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Raffi Avedian, MD

Orthopedic Surgery · Stanford

NPI 1821261371

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
11
3 carriers
Offices
3

Offices

3 locations · Stanford Health Care · 3,152 clinicians in this group

Looking this up.

Hospitals listed: Stanford Health Care. That is not proof they admit you there this week.

Plans that list them

11 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Avedian’s office at (650) 723-4000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

11 of 11 plans

Plans whose provider directory lists this clinician
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
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

California Medical Board record

Licence A86813 · Current

Licensed to practise in California · since 2004 · expires 2027-11-30 · University of Chicago, Pritzker School of Medicine.

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

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.

  • Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Stanford Health Care

Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$74,392

Medicare paid this office $74,392 for 133 people.

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

Largest Original Medicare bills
Return visit (30+ min)53$5,363$88
New patient visit (60+ min)19$2,909$153
New patient visit (45+ min)18$2,131$118
Long return visit (40+ min)16$1,959$115
Short return visit (20+ min)21$1,284$58

Procedures Medicare counted

Procedure volume Medicare published
Hip replacement1-10None
Knee replacement1-10None
Melanoma (skin cancer) excision1-10None

Who their Medicare patients are

133 Original Medicare patients in 2024. Average age 73 · Women 54% · Also on Medicaid 15% · Health risk score 1.56. Above the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 64% · Cancer 35% · Diabetes 26% · Chronic kidney disease 24% · Depression 22% · Coronary heart disease 20% · Atrial fibrillation 15% · Heart failure 11% · Dementia 9% · COPD 8%.

The office billed $578,852, Medicare allowed $94,602 and paid $74,392; for 252 services of 71 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
2024133252731.56$578,852$74,392
2023134338721.54$973,033$111,027
2022119271731.60$609,417$78,860
2021153303731.63$687,448$93,151
2020124294731.70$678,791$92,537
2019147391721.78$805,920$119,100
2018122318731.88$770,823$106,730
201787243712.17$693,669$96,428
2016129364691.98$684,207$95,854
2015162457701.67$909,214$130,739
2014134264722.05$476,500$82,422
2013130297711.81$569,973$96,192

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: 5 services

Original Medicare services billed in 2023
Long return visit (40+ min)38$5,586$127
New patient visit (60+ min)30$4,798$160
Return visit (30+ min)39$3,818$89
New patient visit (45+ min)15$1,849$123
Short return visit (20+ min)15$960$60

2022: 4 services

Original Medicare services billed in 2022
Long return visit (40+ min)44$5,764$113
New patient visit (60+ min)34$5,254$155
Return visit (30+ min)32$2,857$79
Short return visit (20+ min)11$517$47

2021: 5 services

Original Medicare services billed in 2021
New patient visit (60+ min)35$5,883$168
Long return visit (40+ min)31$3,999$114
Return visit (30+ min)40$3,510$73
New patient visit (45+ min)12$1,478$123
Short return visit (20+ min)19$1,308$57

2020: 5 services

Original Medicare services billed in 2020
New patient visit (60+ min)40$5,987$150
Release of arm or leg nerve11$3,705$265
Return visit (30+ min)39$3,254$69
Long return visit (40+ min)28$2,328$80
Short return visit (20+ min)11$518$47

2019: 3 services

Original Medicare services billed in 2019
New patient visit (60+ min)49$7,091$145
Long return visit (40+ min)61$6,441$89
Return visit (30+ min)34$2,282$65

2018: 4 services

Original Medicare services billed in 2018
New patient visit (60+ min)39$5,647$145
Long return visit (40+ min)45$4,502$88
Initial hospital care with moderate level of medical decision making at least 75 minutes13$2,365$182
Return visit (30+ min)19$1,118$56

2017: 3 services

Original Medicare services billed in 2017
Long return visit (40+ min)34$3,667$94
New patient visit (60+ min)18$2,692$150
Return visit (30+ min)16$1,024$60

2016: 4 services

Original Medicare services billed in 2016
Long return visit (40+ min)57$6,684$97
New patient visit (60+ min)29$3,833$132
Return visit (30+ min)37$2,632$61
Short return visit (20+ min)12$593$46

2015: 5 services

Original Medicare services billed in 2015
New patient visit (60+ min)45$6,632$147
Long return visit (40+ min)54$6,138$93
Return visit (30+ min)48$3,569$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,465$122
Short return visit (20+ min)16$821$46

2014: 3 services

Original Medicare services billed in 2014
New patient visit (60+ min)40$5,752$144
Long return visit (40+ min)40$4,444$97
Return visit (30+ min)38$2,970$68

2013: 3 services

Original Medicare services billed in 2013
New patient visit (60+ min)37$5,361$145
Return visit (30+ min)61$4,776$64
Long return visit (40+ min)29$2,916$91

Money from drug and device companies

$3,956 in 2025

Industry payments by year
202534$2,747$3,956
2024312$7,251$8,963
202211None$137
202011None$44
201917None$916

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
Musculoskeletal Transplant FoundationNone$3,032
2 payments
  • Travel · 2025-01-29 · $1,032
  • Honoraria · 2025-01-29 · $2,000
restor3dNone$747
1 payment
  • Consulting · 2025-02-27 · $747
Onkos SurgicalEleos Limb Salvage System$177
1 payment
  • Meals for Eleos Limb Salvage System · 2025-04-17 · $177
See all 4 published payments
Every published payment
Onkos SurgicalMeals · 2025-04-17Eleos Limb Salvage System$177
restor3dConsulting · 2025-02-27None$747
Musculoskeletal Transplant FoundationTravel · 2025-01-29None$1,032
Musculoskeletal Transplant FoundationHonoraria · 2025-01-29None$2,000
See earlier years (2024, 2022, 2020, 2019)

2024: $8,963

Payments by company in 2024
SpringWorks TherapeuticsOgsiveo$7,844
10 payments
  • Paid to speak or teach for Ogsiveo · 2024-06-26 · $1,210
  • Paid to speak or teach for Ogsiveo · 2024-05-02 · $4,991
  • Travel for Ogsiveo · 2024-05-01 · $13
  • Travel for Ogsiveo · 2024-05-01 · $48
  • Travel for Ogsiveo · 2024-05-01 · $54
  • Travel for Ogsiveo · 2024-05-01 · $56
  • Travel for Ogsiveo · 2024-05-01 · $69
  • Meals for Ogsiveo · 2024-04-16 · $147
  • Travel for Ogsiveo · 2024-04-16 · $457
  • Travel for Ogsiveo · 2024-04-16 · $798
restor3dNone$1,050
1 payment
  • Consulting · 2024-02-11 · $1,050
Zimmer Biomet HoldingsCompress Device$70
1 payment
  • Meals for Compress Device · 2024-04-09 · $70

2022: $137

Payments by company in 2022
Onkos SurgicalEleos Limb Salvage System$137
1 payment
  • Meals for Eleos Limb Salvage System · 2022-03-24 · $137

2020: $44

Payments by company in 2020
DePuy Synthes SalesTrumatch$44
1 payment
  • Meals for Trumatch · 2020-09-10 · $44

2019: $916

Payments by company in 2019
Daiichi SankyoTuralio$916
7 payments
  • Meals for Turalio · 2019-12-07 · $25
  • Meals for Turalio · 2019-12-07 · $44
  • Meals for Turalio · 2019-12-07 · $67
  • Travel for Turalio · 2019-12-06 · $125
  • Meals for Turalio · 2019-12-06 · $25
  • Travel for Turalio · 2019-12-06 · $414
  • Travel for Turalio · 2019-12-06 · $215

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
76.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1821261371
Licence
CA A86813California A86813: Current · expires 2027-11-30
Trained
University of Chicago, Pritzker School of Medicine, 2002
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Orthopedic surgery (207X00000X); Federal specialty code 207XS0114X (207XS0114X)
Mailing address
450 Broadway St, Pavilion C, Mc 6342, Redwood City, CA, 94063
NPI first listed
2008-04-04
NPI last updated
2024-04-23
NPI record certified
2024-04-23

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

Extra NPI addresses: 450 Broadway St, Redwood City, CA, 94063