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Sean Spector, MD

Undefined Physician Type (Specify) · San Jose

NPI 1891175436

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
8
3 carriers
Offices
7

Offices

7 locations · County of Santa Clara · Multicare Health System

Looking this up.

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

Plans that list them

8 plans · 3 carriers

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

8 of 8 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Care Plan (HMO C-SNP)Central Health Medicare PlanListed, may be out of dateSep 15, 2025
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026

State licence records

2 licences

  • New Jersey 25MA10545100Medical Doctor · since 2019 · expires 2023-06-30
    InactiveNo board action on this licenceCheck it with the state
  • Texas BP10052645Physician-in-Training Permit · since 2015 · expires 2019-06-30
    Permit TerminatedNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

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

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

Procedures Medicare counted

Procedure volume Medicare published
Removal of the uterus1-10None

Medicaid work

$175,775 in 2024

Medicaid paid $175,775 for 3,971 billed services this clinician did in 2024, up to 87 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-inclusive338$175,028
Return visit (30+ min)599$356
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy215$142
Short return visit (20+ min)221$119
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique45$62
Short return visit18$36
Service13$32
Pain severity quantified; no pain present (COA) (ONC)116$0
Medication list documented in medical record (COA)671$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)448$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)195$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)228$0
Medicaid work by year
20243,9711787$175,775
20231,3221039$186,979
2022146640$23,047
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive387$186,673
Return visit (30+ min)373$144
Short return visit (20+ min)219$134
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy103$29
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)52$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)65$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)16$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)78$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)15$0
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES14$0

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive46$22,911
Return visit (30+ min)29$69
Short return visit (20+ min)15$68
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)15$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)21$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)20$0

Drugs they prescribed that Part D paid

$80,346

Pharmacies billed $80,346 in 2024.

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

153 generic and 84 brand-name prescriptions · $80,346 in drug cost · 62 antibiotic prescriptions to 29 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
Gemtesa44$53,042$1,206
Myrbetriq11$13,748$1,250
Premarin16$6,292$393
Estradiol60$3,380$56
Nitrofurantoin Mono-Macro24$613$26
See all 6 drugs
Every Part D drug this clinician prescribed
Gemtesa44$53,042$1,206
Myrbetriq11$13,748$1,250
Premarin16$6,292$393
Estradiol60$3,380$56
Nitrofurantoin Mono-Macro24$613$26
Cephalexin17$65$4

Year by year

Part D prescribing by year
202423775None35%$80,346
202316656None46%$65,774
202215172None26%$41,728
20212181037% (16)None$39,607
20201599812% (19)None$32,375
20199755NoneNone$13,147
201814NoneNoneNone$822
20172313NoneNone$148
201662120% (0)None$3,152

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
Gemtesa33$37,571$1,139
Premarin23$9,730$423
Estradiol48$6,485$135
Nitrofurantoin Mono-Macro12$441$37

2022: 3 drugs

Part D drugs prescribed in 2022
Myrbetriq23$30,597$1,330
Estradiol43$5,898$137
Nitrofurantoin Mono-Macro17$945$56

2021: 7 drugs

Part D drugs prescribed in 2021
Myrbetriq27$25,558$947
Estradiol46$6,838$149
Oxybutynin Chloride Er20$1,159$58
Nitrofurantoin Mono-Macro31$837$27
Loperamide11$752$68
Sulfamethoxazole-Trimethoprim15$58$4
Oxycodone13$41$3

2020: 4 drugs

Part D drugs prescribed in 2020
Myrbetriq31$20,631$666
Estradiol19$3,365$177
Nitrofurantoin Mono-Macro25$455$18
Oxycodone14$56$4

2019: 2 drugs

Part D drugs prescribed in 2019
Myrbetriq13$6,428$494
Nitrofurantoin Mono-Macro15$321$21

Money from drug and device companies

$192 in 2024

Industry payments by year
202422None$192
202338None$742
202226None$535
202136None$293
202046None$329
201969None$392

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
Boston ScientificNone$170
1 payment
  • Meals · 2024-10-23 · $170
Bluewind MedicalRevi$22
1 payment
  • Meals for Revi · 2024-07-16 · $22
See all 2 published payments
Every published payment
Boston ScientificMeals · 2024-10-23None$170
Bluewind MedicalMeals · 2024-07-16Revi$22
See earlier years (2023, 2022, 2021, 2020, 2019)

2023: $742

Payments by company in 2023
AxonicsAxonics$496
5 payments
  • Travel for Axonics · 2023-07-08 · $30
  • Meals for Axonics · 2023-07-07 · $24
  • Meals for Axonics · 2023-07-07 · $24
  • Travel for Axonics · 2023-06-30 · $35
  • Travel for Axonics · 2023-06-30 · $382
Caldera MedicalDesara$221
2 payments
  • Meals for Desara · 2023-04-26 · $167
  • Meals for Desara · 2023-01-09 · $55
Intuitive SurgicalDa Vinci Surgical System$25
1 payment
  • Meals for Da Vinci Surgical System · 2023-06-06 · $25

2022: $535

Payments by company in 2022
Boston ScientificGeneral - Therapies$432
5 payments
  • Meals for General - Therapies · 2022-09-30 · $48
  • Travel for General - Therapies · 2022-09-30 · $246
  • Meals for Upsylon · 2022-08-23 · $30
  • Meals for Solyx Sis System · 2022-06-13 · $8
  • Meals for Solyx Sis System · 2022-04-25 · $100
MedtronicInterstim$103
1 payment
  • Meals for Interstim · 2022-03-17 · $103

2021: $293

Payments by company in 2021
Boston ScientificSolyx$260
4 payments
  • Meals for Solyx · 2021-10-30 · $10
  • Meals for Solyx · 2021-10-29 · $131
  • Meals for Upsylon · 2021-10-27 · $22
  • Meals for Solyx · 2021-10-14 · $98
Baxter HealthcareFloseal$19
1 payment
  • Meals for Floseal · 2021-10-07 · $19
ColoplastAltis$13
1 payment
  • Meals for Altis · 2021-02-26 · $13

2020: $329

Payments by company in 2020
ColoplastAltis$277
3 payments
  • Meals for Altis · 2020-02-01 · $17
  • Meals for Altis · 2020-02-01 · $28
  • Travel for Altis · 2020-02-01 · $232
Boston ScientificAdvantage Fit$23
1 payment
  • Meals for Advantage Fit · 2020-01-29 · $23
AbbVieNone$15
1 payment
  • Meals · 2020-06-11 · $15
TherapeuticsMDImvexxy$15
1 payment
  • Meals for Imvexxy · 2020-01-08 · $15

2019: $392

Payments by company in 2019
Medtronic USAInterstim$132
1 payment
  • Meals for Interstim · 2019-09-24 · $132
ColoplastAltis$126
3 payments
  • Meals for Altis · 2019-09-27 · $87
  • Travel for Altis · 2019-09-10 · $6
  • Travel for Altis · 2019-09-10 · $34
Boston ScientificSolyx$72
1 payment
  • Meals for Solyx · 2019-12-11 · $72
TherapeuticsMDImvexxy$26
2 payments
  • Meals for Imvexxy · 2019-10-24 · $14
  • Meals for Imvexxy · 2019-09-05 · $11
ConvaTecCatheter$21
1 payment
  • Meals for Catheter · 2019-02-20 · $21
Mission PharmacalUribel$16
1 payment
  • Meals for Uribel · 2019-11-15 · $16

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
1891175436
Licence
NJ 25MA10545100, TX BP10052645New Jersey 25MA10545100: InactiveTexas BP10052645: Permit Terminated
Group
County of Santa Clara · Multicare Health System
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207VF0040X (207VF0040X); Federal specialty code 207V00000X (207V00000X)
Mailing address
1213 Walnut St Apt 508, Philadelphia, PA, 19107
NPI first listed
2015-06-08
NPI last updated
2019-06-13

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

Extra NPI addresses: 301 University Blvd, Galveston, TX, 77555