Edward E Herold, MD
Anesthesiology · San Jose
- 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
- 2
Offices
2 locations · Cep America - Anesthesia PC · Lifelinc Anesthesia Vi PC
Looking this up.
Hospitals listed: Watsonville Community Hospital. 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. Herold’s office to ask if they take your plan before you enroll.
California Medical Board record
Licence G79072 · Current
Licensed to practise in California · since 1994 · expires 2028-04-30 · University of California, San Diego 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.
- Watsonville Community HospitalWatsonville, CAAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPatients rate it 3 of 5 · 66% would definitely recommend itOverall rating: 2 of 5 starsNo measure marked better or worse than the national rate
See every measure and the patient survey for Watsonville Community Hospital
Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 0 better, 4 the same, 2 worse of 6 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.01 (0 to 2.08) · 194 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.88 (0.44 to 1.32) | No different | Jul 2022 – Jun 2024 |
| Death rate for COPD patientsComplications and deaths | 7.3 · 27 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 13.6 · 98 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 17.7 · 210 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 12.5 · 74 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.8 · 604 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.26 (0.03 to 0.49) · 1,963 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.26 (0.04 to 0.47) · 1,942 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.15 (0.64 to 5.66) · 232 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.66 (0 to 3.39) · 33 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.24 (0.54 to 3.95) · 216 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 8.86 (0 to 18.76) · 37 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.09 (0.81 to 9.36) · 32 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.73 (0.21 to 3.24) · 71 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.35 (0 to 1.35) · 1,464 cases | No different | Jul 2022 – Jun 2024 |
| Clostridium Difficile (C.Diff)Infections | 0.351 | No different | Oct 2024 – Sep 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.9 · 82 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 52.2 · 119 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 31.4 · 221 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 17.9 · 182 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.3 · 28 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.8 (9.5 to 17.2) · 311 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.5) · 46 cases | No different | Jan 2024 – Dec 2024 |
What patients said (264 patients answered, 12% of those asked)
| Cleanliness | 4 |
| Nurse communication | 3 |
| Doctor communication | 2 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 3 |
| Quietness | 3 |
| Recommend hospital | 3 |
| Room was "always" clean | 77% |
| Nurses "always" communicated well | 79% |
| Doctors "always" communicated well | 75% |
| Staff "always" explained | 66% |
| Yes, staff "did" give patients this information | 88% |
| Yes, staff "did" give patients information about help after discharge | 87% |
| Doctors "always" explained things so they could understand | 72% |
| Doctors "always" listened carefully | 72% |
| Doctors "always" treated them with courtesy and respect | 80% |
| Patients who gave a rating of "9" or "10" (high) | 66% |
| Staff "always" explained new medications | 79% |
| Nurses "always" explained things so they could understand | 76% |
| Nurses "always" listened carefully | 75% |
| Nurses "always" treated them with courtesy and respect | 87% |
| "Always" quiet at night | 52% |
| "YES", patients would definitely recommend the hospital | 66% |
| Staff "always" explained possible side effects | 53% |
| Yes, staff "did" give patients information about possible symptoms | 89% |
Original Medicare doctor bills
$10,554
Medicare paid this office $10,554 for 62 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Who their Medicare patients are
62 Original Medicare patients in 2024. Average age 75 · Women 44% · Also on Medicaid 61% · Health risk score 2.17. Above the middle of the specialty; the typical anesthesiology clinician is at 1.54.
Conditions among them: High blood pressure 75% · Diabetes 56% · Chronic kidney disease 37% · Depression 32% · Coronary heart disease 31% · Heart failure 29% · Atrial fibrillation 26% · COPD 18%.
The office billed $90,878, Medicare allowed $13,356 and paid $10,554; for 65 services of 31 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 | 62 | 65 | 75 | 2.17 | $90,878 | $10,554 |
| 2023 | 76 | 89 | 74 | 1.93 | $143,646 | $16,496 |
| 2022 | 101 | 120 | 71 | 1.02 | $263,541 | $18,566 |
| 2021 | 233 | 260 | 71 | 0.94 | $578,472 | $38,644 |
| 2020 | 74 | 84 | 71 | 1.96 | $161,422 | $12,993 |
| 2019 | 128 | 154 | 70 | 2.38 | $230,249 | $31,991 |
| 2018 | 89 | 109 | 68 | 1.79 | $156,110 | $21,776 |
| 2017 | 77 | 94 | 68 | 2.20 | $123,640 | $17,271 |
| 2015 | 107 | 157 | 72 | 1.60 | $152,240 | $24,885 |
| 2014 | 224 | 338 | 73 | 1.37 | $316,481 | $52,264 |
| 2013 | 191 | 275 | 70 | 1.34 | $257,298 | $42,890 |
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
2022: 1 service
| Anesthesia for exam of colon using an endoscope | 22 | $2,671 | $121 |
2021: 6 services
| Anesthesia for exam of colon using an endoscope | 55 | $6,716 | $122 |
| Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | 23 | $3,006 | $131 |
| Anesthesia for procedure on small and large bowel using an endoscope | 15 | $2,311 | $154 |
| Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back | 11 | $2,085 | $174 |
| Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 14 | $1,691 | $121 |
| Anesthesia for other procedure on urinary system through urethra | 14 | $1,393 | $99 |
2020: 1 service
| Anesthesia for other procedure on upper abdomen | 12 | $3,321 | $277 |
2019: 2 services
| Anesthesia for other procedure on upper abdomen | 20 | $5,258 | $263 |
| Anesthesia for other procedure on lower leg, ankle, and foot bones | 11 | $1,488 | $135 |
2018: 1 service
| Anesthesia for other procedure on upper abdomen | 12 | $3,085 | $257 |
2017: 2 services
| Anesthesia for other procedure on upper abdomen | 11 | $2,631 | $239 |
| Anesthesia for procedure on gastrointestinal tract using an endoscope | 11 | $1,604 | $146 |
2015: 2 services
| Daily hospital management of continuous spinal drug administration | 18 | $1,010 | $53 |
| Ultrasonic guidance for needle placement | 15 | $405 | $27 |
2014: 10 services
| Anesthesia for procedure on upper 2/3rd of thigh bone | 17 | $4,374 | $257 |
| Anesthesia for other procedure on upper abdomen | 13 | $4,212 | $324 |
| Daily hospital management of continuous spinal drug administration | 41 | $2,506 | $53 |
| Anesthesia for other procedure or exam of knee joint using an endoscope | 15 | $2,204 | $147 |
| Anesthesia for procedure to correct abnormal heart rhythm | 13 | $1,287 | $92 |
| Injections of substances into lower or sacral spine | 12 | $704 | $59 |
| Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 12 | $636 | $53 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 18 | $568 | $32 |
| Ultrasonic guidance for needle placement | 18 | $491 | $27 |
| Insertion of artery tube for blood sampling or infusion through skin | 11 | $457 | $42 |
2013: 6 services
| Anesthesia for other procedure or exam of knee joint using an endoscope | 21 | $2,970 | $141 |
| Anesthesia for other procedure on top of arm bone and shoulder joint | 12 | $2,781 | $232 |
| Daily hospital management of continuous spinal drug administration | 33 | $1,696 | $51 |
| Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 11 | $560 | $51 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 11 | $336 | $31 |
| Ultrasonic guidance for needle placement | 11 | $287 | $26 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 61.2 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1154371177
- Licence
- CA G79072California G79072: Current · expires 2028-04-30
- Trained
- University of California, San Diego School of Medicine, 1992
- Group
- Cep America - Anesthesia PC · Lifelinc Anesthesia Vi PC
- Gender
- Male
More record details
- Sole proprietor
- No
- Medicaid ID
- CA 00G790720
- Taxonomy
- Federal specialty code 207L00000X (207L00000X); Federal specialty code 207LP2900X (207LP2900X)
- Mailing address
- Po Box 49168, San Jose, CA, 95161
- NPI first listed
- 2006-05-11
- NPI last updated
- 2011-04-07
This is when the NPI record was last certified, not a medical board exam.