Niraj Lal, MD
Otolaryngology · San Francisco
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 13
- 1 carrier
- Office
- 1
Offices
1 location · Regents Univ of California UCSF · 276 clinicians in this group
Plans that list them
13 plans · 1 carrier
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Lal’s office at (415) 476-1000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| Alignment Health Advantage PPO (PPO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Harmony (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Silicon (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health the ONE (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
California Medical Board record
Licence A41784 · Current
Licensed to practise in California · since 1985 · expires 2027-04-30 · University of Lucknow, K. G. Medical College.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$29,073
Medicare paid this office $29,073 for 246 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| New patient visit (30+ min) | 149 | $12,670 | $85 |
| Short return visit (20+ min) | 55 | $5,088 | $73 |
| New patient visit (45+ min) | 28 | $3,810 | $136 |
| Return visit (30+ min) | 23 | $2,412 | $105 |
| Removal of impacted ear wax | 50 | $1,869 | $37 |
See all 6 services
| New patient visit (30+ min) | 149 | $12,670 | $85 |
| Short return visit (20+ min) | 55 | $5,088 | $73 |
| New patient visit (45+ min) | 28 | $3,810 | $136 |
| Return visit (30+ min) | 23 | $2,412 | $105 |
| Removal of impacted ear wax | 50 | $1,869 | $37 |
| Diagnostic exam of voice box using a flexible endoscope | 15 | $1,586 | $106 |
Procedures Medicare counted
| Removal of skin lesions | 1-10 | None |
Who their Medicare patients are
246 Original Medicare patients in 2024. Average age 76 · Under 65 7% · 85 and older 18% · Women 63% · Also on Medicaid 22% · Health risk score 1.22. Above the middle of the specialty; the typical otolaryngology clinician is at 1.19.
Conditions among them: High blood pressure 75% · Diabetes 36% · Coronary heart disease 30% · Chronic kidney disease 28% · Atrial fibrillation 19% · COPD 17% · Depression 16% · Heart failure 14% · Cancer 10% · Stroke 9% · Dementia 7%.
The office billed $116,329, Medicare allowed $37,478 and paid $29,073; for 354 services of 15 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
| 2024 | 246 | 354 | 76 | 1.22 | $116,329 | $29,073 |
| 2023 | 80 | 126 | 71 | 1.27 | $37,814 | $10,475 |
| 2022 | 13 | 25 | 77 | 0.87 | $5,267 | $2,282 |
| 2021 | 68 | 117 | 75 | 1.41 | $27,552 | $11,396 |
| 2020 | 97 | 166 | 74 | 1.18 | $40,942 | $14,997 |
| 2019 | 54 | 109 | 73 | 1.55 | $41,225 | $11,782 |
| 2018 | 75 | 159 | 72 | 2.01 | $48,107 | $17,176 |
| 2017 | 58 | 124 | 73 | 1.59 | $26,895 | $15,249 |
| 2016 | 28 | 61 | 71 | 2.72 | $18,130 | $7,961 |
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: 4 services
| New patient visit (30+ min) | 27 | $2,261 | $84 |
| Return visit (30+ min) | 13 | $1,290 | $99 |
| Removal of impacted ear wax | 23 | $861 | $37 |
| New patient visit (15+ min) | 12 | $718 | $60 |
2021: 3 services
| New patient visit (45+ min) | 55 | $6,725 | $122 |
| Return visit (30+ min) | 11 | $1,185 | $99 |
| Removal of impacted ear wax | 21 | $681 | $32 |
2020: 4 services
| New patient visit (45+ min) | 65 | $7,606 | $117 |
| Return visit (30+ min) | 17 | $1,821 | $83 |
| New patient visit (30+ min) | 17 | $1,429 | $84 |
| Removal of impacted ear wax | 27 | $978 | $35 |
2019: 4 services
| New patient visit (45+ min) | 33 | $4,654 | $141 |
| Return visit (30+ min) | 21 | $2,800 | $97 |
| Diagnostic exam of voice box using a flexible endoscope | 11 | $1,333 | $111 |
| Removal of impacted ear wax | 15 | $695 | $41 |
2018: 5 services
| New patient visit (45+ min) | 49 | $6,944 | $142 |
| Return visit (30+ min) | 24 | $2,770 | $99 |
| Diagnostic exam of voice box using a flexible endoscope | 13 | $1,339 | $103 |
| Short return visit (20+ min) | 12 | $808 | $54 |
| Removal of impacted ear wax | 12 | $448 | $37 |
2017: 5 services
| New patient visit (45+ min) | 30 | $4,417 | $147 |
| Diagnostic exam of nasal passages using an endoscope | 13 | $2,767 | $213 |
| New patient visit (30+ min) | 15 | $1,520 | $101 |
| Return visit (30+ min) | 11 | $1,115 | $93 |
| Short return visit (20+ min) | 14 | $1,038 | $69 |
2016: 1 service
| New patient visit (45+ min) | 18 | $2,737 | $152 |
Medicaid work
$1,312 in 2024
Medicaid paid $1,312 for 12 billed services this clinician did in 2024, up to 12 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.
| New patient visit (30+ min) | 12 | $1,312 |
| 2024 | 12 | 1 | 12 | $1,312 |
| 2021 | 42 | 1 | 21 | $3,983 |
| 2020 | 97 | 2 | 21 | $6,907 |
| 2019 | 19 | 1 | 19 | $0 |
See the largest Medicaid services in earlier years
2021
| New patient visit (45+ min) | 42 | $3,983 |
2020
| New patient visit (45+ min) | 77 | $5,862 |
| New patient visit (30+ min) | 20 | $1,045 |
2019
| New patient visit (30+ min) | 19 | $0 |
Money from drug and device companies
$18 in 2025
| 2025 | 1 | 1 | None | $18 |
| 2024 | 1 | 1 | None | $40 |
| 2022 | 1 | 1 | None | $23 |
| 2021 | 1 | 1 | None | $14 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Regeneron Healthcare Solutions | Dupixent | $18 | 1 payment
|
See the published payment
| Regeneron Healthcare Solutions | Meals · 2025-11-06 | Dupixent | $18 |
See earlier years (2024, 2022, 2021)
2024: $40
| Stryker | Hemopore | $40 | 1 payment
|
2022: $23
| Stryker | Xpress Ent Dilation System | $23 | 1 payment
|
2021: $14
| Merck Sharp & Dohme | None | $14 | 1 payment
|
Professional record
- NPI
- 1770614059
- Licence
- CA A41784, IN 01082789ACalifornia A41784: Current · expires 2027-04-30
- Gender
- Male
More record details
- Sole proprietor
- No
- Medicaid ID
- IN 300072539
- Taxonomy
- Otolaryngology (207Y00000X)
- Mailing address
- 250 N Shadeland Ave, Indianapolis, IN, 46219
- NPI first listed
- 2007-03-08
- NPI last updated
- 2025-08-06
- NPI record certified
- 2025-08-06
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 2651 E Discoery Pkwy, Bloomington, IN, 47408 · 710 Lawrence Expy, Santa Clara, CA, 95051
This office lists an electronic records connection.