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John R Clausen, MD

Internal Medicine · San Jose

NPI 1942386461

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
4

Offices

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

Looking this up.

Hospitals listed: Kaiser Foundation Hospital-San Jose. That is not proof they admit you there this week.

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. Clausen’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A75348 · Current

Licensed to practise in California · since 2001 · expires 2026-11-30 · University of Texas Medical School at San Antonio.

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.

  • Kaiser Foundation Hospital-San JoseSan Jose, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Kaiser Permanente, which runs 41 hospitals in 3 statesPatients rate it 3 of 5 · 66% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.258, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital-San Jose

Behind the star rating — Deaths: 0 better, 3 the same, 0 worse of 3 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 2 the same, 0 worse of 2 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Kaiser Foundation Hospital-San Jose
Clostridium Difficile (C.Diff)Infections0.258BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.3 (0.22 to 2.37) · 181 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.89 (0.43 to 1.34)No differentJul 2022 – Jun 2024
Death rate for pneumonia patientsComplications and deaths14.2 · 27 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.6 · 271 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 2,952 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.27 (0.04 to 0.5) · 894 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 908 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.19 (0.67 to 5.72) · 176 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.63 (0 to 3.34) · 61 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.23 (0.53 to 3.92) · 168 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.11 (0 to 17.58) · 68 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.85 (0.67 to 9.03) · 63 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.74 (0.22 to 3.26) · 51 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.43 (0 to 1.53) · 630 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 48 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.843No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.88No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.611No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15 · 171 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.9 · 571 casesNoneJul 2023 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits147.1 · 28 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits21 · 639 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.6 · 48 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 157 casesNoneJul 2023 – Jun 2025

What patients said (1,294 patients answered, 21% of those asked)

Patient survey stars by topic at Kaiser Foundation Hospital-San Jose
Cleanliness4
Nurse communication2
Doctor communication4
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Kaiser Foundation Hospital-San Jose
Room was "always" clean71%
Nurses "always" communicated well70%
Doctors "always" communicated well79%
Staff "always" explained54%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)61%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully66%
Nurses "always" treated them with courtesy and respect78%
"Always" quiet at night37%
"YES", patients would definitely recommend the hospital66%
Staff "always" explained possible side effects41%
Yes, staff "did" give patients information about possible symptoms85%

Original Medicare doctor bills

$3,591

Medicare paid this office $3,591 for 21 people.

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

Who their Medicare patients are

21 Original Medicare patients in 2024. Average age 73 · Health risk score 3.68. Sicker patients than 9 in 10 peers; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Diabetes 52% · Coronary heart disease 52% · Depression 52%.

The office billed $10,075, Medicare allowed $4,507 and paid $3,591; for 46 services of 6 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
20242146733.68$10,075$3,591
20232666722.98$12,158$5,247
20222157712.50$9,397$3,764
20212376713.55$12,613$5,005
20201722682.90$3,931$1,686
20192255684.50$10,748$3,697
20182655712.04$10,567$3,549
20171628612.24$5,233$1,694
20162962722.92$13,637$3,770
20152769723.07$14,369$4,074
20142865692.58$14,587$4,136
20133083692.89$18,179$5,079

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: 1 service

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$3,493$71

2022: 1 service

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$3,092$64

2021: 2 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$3,547$66
Hospital discharge day management, 30 minutes or less13$874$67

2019: 1 service

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$2,212$65

2018: 1 service

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$1,632$63

2016: 2 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$2,285$62
Hospital discharge day management, 30 minutes or less11$631$57

2015: 1 service

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$2,209$63

2014: 2 services

Original Medicare services billed in 2014
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$2,191$61
Hospital discharge day management, 30 minutes or less13$917$65

2013: 2 services

Original Medicare services billed in 2013
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$2,748$62
Hospital discharge day management, 30 minutes or less12$768$64

Drugs they prescribed that Part D paid

$35,587

Pharmacies billed $35,587 in 2024.

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

Opioids were 4% of their Part D prescriptions (19 of 475) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%.

405 generic and fewer than 11 brand-name prescriptions · $35,587 in drug cost · 79 antibiotic prescriptions to 54 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
Pradaxa15$2,736$182
Furosemide38$367$10
Clopidogrel16$283$18
Tamsulosin19$183$10
Metoprolol20$182$9
See all 8 drugs
Every Part D drug this clinician prescribed
Pradaxa15$2,736$182
Furosemide38$367$10
Clopidogrel16$283$18
Tamsulosin19$183$10
Metoprolol20$182$9
Lisinopril13$148$11
Doxycycline Monohydrate15$133$9
Ciprofloxacin12$111$9

Year by year

Part D prescribing by year
20244751624% (19)None$35,587
20234631604% (18)None$28,694
2022340106None16%$26,048
2021245100None20%$26,972
20203801245% (18)None$52,617
20194391405% (21)None$43,161
20183101277% (21)21%$24,093
20173351114% (13)19%$22,613
20164241626% (25)None$24,949
20154461726% (25)None$41,346
20144491939% (40)None$33,426
201344117410% (43)None$28,276

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

See the drugs prescribed each year

2023: 12 drugs

Part D drugs prescribed in 2023
Hydralazine21$485$23
Atorvastatin22$324$15
Amlodipine Besylate24$310$13
Furosemide22$257$12
Metoprolol27$256$9
Glipizide15$176$12
Metoprolol11$173$16
Losartan13$165$13
Lisinopril12$128$11
Doxycycline Monohydrate13$112$9
Ciprofloxacin12$101$8
Omeprazole11$91$8

2022: 5 drugs

Part D drugs prescribed in 2022
Atorvastatin21$263$13
Metoprolol27$212$8
Clopidogrel12$204$17
Furosemide14$133$10
Losartan13$108$8

2021: 4 drugs

Part D drugs prescribed in 2021
Brilinta13$9,732$749
Furosemide14$183$13
Atorvastatin13$179$14
Metoprolol11$97$9

2020: 6 drugs

Part D drugs prescribed in 2020
Furosemide23$298$13
Pantoprazole14$231$16
Metoprolol21$180$9
Tamsulosin12$145$12
Lisinopril13$130$10
Doxycycline Monohydrate12$118$10

2019: 11 drugs

Part D drugs prescribed in 2019
Atorvastatin31$751$24
Prednisone15$230$15
Furosemide19$215$11
Gabapentin12$188$16
Tamsulosin12$187$16
Doxycycline Monohydrate13$152$12
Metoprolol15$131$9
Amlodipine Besylate11$120$11
Famotidine13$110$8
Cephalexin11$108$10
Ciprofloxacin13$89$7

2018: 3 drugs

Part D drugs prescribed in 2018
Prednisone17$334$20
Warfarin14$191$14
Amlodipine Besylate13$87$7

2017: 8 drugs

Part D drugs prescribed in 2017
Hydralazine16$628$39
Atorvastatin13$399$31
Tamsulosin15$363$24
Amiodarone11$262$24
Metoprolol25$218$9
Furosemide12$169$14
Lisinopril16$156$10
Warfarin11$128$12

2016: 14 drugs

Part D drugs prescribed in 2016
Atorvastatin16$576$36
Gabapentin11$407$37
Amiodarone15$402$27
Clopidogrel11$381$35
Hydralazine15$370$25
Hydrocodone-Acetaminophen14$284$20
Metoprolol25$215$9
Famotidine11$193$18
Prednisone12$185$15
Amoxicillin-Clavulanate Potass11$185$17
Ciprofloxacin15$176$12
Warfarin11$130$12
Furosemide12$116$10
Levofloxacin15$96$6

2015: 7 drugs

Part D drugs prescribed in 2015
Clopidogrel18$945$52
Atorvastatin17$621$37
Prednisone25$353$14
Amoxicillin-Clavulanate Potass13$236$18
Furosemide20$227$11
Warfarin18$216$12
Metoprolol18$167$9

2014: 12 drugs

Part D drugs prescribed in 2014
Clopidogrel17$800$47
Atorvastatin15$563$38
Omeprazole15$543$36
Ondansetron Odt13$355$27
Hydrocodone-Acetaminophen20$280$14
Furosemide14$175$12
Metoprolol17$157$9
Amox Tr-Potassium Clavulanate11$155$14
Warfarin13$151$12
Ciprofloxacin18$145$8
Prednisone16$132$8
Levofloxacin16$119$7

2013: 9 drugs

Part D drugs prescribed in 2013
Atorvastatin13$470$36
Hydrocodone-Acetaminophen28$398$14
Furosemide26$328$13
Metoprolol26$257$10
Amox Tr-Potassium Clavulanate16$234$15
Warfarin19$221$12
Prednisone17$164$10
Levofloxacin16$141$9
Ciprofloxacin16$116$7

Professional record

NPI
1942386461
Licence
CA A75348California A75348: Current · expires 2026-11-30
Trained
University of Texas Medical School at San Antonio, 1998
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00A753480
Taxonomy
Hospitalist (208M00000X)
Mailing address
1800 Harrison St Fl 7, Oakland, CA, 94612
NPI first listed
2006-10-27
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.