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Orlando Quintero Cardona, MD

Internal Medicine · Stanford

NPI 1043624703

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
13
2 carriers
Office
1

Offices

1 location · Stanford Health Care · 3,152 clinicians in this group

Looking this up.

Hospitals listed: Stanford Health Care Tri-Valley. That is not proof they admit you there this week.

Plans that list them

13 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Cardona’s office at (650) 723-4000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

13 of 13 plans

Plans whose provider directory lists this clinician
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
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A162401 · Current

Licensed to practise in California · since 2019 · expires 2027-05-31 · Free University of Cali Faculty of Medicine.

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

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
76.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

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.

  • Stanford Health Care Tri-ValleyPleasanton, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Stanford Health Care, which runs 3 hospitalsPatients rate it 3 of 5 · 74% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.178, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.237, Oct 2024 – Sep 2025
See every measure and the patient survey for Stanford Health Care Tri-Valley

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 7 the same, 0 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Stanford Health Care Tri-Valley
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.178BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.237BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.79 (0 to 1.73) · 1,041 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.79 (0.5 to 1.08)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths145.81 (96.5 to 195.12) · 72 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.9 · 55 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.6 · 92 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.5 · 96 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.5 · 395 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 391 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 162 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 1,736 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.37) · 4,425 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.22 (0.02 to 0.41) · 4,771 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.45 (1.46 to 5.44) · 1,403 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.5 (0.05 to 2.94) · 645 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.81 (0.38 to 3.24) · 1,279 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.53 (3.2 to 13.85) · 639 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.15 (1.89 to 8.41) · 648 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.14 to 3.07) · 370 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.16 (0 to 0.83) · 4,160 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 74 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.369No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.112No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.1 · 110 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.1 · 437 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-5.8 · 94 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-19.3 · 456 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-0.3 · 402 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.8 · 358 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.8 (4.7 to 9.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.1 (7.5 to 13.6) · 198 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.3 · 80 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.9 · 46 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.3 · 92 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.6 to 16.2) · 1,532 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.2) · 929 casesNo differentJan 2024 – Dec 2024

What patients said (1,268 patients answered, 26% of those asked)

Patient survey stars by topic at Stanford Health Care Tri-Valley
Cleanliness3
Nurse communication3
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Stanford Health Care Tri-Valley
Room was "always" clean65%
Nurses "always" communicated well77%
Doctors "always" communicated well79%
Staff "always" explained58%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night42%
"YES", patients would definitely recommend the hospital74%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$117,331

Medicare paid this office $117,331 for 273 people.

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

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes145$33,099$105
Critical care, first 30-74 minutes40$21,190$183
Initial hospital care with moderate level of medical decision making at least 75 minutes131$21,111$150
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes113$10,751$70
Return visit (30+ min)44$9,309$118
See all 9 services
Every Original Medicare service billed
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes145$33,099$105
Critical care, first 30-74 minutes40$21,190$183
Initial hospital care with moderate level of medical decision making at least 75 minutes131$21,111$150
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes113$10,751$70
Return visit (30+ min)44$9,309$118
New patient visit (60+ min)45$8,875$197
Long return visit (40+ min)51$8,710$167
Short return visit (20+ min)25$3,058$80
Short return visit12$888$52

Who their Medicare patients are

273 Original Medicare patients in 2024. Average age 76 · Under 65 11% · 85 and older 23% · Women 50% · Also on Medicaid 34% · Health risk score 2.86. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Chronic kidney disease 59% · Coronary heart disease 48% · Diabetes 47% · Heart failure 41% · Atrial fibrillation 37% · Depression 33% · Dementia 27% · COPD 25% · Cancer 19% · Stroke 15%.

The office billed $607,425, Medicare allowed $149,222 and paid $117,331; for 961 services of 11 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
2024273961762.86$607,425$117,331
2023244993763.00$570,250$107,302
20222271,008762.72$615,651$110,133
2021143626752.56$318,987$64,679

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: 10 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes121$25,629$105
Critical care, first 30-74 minutes46$21,847$185
Initial hospital care with moderate level of medical decision making at least 75 minutes128$21,754$154
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes122$13,486$70
Long return visit (40+ min)36$5,928$160
Return visit (30+ min)34$5,537$115
New patient visit (60+ min)23$4,675$203
Short return visit (20+ min)24$3,327$81
Telehealth originating site facility fee52$2,533$22
Short return visit11$1,121$53

2022: 9 services

Original Medicare services billed in 2022
Critical care, first 30-74 minutes51$29,348$189
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes111$25,834$90
Initial hospital care with moderate level of medical decision making at least 75 minutes101$19,330$176
Return visit (30+ min)44$12,548$113
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes96$7,194$63
New patient visit (60+ min)25$4,989$200
Long return visit (40+ min)29$4,844$167
Telehealth originating site facility fee59$3,104$21
Short return visit (20+ min)14$1,444$80

2021: 8 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes89$25,486$92
Critical care, first 30-74 minutes36$11,593$193
Initial hospital care with moderate level of medical decision making at least 75 minutes40$7,383$180
Return visit (30+ min)27$6,252$120
Long return visit (40+ min)25$4,299$165
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes34$2,826$64
Telehealth originating site facility fee45$1,930$22
Short return visit (20+ min)14$1,435$84

Medicaid work

$2,659 in 2024

Medicaid paid $2,659 for 56 billed services this clinician did in 2024, up to 13 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
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES56$2,659
Medicaid work by year
202456113$2,659
202345213$735
202223112$360
202143114$1,143
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES27$430
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES18$305

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES23$360

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES43$1,143

Drugs they prescribed that Part D paid

$16,435

Pharmacies billed $16,435 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 259) in 2024. At or below the middle of the specialty; the typical internal medicine clinician is at 1%.

240 generic and 19 brand-name prescriptions · $16,435 in drug cost · 198 antibiotic prescriptions to 64 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
Fosfomycin Tromethamine11$2,496$227
Methenamine Hippurate25$1,297$52
Nitrofurantoin Mono-Macro38$1,150$30
Doxycycline Hyclate30$1,143$38
Nitrofurantoin18$948$53
See all 8 drugs
Every Part D drug this clinician prescribed
Fosfomycin Tromethamine11$2,496$227
Methenamine Hippurate25$1,297$52
Nitrofurantoin Mono-Macro38$1,150$30
Doxycycline Hyclate30$1,143$38
Nitrofurantoin18$948$53
Vancomycin18$835$46
Ciprofloxacin21$82$4
Cephalexin11$54$5

Year by year

Part D prescribing by year
2024259790% (0)7%$16,435
2023288550% (0)9%$38,917
2022230470% (0)14%$38,728
2021126360% (0)19%$20,582
2019271130% (0)None$206,833
2018301180% (0)None$243,805
2017426500% (0)20%$27,125
201658272None21%$47,779
201596180% (0)None$4,176

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
Entecavir11$5,634$512
Fosfomycin Tromethamine20$4,172$209
Nitrofurantoin Mono-Macro13$1,019$78
Vancomycin20$1,012$51
Methenamine Hippurate18$909$50
Cefdinir31$767$25
Cephalexin21$481$23
Nitrofurantoin16$479$30
Ciprofloxacin20$125$6
Sulfamethoxazole-Trimethoprim12$116$10
Levofloxacin20$114$6
Isoniazid12$76$6

2022: 7 drugs

Part D drugs prescribed in 2022
Fosfomycin Tromethamine27$5,428$201
Cefdinir29$1,543$53
Nitrofurantoin Mono-Macro25$1,345$54
Rifampin15$1,128$75
Cephalexin26$552$21
Ciprofloxacin36$293$8
Amoxicillin11$155$14

2021: 4 drugs

Part D drugs prescribed in 2021
Fosfomycin Tromethamine12$1,854$155
Cephalexin17$451$27
Nitrofurantoin Mono-Macro20$407$20
Ciprofloxacin14$276$20

2019: 6 drugs

Part D drugs prescribed in 2019
Genvoya16$50,325$3,145
Odefsey14$49,949$3,568
Nevirapine12$564$47
Triamterene-Hydrochlorothiazid13$96$7
Amlodipine Besylate24$59$2
Atorvastatin13$47$4

2018: 9 drugs

Part D drugs prescribed in 2018
Odefsey12$52,615$4,385
Genvoya14$43,126$3,080
Tivicay19$32,514$1,711
Descovy18$31,896$1,772
Edurant12$12,339$1,028
Rosuvastatin11$969$88
Triamterene-Hydrochlorothiazid13$89$7
Amlodipine Besylate20$47$2
Metformin14$34$2

2017: 11 drugs

Part D drugs prescribed in 2017
Lantus Solostar13$4,723$363
Januvia11$4,219$384
Ventolin Hfa13$674$52
Atorvastatin18$217$12
Metformin49$156$3
Simvastatin30$128$4
Lisinopril29$115$4
Metoprolol30$107$4
Glimepiride13$65$5
Losartan23$61$3
Sertraline12$29$2

2016: 16 drugs

Part D drugs prescribed in 2016
Januvia25$9,020$361
Lantus Solostar16$5,734$358
Crestor11$2,695$245
Levothyroxine19$308$16
Chlorthalidone11$304$28
Nifedipine Er14$272$19
Metformin46$179$4
Losartan27$115$4
Simvastatin44$107$2
Lisinopril25$106$4
Glipizide14$41$3
Alendronate11$32$3
Metoprolol13$29$2
Hydrochlorothiazide13$25$2
Atenolol11$23$2
Amlodipine Besylate13$20$2

2015: 2 drugs

Part D drugs prescribed in 2015
Simvastatin19$46$2
Amlodipine Besylate11$36$3

Professional record

NPI
1043624703
Licence
CA A162401California A162401: Current · expires 2027-05-31
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RI0200X (207RI0200X); Internal medicine (207R00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2014-06-19
NPI last updated
2024-04-16
NPI record certified
2024-04-16

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