Dr. Thomas Jun Hirai, MD

  • San Jose, CA
  • General surgeon
NPI1134231384PAC ID8325045776
Medicare services, 2024
125
Medicare patients, 2024
93
Part D claims, 2024
81
Hospital affiliations
3
Industry payments
$62,626
Practice address
225 N Jackson Avenue, San Jose, CA 95116
Practice phone
Call (408) 259-5000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Regional Medical Center

Hospital · San Jose, California

See all 6 affiliations

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Dr. Thomas Jun Hirai is a general surgeon in San Jose, California

Dr. Hirai practices at Regional Medical Center in San Jose, California, part of County of Santa Clara, CA.

Dr. Hirai's NPI, 1134231384, was assigned on August 31, 2006. Dr. Hirai graduated from Universidade de Sao Paulo Faculty of Medicine in 1997. Dr. Hirai's California license number on file is A84170.

NPI and contact details
Medicare PAC ID
8325045776
NPI enumeration date
August 31, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(408) 259-5000
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
55
Medical school graduation
1997

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Thomas Jun Hirai practices at Regional Medical Center in San Jose, California

Dr. Hirai's primary practice is Regional Medical Center, at 225 N Jackson Avenue, San Jose, CA 95116 in Santa Clara County. The practice phone is (408) 259-5000.

Source: Dmand AI Affiliation Data

Dr. Thomas Jun Hirai is affiliated with 5 sites of care and 1 medical group

Dr. Hirai's primary practice is Regional Medical Center in San Jose, California, part of County of Santa Clara, CA. Dr. Hirai is also affiliated with Santa Clara Valley Medical Center. The medical group on file is County of Santa Clara Behavioral Health Services, Las Plumas Behavioral Health Clinic. Dmand AI also links Dr. Hirai to 1 more hospital, 1 physician office and 1 group practice or clinic, each named with a free account.

See all 6 affiliations for Dr. Hirai

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Thomas Jun Hirai's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Hirai practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Regional Medical CenterAvailable with a free account
+4 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

See the EHR and IT leaders at every hospital where Dr. Hirai practices

Dmand AI maps EHR vendors, IT decision makers and buying committees across County of Santa Clara, CA and 6.2K+ hospitals, with verified contacts in the same login.

Dr. Thomas Jun Hirai is one of 2,926 general surgeons in California

Surgery is Dr. Hirai's primary specialty in the NPI Registry, under taxonomy code 208600000X. Dr. Hirai is board certified in obesity medicine by the American Board of Obesity Medicine. Dmand AI has Dr. Hirai's licenses on file in 4 states: California, New York, Washington and Virginia.

Specialties and state licenses

  • Surgery, CaliforniaPrimaryLicense A84170 · 2003 to 2025 · taxonomy 208600000X
  • New York license2013 to 2026
  • Washington license2006 to 2013
  • Virginia license2005 to 2006

Clinical focus

Dmand AI lists abdominal hernia repair surgery, acute gallbladder or bile duct inflammation, bariatric surgery, colon removal, gallbladder removal, groin hernia surgery, hemorrhoids and mastectomy among the conditions Dr. Hirai treats.

General surgeons near Dr. Hirai

Counts of general surgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Thomas Jun Hirai billed Medicare for 125 services in 2024

CMS data shows 125 Medicare services from Dr. Hirai across 2 procedure codes in 2024, all of them office visits, for 93 Medicare patients. Medicare paid $16,212 for them. Every service was in an office.

Medicare services, 2024125
Medicare patients93
Paid by Medicare$16,212
Procedure codes2

Dr. Hirai's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1602024: 12522%

Dr. Hirai compared with the California median for general surgeons, 2024

  • Dr. Hirai
  • California median
Medicare services
125vs 16625% below
Medicare patients
93vs 12123% below
Part D claims
61vs 3479% above

Medians across 2,606 general surgeons in California with Dmand AI profiles that report each measure.

Dr. Hirai's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Hirai

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Thomas Jun Hirai treated 93 Medicare patients in 2024, average age 74

CMS counts 93 Medicare patients who saw Dr. Hirai in 2024. The largest group is 65 to 74, with 44 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 46% are also on Medicaid. Their average risk score is 1.84, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Hirai's median patient age at 62, with 60% women.

Medicare patients, 202493
Average age74
Average risk score1.84
Also on Medicaid46%

Dr. Hirai's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Hirai's Medicare patients by sex, 2024

  • Women5660%
  • Men3740%

Chronic conditions among Dr. Hirai's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Diabetes45%
  4. Arthritis34%
  5. Cancer33%
  6. Chronic kidney disease30%
  7. Ischemic heart disease23%
  8. Osteoporosis19%

Share of Medicare patients with each condition. A patient can have several.

Dr. Hirai's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 62

Patient panel by sex, all payers

  • Women60%
  • Men39%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Thomas Jun Hirai wrote 81 Medicare Part D claims in 2024

In 2024, Dr. Hirai wrote 81 Medicare Part D claims for 68 patients. 98% of them were for generic drugs. CMS names the drug for 61 of them, across 1 drug with 11 or more claims each, at $147 in total drug cost. In 2023, CMS named 52 claims across 1 drug.

Part D claims, 202481
Drugs named by CMS1
Total drug cost$147
Part D patients68

Dr. Hirai's Part D claims by kind of drug, 2024

  • Generic79 claims98%
  • Brand-name and other2 claims2%

Dr. Hirai's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Hirai's Part D claims, 2024

  • Opioids81%66 of 81 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 522024: 6117%

Drugs named by CMS: 1 in 2024, 1 in 2023.

See all prescribing by Dr. Hirai

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

How Dr. Thomas Jun Hirai takes part in Medicare

Dr. Hirai accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Hernia repair (minimally invasive): 1 to 10 procedures (CMS shows small counts as a range)

Hernia repair - groin (open): 1 to 10 procedures (CMS shows small counts as a range)

Mastectomy: 1 to 10 procedures (CMS shows small counts as a range)

Upper gastrointestinal (GI) endoscopy for acid reflux: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)

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Dr. Thomas Jun Hirai received $62,626 in industry payments from 2016 to 2025

CMS Open Payments shows 214 general payments to Dr. Hirai from 27 drug and device companies from 2016 to 2025. Consulting fees make up the largest share, 35% of the total. Intuitive Surgical, Inc. paid the most, $23,316.

General payments to Dr. Hirai by program year, 2016 to 2025

General payments to Dr. Hirai by kind, 2016 to 2025

$62.6Kin total
  • Consulting fees$21,93435%
  • Travel and lodging$15,71225%
  • Education$10,57117%
  • Food and beverage$9,78416%
  • Other$4,4997%

Companies that paid Dr. Hirai the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Hirai

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Thomas Jun Hirai has 1 award and honors on record

Dmand AI lists 1 award for Dr. Hirai.

Awards and honors for Dr. Hirai

  1. Undated
    • ACS Fellow

Source: Dmand AI Professional Profile Data

Dr. Thomas Jun Hirai graduated from Universidade de Sao Paulo Faculty of Medicine

Dr. Hirai graduated from Universidade de Sao Paulo Faculty of Medicine in 1997. Dr. Hirai is a member of ACS.

  1. Medical schoolUniversidade de Sao Paulo Faculty of Medicine
  2. Board certified in obesity medicineAmerican Board of Obesity Medicine
  3. Board certified in surgeryAmerican Board of Surgery

Source: Dmand AI Professional Profile Data

Dr. Thomas Jun Hirai accepts plans from 16 insurance carriers

Dr. Hirai is in network with 16 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Elevance
  • HCSC
  • Blue Cross Blue Shield of Massachusetts
  • Humana
  • Regence Health Plans
  • +8 more carriersWith a free account

Plan types Dr. Hirai accepts, by number of carriers

  1. Medicare10
  2. PPO10
  3. HMO6
  4. POS4
  5. EPO3

Source: Dmand AI Insurance Network Data

Sources for Dr. Thomas Jun Hirai's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Thomas Jun Hirai

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Thomas Jun Hirai's NPI number?

Dr. Thomas Jun Hirai's NPI number is 1134231384. It was assigned on August 31, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Thomas Jun Hirai?

Dr. Thomas Jun Hirai is a general surgeon in San Jose, California. The primary specialty in the NPI Registry is Surgery Physician (taxonomy code 208600000X).

Where does Dr. Thomas Jun Hirai practice?

Dr. Hirai practices at 225 N Jackson Avenue, San Jose, CA 95116. Dr. Hirai's primary practice is Regional Medical Center in San Jose, California, part of County of Santa Clara, CA. Dmand AI also links Dr. Hirai to 1 hospital, 1 physician office and 1 group practice or clinic.

What is Dr. Thomas Jun Hirai's office phone number?

The practice phone on file for Dr. Hirai is (408) 259-5000.

What is Dr. Thomas Jun Hirai's medical license number?

Dr. Hirai's California license number on file is A84170, one of the licenses on file in 4 states.

Which states has Dr. Thomas Jun Hirai been licensed in?

Dmand AI has state licenses on file for Dr. Hirai in California (2003 to 2025), New York (2013 to 2026), Washington (2006 to 2013) and Virginia (2005 to 2006).

Which hospitals is Dr. Thomas Jun Hirai affiliated with?

Dr. Hirai practices at Regional Medical Center in San Jose, California. Dr. Hirai is also affiliated with Santa Clara Valley Medical Center. Dmand AI links Dr. Hirai to 1 more hospital.

What medical group is Dr. Thomas Jun Hirai part of?

Dr. Hirai is linked to County of Santa Clara Behavioral Health Services, Las Plumas Behavioral Health Clinic.

Does Dr. Thomas Jun Hirai accept Medicare?

Yes. CMS data shows Dr. Hirai billed Medicare for 125 services in 2024, and Dr. Hirai accepts Medicare assignment.

How many Medicare patients does Dr. Thomas Jun Hirai see?

CMS counts 93 Medicare patients who saw Dr. Hirai in 2024, with an average age of 74.

Show 7 more questionsShow fewer questions

Is Dr. Thomas Jun Hirai board certified?

Yes. Dr. Hirai is board certified in obesity medicine by the American Board of Obesity Medicine.

What services does Dr. Thomas Jun Hirai bill to Medicare?

In 2024, Dr. Hirai's most billed Medicare services were office visit, new patient (99204) and office visit, established patient (99214).

Where did Dr. Thomas Jun Hirai go to medical school?

Dr. Hirai graduated from Universidade de Sao Paulo Faculty of Medicine in 1997.

What drugs does Dr. Thomas Jun Hirai prescribe most?

In 2024 Medicare Part D data, Dr. Hirai's most prescribed drugs by claims were Hydrocodone-Acetaminophen.

Has Dr. Thomas Jun Hirai received payments from drug or device companies?

CMS Open Payments shows $62,626 in general payments to Dr. Hirai from 27 companies from 2016 to 2025. The largest total came from Intuitive Surgical, Inc.

How long has Dr. Thomas Jun Hirai been practicing?

Dr. Hirai graduated from medical school in 1997, 29 years ago.

What insurance does Dr. Thomas Jun Hirai accept?

Dr. Hirai is in network with 16 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.

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