating — Deaths: 0 better, 3 the same, 0 worse of 3 measures. Safety: 2 better, 4 the same, 0 worse of 6 measures. Readmissions: 0 better, 1 the same, 1 worse of 2 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Kaiser Foundation Hospital-Santa Clara
Clostridium Difficile (C.Diff)Infections0.38BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.01 (0 to 2.09) · 181 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.61 to 1.42)No differentJul 2022 – Jun 2024
Death rate for stroke patientsComplications and deaths10.5 · 312 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 3,736 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.43) · 910 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 1,036 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.53 (2.03 to 7.03) · 235 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.57 (0 to 3.25) · 83 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.5 (0.82 to 4.18) · 178 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.73 (3.81 to 19.64) · 74 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.31 (1.3 to 9.32) · 94 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.75 (0.22 to 3.28) · 37 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.34 (0 to 1.34) · 819 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.72No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.049No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.598No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.926No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13 · 589 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.7 · 828 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits107.6 · 27 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.9 · 642 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits7.8 · 249 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.6 · 181 casesNoneJul 2023 – Jun 2025

What patients said (572 patients answered, 25% of those asked)

Patient survey stars by topic at Kaiser Foundation Hospital-Santa Clara
Cleanliness4
Nurse communication3
Doctor communication4
Communication about medicines2
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Kaiser Foundation Hospital-Santa Clara
Room was "always" clean72%
Nurses "always" communicated well75%
Doctors "always" communicated well80%
Staff "always" explained57%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully71%
Nurses "always" treated them with courtesy and respect82%
"Always" quiet at night44%
"YES", patients would definitely recommend the hospital75%
Staff "always" explained possible side effects42%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$3,955

Medicare paid this office $3,955 for 102 people.

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

Largest Original Medicare bills
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function11$674$61
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only77$663$7

Who their Medicare patients are

102 Original Medicare patients in 2024. Average age 73 · Under 65 18% · 85 and older 22% · Women 47% · Also on Medicaid 59% · Health risk score 2.00. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Diabetes 47% · Coronary heart disease 37% · Chronic kidney disease 37% · Atrial fibrillation 34% · Heart failure 32% · Dementia 29% · Depression 26% · Stroke 24% · COPD 20% · Cancer 11%.

The office billed $17,870, Medicare allowed $5,282 and paid $3,955; for 147 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
2024102147732.00$17,870$3,955
202393173752.29$85,575$16,923
202263114783.08$41,622$9,851

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: 2 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes69$14,028$105
Hospital discharge day management, more than 30 minutes18$1,852$103

2022: 1 service

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes49$7,837$90

Medicaid work

$10,181 in 2024

Medicaid paid $10,181 for 689 billed services this clinician did in 2024, up to 102 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
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only676$6,515
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography13$3,666
Medicaid work by year
20246892102$10,181
2023188166$300
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only188$300

Drugs they prescribed that Part D paid

$126,774

Pharmacies billed $126,774 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 562) in 2024. At or below the middle of the specialty; the typical internal medicine clinician is at 1%.

434 generic and 128 brand-name prescriptions · $126,774 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
Entresto41$51,640$1,260
Eliquis18$31,729$1,763
Jardiance40$21,265$532
Pradaxa20$5,957$298
Metoprolol146$1,841$13
See all 13 drugs
Every Part D drug this clinician prescribed
Entresto41$51,640$1,260
Eliquis18$31,729$1,763
Jardiance40$21,265$532
Pradaxa20$5,957$298
Metoprolol146$1,841$13
Amiodarone17$553$33
Atorvastatin33$386$12
Amlodipine Besylate32$385$12
Furosemide26$353$14
Carvedilol26$285$11
Spironolactone26$259$10
Losartan23$237$10
Rosuvastatin20$228$11

Year by year

Part D prescribing by year
20245621460% (0)23%$126,774
2023117490% (0)31%$29,317
2022114430% (0)35%$21,293
202180300% (0)16%$5,913

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

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Clopidogrel11$445$40
Metoprolol17$296$17
Atorvastatin12$196$16

2022: 4 drugs

Part D drugs prescribed in 2022
Eliquis17$10,088$593
Metoprolol13$224$17
Losartan11$99$9
Furosemide14$55$4

Money from drug and device companies

$100 in 2023

Industry payments by year
202313None$100
202222None$100
20211037None$834
2020821None$530

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
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Lifevest$100
3 payments
  • Meals for Lifevest · 2023-06-16 · $74
  • Meals for Lifevest · 2023-05-03 · $3
  • Meals for Lifevest · 2023-05-03 · $24
See all 3 published payments
Every published payment
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Meals · 2023-06-16Lifevest$74
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Meals · 2023-05-03Lifevest$3
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Meals · 2023-05-03Lifevest$24
See earlier years (2022, 2021, 2020)

2022: $100

Payments by company in 2022
AmgenRepatha$78
1 payment
  • Meals for Repatha · 2022-08-03 · $78
Boston ScientificGeneral - Brady$22
1 payment
  • Meals for General - Brady · 2022-07-13 · $22

2021: $834

Payments by company in 2021
MedtronicCorevalve Evolut$162
1 payment
  • Meals for Corevalve Evolut · 2021-12-09 · $162
Boehringer Ingelheim PharmaceuticalsJardiance$140
6 payments
  • Meals for Jardiance · 2021-11-30 · $23
  • Meals for Jardiance · 2021-10-06 · $27
  • Meals for Jardiance · 2021-09-01 · $24
  • Meals for Jardiance · 2021-07-06 · $18
  • Meals for Jardiance · 2021-04-07 · $25
  • Meals for Jardiance · 2021-02-02 · $22
PfizerEliquis$131
6 payments
  • Meals for Eliquis · 2021-10-05 · $20
  • Meals for Eliquis · 2021-08-10 · $21
  • Meals for Eliquis · 2021-07-29 · $21
  • Meals for Eliquis · 2021-05-25 · $23
  • Meals for Eliquis · 2021-03-30 · $21
  • Meals for Eliquis · 2021-02-17 · $25
Chiesi USAKengreal$123
8 payments
  • Meals for Kengreal · 2021-10-13 · $18
  • Meals for Kengreal · 2021-10-06 · $27
  • Meals for Kengreal · 2021-09-17 · $16
  • Meals for Kengreal · 2021-08-18 · $15
  • Meals for Kengreal · 2021-06-16 · $14
  • Meals for Kengreal · 2021-04-29 · $12
  • Meals for Cleviprex · 2021-03-03 · $11
  • Meals for Kengreal · 2021-01-21 · $10
AstraZeneca Pharmaceuticals LPBrilinta$116
8 payments
  • Meals for Brilinta · 2021-11-16 · $20
  • Meals for Brilinta · 2021-10-27 · $14
  • Meals for Brilinta · 2021-09-07 · $21
  • Meals for Brilinta · 2021-07-14 · $14
  • Meals for Brilinta · 2021-05-05 · $17
  • Meals for Brilinta · 2021-03-24 · $16
  • Meals for Farxiga · 2021-01-19 · $0
  • Meals for Farxiga · 2021-01-19 · $14
E.R. Squibb & Sons L.L.C.Eliquis$71
3 payments
  • Meals for Eliquis · 2021-09-21 · $23
  • Meals for Eliquis · 2021-05-11 · $23
  • Meals for Eliquis · 2021-03-09 · $25
AmgenRepatha$33
2 payments
  • Meals for Repatha · 2021-03-03 · $21
  • Meals for Repatha · 2021-01-26 · $13
Esperion TherapeuticsNexletol$27
1 payment
  • Meals for Nexletol · 2021-06-06 · $27
LundbeckNorthera$20
1 payment
  • Meals for Northera · 2021-02-03 · $20
Boston ScientificGeneral Brady$12
1 payment
  • Meals for General Brady · 2021-08-13 · $12

2020: $530

Payments by company in 2020
Boehringer Ingelheim PharmaceuticalsJardiance$127
4 payments
  • Meals for Jardiance · 2020-12-02 · $33
  • Meals for Jardiance · 2020-10-20 · $32
  • Meals for Jardiance · 2020-10-13 · $31
  • Meals for Jardiance · 2020-08-25 · $31
PfizerEliquis$99
4 payments
  • Meals for Eliquis · 2020-12-23 · $30
  • Meals for Eliquis · 2020-11-10 · $24
  • Meals for Eliquis · 2020-09-08 · $21
  • Meals for Eliquis · 2020-08-19 · $24
LundbeckNorthera$94
4 payments
  • Meals for Northera · 2020-12-08 · $20
  • Meals for Northera · 2020-11-17 · $34
  • Meals for Northera · 2020-11-03 · $21
  • Meals for Northera · 2020-09-14 · $18
AmgenCorlanor$81
4 payments
  • Meals for Repatha · 2020-12-16 · $22
  • Meals for Repatha · 2020-10-27 · $15
  • Meals for Corlanor · 2020-09-23 · $22
  • Meals for Corlanor · 2020-07-28 · $21
Abbott LaboratoriesPerclose Proglide Suture Mediated Closure System$56
2 payments
  • Meals for Perclose Proglide Suture Mediated Closure System · 2020-10-27 · $27
  • Meals for Perclose Proglide Suture Mediated Closure System · 2020-09-08 · $29
Actelion Pharmaceuticals USOpsumit$36
1 payment
  • Meals for Opsumit · 2020-11-04 · $36
AstraZeneca Pharmaceuticals LPFarxiga$21
1 payment
  • Meals for Farxiga · 2020-10-01 · $21
Janssen PharmaceuticalsXarelto$17
1 payment
  • Meals for Xarelto · 2020-11-18 · $17

Professional record

NPI
1770019416
Licence
CA A159713California A159713: Current · expires 2026-11-30
Trained
Albert Einstein College of Medicine of Yeshiva University, 2017
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Cardiology (207RC0000X)
Mailing address
270 International Circle, Building 3, 2nd Floor, San Jose, CA, 95119
NPI first listed
2017-05-01
NPI last updated
2023-08-16
NPI record certified
2023-08-16

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

This office lists an electronic records connection.