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David A Nix, MD

Emergency Medicine · Santa Clara

NPI 1831124775

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · Permanente Medical Group Inc · 10,928 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Nix’s office at (408) 851-1000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A88149 · Current

Licensed to practise in California · since 2004 · expires 2028-02-29 · Stanford University School of Medicine.

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

Original Medicare doctor bills

$1,272

Medicare paid this office $1,272 for 13 people.

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

Who their Medicare patients are

13 Original Medicare patients in 2024. Average age 64 · Health risk score 2.49. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.

The office billed $8,453, Medicare allowed $1,805 and paid $1,272; for 13 services of 3 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
20241313642.49$8,453$1,272
20231717632.95$10,208$1,441
20211112563.60$4,444$910
20191919742.19$8,862$1,802
20181215752.98$7,224$1,597
20161718713.40$7,510$1,509
20151213761.68$5,721$1,179
20142121702.26$8,090$1,435
20131721612.75$10,845$2,065

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

2019: 1 service

Original Medicare services billed in 2019
Emergency department visit with moderate level of medical decision making15$1,416$94

Medicaid work

$1,335 in 2024

Medicaid paid $1,335 for 15 billed services this clinician did in 2024, 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 2024
EMERGENCY DEPT VISIT LOW MDM15$1,335
Medicaid work by year
202415115$1,335
202314114$0
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM14$0

Drugs they prescribed that Part D paid

$4,579

Pharmacies billed $4,579 in 2024.

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

Opioids were 5% of their Part D prescriptions (12 of 224) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.

208 generic and 16 brand-name prescriptions · $4,579 in drug cost · 49 antibiotic prescriptions to 45 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
Ofloxacin15$211$14
Moxifloxacin13$122$9
Ondansetron Odt14$90$6
Fluconazole11$64$6

Year by year

Part D prescribing by year
20242241845% (12)7%$4,579
20231651257% (11)None$2,994
20221231029% (11)None$1,517
202110371None13%$2,360
20201006611% (11)16%$5,170
20191167911% (13)None$5,489
2018856817% (14)13%$1,914
2017987312% (12)13%$3,282
201613210912% (16)None$2,438
201523017616% (37)11%$5,487
201415312014% (22)9%$2,625
201315512510% (16)None$2,543

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

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Polymyxin B Sul-Trimethoprim16$183$11
Ondansetron Odt11$74$7

2022: 1 drug

Part D drugs prescribed in 2022
Polymyxin B Sul-Trimethoprim11$124$11

2018: 1 drug

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen11$78$7

2016: 2 drugs

Part D drugs prescribed in 2016
Cephalexin41$428$10
Hydrocodone-Acetaminophen12$149$12

2015: 4 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen31$439$14
Cephalexin45$398$9
Nabumetone13$284$22
Ondansetron Odt18$208$12

2014: 3 drugs

Part D drugs prescribed in 2014
Cephalexin33$324$10
Ondansetron Odt12$215$18
Hydrocodone-Acetaminophen13$103$8

2013: 3 drugs

Part D drugs prescribed in 2013
Cephalexin20$235$12
Sulfamethoxazole-Trimethoprim21$137$7
Hydrocodone-Acetaminophen13$108$8

Professional record

NPI
1831124775
Licence
CA A88149California A88149: Current · expires 2028-02-29
Trained
Stanford University School of Medicine, 2003
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
700 Lawrence Expy, Santa Clara, CA, 95051
NPI first listed
2006-07-11
NPI last updated
2021-12-13

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

This office lists an electronic records connection.