Karen G Hirsch, MD
Neurology · Stanford
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 5
- 2 carriers
- Office
- 1
Offices
1 location · Stanford Health Care · 3,152 clinicians in this group
Hospitals listed: Stanford Health Care. That is not proof they admit you there this week.
Plans that list them
5 plans · 2 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Hirsch’s office at (650) 723-4000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
5 of 5 plans
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
California Medical Board record
Licence A109462 · Current
Licensed to practise in California · since 2009 · expires 2027-06-30 · Stanford University School of Medicine.
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.
- Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend itOverall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Stanford Health Care
Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 5.31 (4.24 to 6.37) · 8,661 cases | Worse | Jul 2022 – Jun 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 14.1 (12.7 to 15.7) · 2,191 cases | Worse | Jan 2024 – Dec 2024 |
| Postoperative respiratory failure rateComplications and deaths | 4.08 (1.95 to 6.21) · 5,296 cases | Better | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.317 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.446 | Better | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.241 | Better | Oct 2024 – Sep 2025 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.7 (0.6 to 0.9) · 3,348 cases | Better | Jan 2024 – Dec 2024 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.06 (0.45 to 1.67) · 5,374 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.86 (0.72 to 1) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 166.09 (137.88 to 194.3) · 470 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 1.1 · 192 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 6.4 · 146 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 9.7 · 253 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 6.3 · 880 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 10.3 · 935 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 8.7 · 501 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 2.1 · 7,730 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.13 (0 to 0.27) · 20,799 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.28 (0.14 to 0.43) · 23,182 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 0.94 (0.2 to 1.68) · 5,694 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.36 (1.54 to 3.19) · 7,846 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.2 (3.76 to 6.64) · 5,603 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.38 (0.23 to 2.53) · 2,211 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.52 (0.21 to 0.83) · 19,915 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.6 · 416 cases | None | Apr 2023 – Mar 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.869 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.857 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 0.368 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 16.2 · 247 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.5 · 1,021 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 47.8 · 258 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -1.6 · 990 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 20.8 · 976 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.5 · 959 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.2 (4.4 to 6.2) · 2,191 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.1 · 425 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 9.6 · 158 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.6 · 183 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.7 (10.4 to 15.4) · 4,578 cases | No different | Jan 2022 – Dec 2024 |
What patients said (6,810 patients answered, 25% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 4 |
| Quietness | 2 |
| Recommend hospital | 5 |
| Room was "always" clean | 75% |
| Nurses "always" communicated well | 82% |
| Doctors "always" communicated well | 81% |
| Staff "always" explained | 63% |
| Yes, staff "did" give patients this information | 89% |
| Yes, staff "did" give patients information about help after discharge | 89% |
| Doctors "always" explained things so they could understand | 76% |
| Doctors "always" listened carefully | 80% |
| Doctors "always" treated them with courtesy and respect | 87% |
| Patients who gave a rating of "9" or "10" (high) | 79% |
| Staff "always" explained new medications | 76% |
| Nurses "always" explained things so they could understand | 77% |
| Nurses "always" listened carefully | 79% |
| Nurses "always" treated them with courtesy and respect | 88% |
| "Always" quiet at night | 53% |
| "YES", patients would definitely recommend the hospital | 83% |
| Staff "always" explained possible side effects | 50% |
| Yes, staff "did" give patients information about possible symptoms | 90% |
Original Medicare doctor bills
$23,229
Medicare paid this office $23,229 for 71 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Critical care, first 30-74 minutes | 53 | $18,355 | $185 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 23 | $2,038 | $70 |
| Hospital discharge day management, 30 minutes or less | 14 | $1,037 | $74 |
Who their Medicare patients are
71 Original Medicare patients in 2024. Average age 73 · Women 47% · Also on Medicaid 39% · Health risk score 2.02. Above the middle of the specialty; the typical neurology clinician is at 1.61.
Conditions among them: High blood pressure 75% · Stroke 70% · Coronary heart disease 49% · Atrial fibrillation 49% · Heart failure 45% · Chronic kidney disease 41% · Diabetes 37% · Depression 35% · Dementia 31% · Cancer 20% · COPD 15%.
The office billed $204,705, Medicare allowed $29,155 and paid $23,229; for 160 services of 8 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
| 2024 | 71 | 160 | 73 | 2.02 | $204,705 | $23,229 |
| 2023 | 121 | 245 | 73 | 3.05 | $304,598 | $35,564 |
| 2022 | 81 | 171 | 73 | 2.80 | $216,178 | $26,063 |
| 2021 | 118 | 229 | 70 | 2.17 | $308,239 | $37,035 |
| 2020 | 89 | 178 | 74 | 2.39 | $225,851 | $29,561 |
| 2019 | 67 | 151 | 74 | 1.97 | $174,498 | $24,370 |
| 2018 | 122 | 227 | 72 | 2.29 | $241,431 | $34,501 |
| 2017 | 132 | 260 | 74 | 2.12 | $278,657 | $39,676 |
| 2016 | 112 | 228 | 72 | 2.03 | $252,205 | $36,338 |
| 2015 | 95 | 211 | 72 | 2.36 | $217,026 | $34,209 |
| 2014 | 92 | 239 | 73 | 1.67 | $262,071 | $42,254 |
| 2013 | 114 | 237 | 76 | 1.59 | $235,849 | $39,146 |
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: 3 services
| Critical care, first 30-74 minutes | 82 | $28,306 | $190 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 45 | $4,378 | $73 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 12 | $907 | $76 |
2022: 2 services
| Critical care, first 30-74 minutes | 61 | $20,089 | $195 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 34 | $4,680 | $94 |
2021: 2 services
| Critical care, first 30-74 minutes | 78 | $29,543 | $198 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 39 | $4,868 | $95 |
2020: 2 services
| Critical care, first 30-74 minutes | 67 | $23,926 | $201 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 33 | $4,380 | $97 |
2019: 2 services
| Critical care, first 30-74 minutes | 48 | $19,938 | $197 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 22 | $2,924 | $94 |
2018: 3 services
| Critical care, first 30-74 minutes | 78 | $26,118 | $195 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 41 | $5,336 | $94 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 17 | $1,527 | $90 |
2017: 4 services
| Critical care, first 30-74 minutes | 85 | $30,346 | $193 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 45 | $5,328 | $90 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 11 | $1,342 | $122 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 12 | $1,077 | $90 |
2016: 2 services
| Critical care, first 30-74 minutes | 77 | $27,950 | $195 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 35 | $4,630 | $93 |
2015: 2 services
| Critical care, first 30-74 minutes | 62 | $26,315 | $196 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 34 | $4,504 | $90 |
2014: 2 services
| Critical care, first 30-74 minutes | 75 | $37,530 | $195 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 20 | $2,588 | $92 |
2013: 1 service
| Critical care, first 30-74 minutes | 81 | $32,873 | $189 |
Medicaid work
$6,960 in 2024
Medicaid paid $6,960 for 70 billed services this clinician did in 2024, up to 19 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.
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 70 | $6,960 |
| 2024 | 70 | 1 | 19 | $6,960 |
| 2023 | 70 | 1 | 15 | $7,515 |
| 2022 | 32 | 1 | 12 | $3,301 |
| 2021 | 111 | 1 | 18 | $11,280 |
| 2020 | 21 | 1 | 12 | $3,801 |
See the largest Medicaid services in earlier years
2023
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 70 | $7,515 |
2022
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 32 | $3,301 |
2021
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 111 | $11,280 |
2020
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 21 | $3,801 |
Money from drug and device companies
$41 in 2024
| 2024 | 1 | 1 | None | $41 |
| 2019 | 1 | 1 | None | $34 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| AngioDynamics | Alphavac | $41 | 1 payment
|
See the published payment
| AngioDynamics | Meals · 2024-05-28 | Alphavac | $41 |
See earlier years (2019)
2019: $34
| Medtronic | None | $34 | 1 payment
|
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.
Professional record
- NPI
- 1053516641
- Licence
- CA A109462California A109462: Current · expires 2027-06-30
- Trained
- Stanford University School of Medicine, 2012
- Group
- Stanford Health Care
- Gender
- Female
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 2084A2900X (2084A2900X); Neurology (2084N0400X)
- Mailing address
- 300 Pasteur Dr, Stanford, CA, 94305
- NPI first listed
- 2007-06-15
- NPI last updated
- 2023-11-10
- NPI record certified
- 2023-11-10
This is when the NPI record was last certified, not a medical board exam.