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Nathaniel A Ponstein, MD

Anesthesiology · Stanford

NPI 1114123775

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Offices
4

Offices

4 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: Sequoia Hospital. That is not proof they admit you there this week.

Plans that list them

1 plan · 1 carrier

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

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

California Medical Board record

Licence A108136 · Current

Licensed to practise in California · since 2009 · expires 2027-02-28 · Michigan State University College of Human 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.

  • Sequoia HospitalRedwood City, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 4 of 5 · 81% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Death rate among surgical inpatients with serious treatable complications: 104.12 (51.8 to 156.44) · 56 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0, Oct 2024 – Sep 2025
See every measure and the patient survey for Sequoia Hospital

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 1 better, 4 the same, 0 worse of 5 measures. Readmissions: 3 better, 6 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 Sequoia Hospital
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths104.12 (51.8 to 156.44) · 56 casesBetterJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.95 (0 to 1.98) · 472 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.91 (0.58 to 1.24)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.8 · 68 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.5 · 72 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.1 · 258 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.5 · 171 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.3 · 81 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.2 · 1,231 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.23 (0.01 to 0.44) · 3,018 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.23 (0.03 to 0.44) · 3,164 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.59 (0.47 to 4.71) · 1,402 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.47 (0.04 to 2.9) · 926 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.68 (0.21 to 3.16) · 1,310 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.54 (4.42 to 14.67) · 978 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.98 (1.61 to 8.36) · 924 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.69 (0.19 to 3.19) · 192 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.57 (0 to 1.43) · 2,501 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.5 · 332 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.702No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.853No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.2 · 67 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.3 · 295 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-27.1 · 76 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-22.3 · 304 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-4.6 · 178 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.3 · 180 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 305 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.9 · 41 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 29 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.1 (9.7 to 17.7) · 129 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.2) · 713 casesNo differentJan 2024 – Dec 2024

What patients said (631 patients answered, 27% of those asked)

Patient survey stars by topic at Sequoia Hospital
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Sequoia Hospital
Room was "always" clean78%
Nurses "always" communicated well80%
Doctors "always" communicated well82%
Staff "always" explained60%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully81%
Doctors "always" treated them with courtesy and respect89%
Patients who gave a rating of "9" or "10" (high)77%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully77%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night55%
"YES", patients would definitely recommend the hospital81%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms91%

Original Medicare doctor bills

$67,409

Medicare paid this office $67,409 for 228 people.

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

Largest Original Medicare bills
Anesthesia for procedure to assess heart electrical activity57$21,330$374
Insertion of artery tube for blood sampling or infusion through skin70$2,653$37
Anesthesia for lens surgery16$1,707$107
Anesthesia for procedure to correct abnormal heart rhythm13$1,339$103
Insertion of non-tunneled central venous tube for infusion (5 years or older)11$856$71
See all 8 services
Every Original Medicare service billed
Anesthesia for procedure to assess heart electrical activity57$21,330$374
Insertion of artery tube for blood sampling or infusion through skin70$2,653$37
Anesthesia for lens surgery16$1,707$107
Anesthesia for procedure to correct abnormal heart rhythm13$1,339$103
Insertion of non-tunneled central venous tube for infusion (5 years or older)11$856$71
Ultrasonic guidance for needle placement28$769$27
Insertion of probe in esophagus for heart ultrasound59$561$10
Ultrasonic guidance for blood vessel access39$463$12

Who their Medicare patients are

228 Original Medicare patients in 2024. Average age 75 · Women 44% · Also on Medicaid 7% · Health risk score 1.33. At or below the middle of the specialty; the typical anesthesiology clinician is at 1.54.

Conditions among them: High blood pressure 75% · Atrial fibrillation 57% · Coronary heart disease 37% · Diabetes 27% · Heart failure 26% · Chronic kidney disease 24% · Cancer 18% · Depression 17% · COPD 15% · Stroke 6%.

The office billed $541,968, Medicare allowed $84,449 and paid $67,409; for 457 services of 62 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
2024228457751.33$541,968$67,409
202396121751.55$175,651$22,434
202277104761.29$134,889$17,004
20214555741.55$66,133$10,206
20207590731.54$91,274$15,286
20196391711.20$91,942$14,795
201890141741.36$154,416$26,598
2017125224711.54$239,346$38,558
2016101180711.29$191,148$32,146
201580138721.20$144,339$24,540
201498192741.53$202,841$34,092
2013108202711.09$214,090$35,895

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

2021: 1 service

Original Medicare services billed in 2021
Anesthesia for procedure to correct abnormal heart rhythm11$1,265$115

2018: 1 service

Original Medicare services billed in 2018
Anesthesia for total hip replacement18$5,889$327

2017: 3 services

Original Medicare services billed in 2017
Anesthesia for total hip replacement27$8,736$324
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes15$732$35
Ultrasonic guidance for needle placement17$465$27

2016: 3 services

Original Medicare services billed in 2016
Anesthesia for total hip replacement25$8,377$335
Injections of substances into lower or sacral spine15$1,227$82
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes16$550$34

2015: 3 services

Original Medicare services billed in 2015
Anesthesia for total hip replacement15$5,773$340
Injections of substances into lower or sacral spine12$1,070$82
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes16$759$34

2014: 3 services

Original Medicare services billed in 2014
Anesthesia for total hip replacement13$4,774$367
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes12$732$35
Ultrasonic guidance for needle placement15$451$30

2013: 2 services

Original Medicare services billed in 2013
Anesthesia for total hip replacement16$5,340$334
Ultrasonic guidance for needle placement20$580$29

Money from drug and device companies

$110 in 2021

Industry payments by year
202112None$110
201911None$18

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
Acacia PharmaByfavo$110
2 payments
  • Meals for Byfavo · 2021-09-30 · $26
  • Meals for Byfavo · 2021-09-30 · $84
See all 2 published payments
Every published payment
Acacia PharmaMeals · 2021-09-30Byfavo$26
Acacia PharmaMeals · 2021-09-30Byfavo$84
See earlier years (2019)

2019: $18

Payments by company in 2019
Merck Sharp & DohmeBridion$18
1 payment
  • Meals for Bridion · 2019-10-01 · $18

Professional record

NPI
1114123775
Licence
CA A108136, HI MDR-5244California A108136: Current · expires 2027-02-28
Trained
Michigan State University College of Human Medicine, 2000
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207L00000X (207L00000X); Internal medicine (207R00000X)
Mailing address
39 Fair Oaks St, Apartment 102, San Francisco, CA, 94110
NPI first listed
2007-06-21
NPI last updated
2011-06-08

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