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Puya Abbassi, DO

Neurology · San Jose

NPI 1831695428

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
20
4 carriers
Office
1

Offices

1 location · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

20 plans · 4 carriers

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

20 of 20 plans

Plans whose provider directory lists this clinician
Aetna Medicare Eagle (PPO)Aetna MedicareListedSep 8, 2026
Aetna Medicare Enhanced (PPO)Aetna MedicareListedSep 8, 2026
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
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
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

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.

  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 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 Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$23,942

Medicare paid this office $23,942 for 187 people.

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

Largest Original Medicare bills
Long return visit (40+ min)42$6,097$109
Initial hospital care with moderate level of medical decision making at least 75 minutes31$4,736$139
Return visit (30+ min)40$2,381$51
Critical care, first 30-74 minutes12$2,269$175
Measurement of brain wave activity (eeg), 2-12 hours with health care professional review and report22$1,927$88
See all 7 services
Every Original Medicare service billed
Long return visit (40+ min)42$6,097$109
Initial hospital care with moderate level of medical decision making at least 75 minutes31$4,736$139
Return visit (30+ min)40$2,381$51
Critical care, first 30-74 minutes12$2,269$175
Measurement of brain wave activity (eeg), 2-12 hours with health care professional review and report22$1,927$88
Measurement of brain wave activity (eeg), awake and drowsy32$1,498$45
Measurement of brain wave activity (eeg), awake and asleep16$777$46

Who their Medicare patients are

187 Original Medicare patients in 2024. Average age 70 · Under 65 24% · 85 and older 14% · Women 52% · Also on Medicaid 84% · Health risk score 2.06. Above the middle of the specialty; the typical neurology clinician is at 1.61.

Conditions among them: High blood pressure 73% · Diabetes 39% · Stroke 36% · Depression 31% · Dementia 28% · Coronary heart disease 27% · Chronic kidney disease 27% · Heart failure 23% · Atrial fibrillation 18% · COPD 14% · Cancer 9%.

The office billed $238,407, Medicare allowed $36,261 and paid $23,942; for 276 services of 20 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
2024187276702.06$238,407$23,942
20238695671.68$63,627$6,677

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
Return visit (30+ min)15$1,147$76
Short return visit (20+ min)11$510$46

Medicaid work

$3,108 in 2024

Medicaid paid $3,108 for 1,335 billed services this clinician did in 2024, up to 59 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
OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES139$1,544
Return visit (30+ min)85$597
Long return visit (40+ min)39$384
New patient visit (45+ min)24$308
Electroencephalogram (EEG); including recording awake and drowsy28$213
Electroencephalogram (EEG); including recording awake and asleep13$62
Pain severity quantified; no pain present (COA) (ONC)17$0
Medication list documented in medical record (COA)358$0
Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record (COA)196$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)171$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)27$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)197$0
Medicaid work by year
20241,3351359$3,108

Drugs they prescribed that Part D paid

$171,204

Pharmacies billed $171,204 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 1,042) in 2024. At or below the middle of the specialty; the typical neurology clinician is at 0%.

961 generic and 65 brand-name prescriptions · $171,204 in drug cost · 24 antipsychotic prescriptions to people over 65.

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
Vimpat13$8,906$685
Ajovy11$8,650$786
Carbidopa-Levodopa143$6,034$42
Levetiracetam109$4,314$40
Carbidopa-Levodopa Er62$2,319$37
See all 25 drugs
Every Part D drug this clinician prescribed
Vimpat13$8,906$685
Ajovy11$8,650$786
Carbidopa-Levodopa143$6,034$42
Levetiracetam109$4,314$40
Carbidopa-Levodopa Er62$2,319$37
Lamotrigine87$2,101$24
Oxcarbazepine37$1,892$51
Amantadine51$1,705$33
Gabapentin75$1,124$15
Carbamazepine12$955$80
Phenytoin Sodium Extended14$837$60
Levetiracetam Er16$794$50
Topiramate39$569$15
Pramipexole Dihydrochloride20$537$27
Primidone14$512$37
Propranolol23$447$19
Divalproex20$424$21
Quetiapine20$312$16
Phenobarbital16$279$17
Donepezil27$209$8
Nortriptyline13$178$14
Trazodone13$175$13
Memantine12$157$13
Trihexyphenidyl13$149$11
Ropinirole11$81$7

Year by year

Part D prescribing by year
20241,0421650% (0)6%$171,204
2023159730% (0)None$17,180
202298140% (0)None$11,836
202147110% (0)0%$1,494
202081180% (0)None$8,734
201999320% (0)None$8,310
20183011NoneNone$517

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

See the drugs prescribed each year

2023: 4 drugs

Part D drugs prescribed in 2023
Levetiracetam36$3,029$84
Levetiracetam Er16$1,152$72
Lamotrigine19$1,063$56
Gabapentin11$362$33

2022: 2 drugs

Part D drugs prescribed in 2022
Lamotrigine22$491$22
Amitriptyline12$223$19

2021: 1 drug

Part D drugs prescribed in 2021
Amitriptyline11$196$18

Money from drug and device companies

$73 in 2023

A payment is not proof that care is biased.

Payments by company
AbbVieQulipta$73
4 payments
  • Meals for Qulipta · 2023-04-28 · $14
  • Meals for Qulipta · 2023-04-20 · $28
  • Meals for Qulipta · 2023-02-27 · $16
  • Meals for Qulipta · 2023-01-18 · $14
See all 4 published payments
Every published payment
AbbVieMeals · 2023-04-28Qulipta$14
AbbVieMeals · 2023-04-20Qulipta$28
AbbVieMeals · 2023-02-27Qulipta$16
AbbVieMeals · 2023-01-18Qulipta$14

Professional record

NPI
1831695428
Licence
CA 20A20734, MA 291467
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Neurology (2084N0400X)
Mailing address
751 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2018-04-02
NPI last updated
2023-08-09
NPI record certified
2023-08-09

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

Extra NPI addresses: 330 Brookline Ave, Boston, MA, 02215