Skip to main content
UniHealth

Doctor search

James Daniel Byrne, MD

Maternal & Fetal Medicine · San Jose

NPI 1831134097

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
5
2 carriers
Office
1

Offices

1 location

Plans that list them

5 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Byrne’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

5 of 5 plans

Plans whose provider directory lists this clinician
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence G74780 · Current

Licensed to practise in California · since 1992 · expires 2028-03-31 · Loyola University of Chicago Stritch School of Medicine.

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

Medicaid work

$23,846 in 2024

Medicaid paid $23,846 for 1,284 billed services this clinician did in 2024, up to 72 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
Clinic visit/encounter, all-inclusive25$13,198
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation313$3,926
Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus466$3,136
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses185$1,582
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation87$954
FETAL NON-STRESS TEST150$629
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation12$421
Medication list documented in medical record (COA)46$0
Medicaid work by year
20241,284872$23,846
20231,8031071$97,563
20221,4671658$98,996
2021859742$38,325
20201,261830$359,451
20191,654735$442,319
20182,631983$709,907
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive175$87,127
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation361$4,201
Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus488$3,116
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses216$1,126
FETAL NON-STRESS TEST287$834
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation75$518
Return visit (30+ min)52$236
Short return visit (20+ min)125$217
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique12$94
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique12$94

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive176$87,546
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation280$4,488
Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus317$2,734
Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens, algorithm reported as a positive or negative result for bacterial vaginosis32$1,044
Return visit (30+ min)164$915
FETAL NON-STRESS TEST151$597
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses75$565
Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result58$552
Short return visit (20+ min)24$132
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique20$122
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under physician supervision69$106
Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique20$75

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive59$30,013
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation245$3,181
Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus316$2,846
Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation109$1,530
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses50$513
FETAL NON-STRESS TEST64$218
Short return visit (20+ min)16$26

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive846$354,229
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only158$2,839
Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus137$1,221
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation45$544
Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation12$322
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses17$186
FETAL NON-STRESS TEST20$110
Short return visit (20+ min)26$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive1,084$437,657
Return visit (30+ min)201$1,661
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation103$1,130
Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus158$990
Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation28$554
FETAL NON-STRESS TEST63$189
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses17$138

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive1,743$703,630
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation182$2,094
Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus228$1,170
Return visit (30+ min)72$848
Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation65$714
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses102$627
FETAL NON-STRESS TEST124$406
OFF/OP EST MAY X REQ PHY/QHP99$366
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation16$52

Drugs they prescribed that Part D paid

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

Opioids were 0% of their 13 Part D prescriptions in 2015. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.

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

Year by year

Part D prescribing by year
201513None0% (0)None$266
201429None0% (0)None$2,378
201333None0% (0)None$625

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

See the drugs prescribed each year

2014: 1 drug

Part D drugs prescribed in 2014
Venlafaxine Hcl Er11$156$14

2013: 1 drug

Part D drugs prescribed in 2013
Sertraline12$154$13

Money from drug and device companies

$14 in 2022

A payment is not proof that care is biased.

Payments by company
Novo NordiskOzempic$14
1 payment
  • Meals for Ozempic · 2022-02-14 · $14
See the published payment
Every published payment
Novo NordiskMeals · 2022-02-14Ozempic$14

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1831134097
Licence
CA G74780California G74780: Current · expires 2028-03-31
More record details
Sole proprietor
No
Medicaid ID
CA 00G747800
Taxonomy
Federal specialty code 207VM0101X (207VM0101X); Federal specialty code 207V00000X (207V00000X)
Mailing address
751 S Bascom Ave, Ob Gyn Dept, San Jose, CA, 95128
NPI first listed
2006-06-19
NPI last updated
2025-09-11

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