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Kristen K Mackenzie, MD

Anesthesiology · Stanford

NPI 1164953360

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. 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. Mackenzie’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
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026

California Medical Board record

Licence A157928 · Current

Licensed to practise in California · since 2018 · expires 2028-08-31 · University of California San Francisco 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 it
    Overall 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.

Every scored measure at Stanford Health Care
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths5.31 (4.24 to 6.37) · 8,661 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits14.1 (12.7 to 15.7) · 2,191 casesWorseJan 2024 – Dec 2024
Postoperative respiratory failure rateComplications and deaths4.08 (1.95 to 6.21) · 5,296 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.317BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.446BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.241BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.9) · 3,348 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.45 to 1.67) · 5,374 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.86 (0.72 to 1)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.09 (137.88 to 194.3) · 470 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.1 · 192 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.4 · 146 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths9.7 · 253 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.3 · 880 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 935 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 501 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.1 · 7,730 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.13 (0 to 0.27) · 20,799 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.14 to 0.43) · 23,182 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.94 (0.2 to 1.68) · 5,694 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.36 (1.54 to 3.19) · 7,846 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.2 (3.76 to 6.64) · 5,603 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.38 (0.23 to 2.53) · 2,211 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.52 (0.21 to 0.83) · 19,915 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 416 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.869No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.857No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.368No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16.2 · 247 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 1,021 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits47.8 · 258 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.6 · 990 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits20.8 · 976 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 959 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (4.4 to 6.2) · 2,191 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 425 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.6 · 158 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 183 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.7 (10.4 to 15.4) · 4,578 casesNo differentJan 2022 – Dec 2024

What patients said (6,810 patients answered, 25% of those asked)

Patient survey stars by topic at Stanford Health Care
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Stanford Health Care
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained63%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully79%
Nurses "always" treated them with courtesy and respect88%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital83%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$106,828

Medicare paid this office $106,828 for 311 people.

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

Largest Original Medicare bills
Return visit (30+ min)139$29,689$115
Long return visit (40+ min)36$9,056$156
New patient visit (60+ min)45$8,075$179
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes39$4,297$110
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes35$4,288$69
See all 17 services
Every Original Medicare service billed
Return visit (30+ min)139$29,689$115
Long return visit (40+ min)36$9,056$156
New patient visit (60+ min)45$8,075$179
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes39$4,297$110
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes35$4,288$69
Administration of psychological or neuropsychological test, first 30 minutes53$3,551$41
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha34$2,642$75
Injection of trigger points, 3 or more muscles22$2,334$57
Injection of lower or sacral spine facet joint using imaging guidance, single level17$2,134$107
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's75$1,837$15
Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)30$1,231$29
Injection of lower or sacral spine facet joint using imaging guidance, second level16$1,106$58
Injection of substance into lower spine canal using imaging guidance14$1,083$77
Injection of trigger points, 1-2 muscles13$790$46
Injection, ropivacaine hydrochloride, 1 mg53$372None
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes22$251$10
Injection, triamcinolone acetonide, not otherwise specified, 10 mg41$165None

Who their Medicare patients are

311 Original Medicare patients in 2024. Average age 70 · Under 65 19% · 85 and older 8% · Women 67% · Also on Medicaid 29% · Health risk score 1.55. Above the middle of the specialty; the typical anesthesiology clinician is at 1.54.

Conditions among them: High blood pressure 62% · Depression 35% · Diabetes 26% · Coronary heart disease 22% · Chronic kidney disease 22% · Cancer 20% · Atrial fibrillation 16% · Heart failure 12% · COPD 12% · Dementia 8% · Stroke 6%.

The office billed $1,088,676, Medicare allowed $138,607 and paid $106,828; for 13,711 services of 57 kinds; $22,985 of it was for drugs given in the office and $83,843 for care.

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
202431113,711701.55$1,088,676$106,828
20234955,803701.65$988,684$97,642
2022124189691.28$180,089$13,924

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: 16 services

Original Medicare services billed in 2023
Return visit (30+ min)136$20,225$100
New patient visit (60+ min)88$15,163$172
Long return visit (40+ min)76$12,982$148
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes88$10,195$71
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes84$10,165$116
Injection of trigger points, 3 or more muscles56$3,746$42
Telehealth originating site facility fee78$2,492$22
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha20$1,488$74
Injection of lower or sacral spine facet joint using imaging guidance, single level11$1,277$116
Administration of psychological or neuropsychological test, first 30 minutes23$1,263$42
Aspiration and/or injection of fluid from large joint12$882$55
Injection of trigger points, 1-2 muscles20$737$35
Injection of lower or sacral spine facet joint using imaging guidance, second level11$703$64
Injection, ropivacaine hydrochloride, 1 mg37$230None
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito43$203$5
Injection, triamcinolone acetonide, not otherwise specified, 10 mg23$102None

2022: 5 services

Original Medicare services billed in 2022
Return visit (30+ min)31$3,482$85
New patient visit (60+ min)15$2,406$160
Long return visit (40+ min)17$2,195$129
Injection of trigger points, 3 or more muscles18$759$38
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito22$97$4

Medicaid work

$3,783 in 2024

Medicaid paid $3,783 for 96 billed services this clinician did in 2024, up to 15 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
Return visit (30+ min)72$2,943
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES24$840
Medicaid work by year
202496215$3,783
2023255527$9,019
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)112$3,575
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES30$2,637
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES74$2,052
Telehealth originating site facility fee25$474
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES14$281

Drugs they prescribed that Part D paid

$29,291

Pharmacies billed $29,291 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 19% of their Part D prescriptions (128 of 683) in 2024. Above the middle of the specialty; the typical anesthesiology clinician is at 0%. Long-acting opioids: 17% of their opioid prescriptions.

671 generic and 12 brand-name prescriptions · $29,291 in drug cost.

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
Pregabalin82$4,196$51
Buprenorphine15$3,698$247
Duloxetine46$2,479$54
Tizanidine85$1,824$21
Gabapentin83$1,638$20
See all 19 drugs
Every Part D drug this clinician prescribed
Pregabalin82$4,196$51
Buprenorphine15$3,698$247
Duloxetine46$2,479$54
Tizanidine85$1,824$21
Gabapentin83$1,638$20
Baclofen47$1,494$32
Clonidine23$1,119$49
Lidocaine21$1,019$49
Sumatriptan21$742$35
Hydrocodone-Acetaminophen28$692$25
Topiramate23$526$23
Celecoxib17$425$25
Tramadol40$399$10
Oxycodone21$355$17
Cyclobenzaprine21$319$15
Meloxicam19$260$14
Oxycodone-Acetaminophen14$179$13
Clonidine13$125$10
Nortriptyline13$103$8

Year by year

Part D prescribing by year
202468312919% (128)2%$29,291
202358414017% (100)None$22,894
20221846818% (33)None$8,133
20215318NoneNone$4,803
201814None0% (0)None$556

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 14 drugs

Part D drugs prescribed in 2023
Duloxetine58$3,461$60
Pregabalin59$2,651$45
Gabapentin92$2,235$24
Tizanidine72$2,079$29
Clonidine24$1,378$57
Celecoxib24$855$36
Baclofen18$735$41
Lidocaine18$727$40
Hydrocodone-Acetaminophen35$546$16
Meloxicam31$489$16
Clonidine21$333$16
Oxycodone-Acetaminophen11$191$17
Oxycodone21$180$9
Tramadol17$121$7

2022: 6 drugs

Part D drugs prescribed in 2022
Gabapentin45$1,917$43
Pregabalin20$1,466$73
Duloxetine14$939$67
Baclofen13$656$50
Hydrocodone-Acetaminophen15$286$19
Naproxen11$201$18

2021: 2 drugs

Part D drugs prescribed in 2021
Gabapentin11$245$22
Sumatriptan11$113$10

Money from drug and device companies

$135 in 2025

Industry payments by year
202511None$135
202257None$357
202111None$21

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
SPR TherapeuticsSprint Pns System$135
1 payment
  • Meals for Sprint Pns System · 2025-06-07 · $135
See the published payment
Every published payment
SPR TherapeuticsMeals · 2025-06-07Sprint Pns System$135
See earlier years (2022, 2021)

2022: $357

Payments by company in 2022
Nalu MedicalNalu Neurostimulation System$135
1 payment
  • Meals for Nalu Neurostimulation System · 2022-12-20 · $135
NevroOmnia$127
1 payment
  • Meals for Omnia · 2022-05-31 · $127
SPR TherapeuticsSprint Pns System$52
1 payment
  • Meals for Sprint Pns System · 2022-12-31 · $52
Abbott LaboratoriesProclaim$22
1 payment
  • Meals for Proclaim · 2022-04-14 · $22
Stimwave TechnologiesStimq Receiver Stimulator Kit Channel A US W/Receiver$20
3 payments
  • Meals for Stimq Receiver Stimulator Kit Channel A US W/Receiver · 2022-02-26 · $1
  • Meals for Stimq Receiver Stimulator Kit Channel A US W/Receiver · 2022-02-24 · $5
  • Meals for Stimq Receiver Stimulator Kit Channel A US W/Receiver · 2022-02-24 · $14

2021: $21

Payments by company in 2021
MedtronicRestore$21
1 payment
  • Meals for Restore · 2021-10-09 · $21

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
1164953360
Licence
CA A157928California A157928: Current · expires 2028-08-31
Trained
University of California, San Francisco School of Medicine, 2017
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207LP2900X (207LP2900X); Federal specialty code 207L00000X (207L00000X); Student in a training program (390200000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2017-03-21
NPI last updated
2024-04-11
NPI record certified
2024-04-11

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