Kelly D Gonzales, MD
General Surgery · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 16
- 2 carriers
- Office
- 1
Offices
1 location · County of Santa Clara · 1,000 clinicians in this group
Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.
Plans that list them
16 plans · 2 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Gonzales’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
16 of 16 plans
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Harmony (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Silicon (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health the ONE (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| 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 |
California Medical Board record
Licence A109752 · Current
Licensed to practise in California · since 2009 · expires 2026-12-31 · Boston 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.
- Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend itOverall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center
Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| SSI - Colon SurgeryInfections | 2.572 | Worse | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.563 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.256 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.369 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.25 (0.3 to 2.2) · 1,535 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.07 (0.76 to 1.38) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 214.59 (167.38 to 261.8) · 108 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.8 · 41 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 6 · 141 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 10.2 · 124 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 8.3 · 501 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 14.9 · 653 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.1 · 348 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3 · 4,502 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.24 (0.04 to 0.43) · 9,014 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.34 (0.15 to 0.52) · 9,216 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 4.54 (2.51 to 6.58) · 1,421 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.54 (0 to 3.2) · 288 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.11 (0.66 to 3.56) · 1,446 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 11.61 (4.09 to 19.14) · 294 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 7.29 (3.39 to 11.2) · 299 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.9 (0.45 to 3.36) · 333 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.23 (0 to 0.78) · 7,538 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 5.4 · 94 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.735 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 2.573 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 14.6 · 185 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 22.1 · 951 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 56.3 · 128 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 6.4 · 644 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 1.3 · 699 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.3 · 921 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.7 (3.9 to 8.1) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 12.6 (9.4 to 16.5) · 226 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.4 · 94 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 11.4 · 54 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.3 · 242 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.2 (9.9 to 17.4) · 702 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.4) · 195 cases | No different | Jan 2024 – Dec 2024 |
What patients said (4,032 patients answered, 29% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 2 |
| Overall hospital rating | 3 |
| Quietness | 2 |
| Recommend hospital | 4 |
| Room was "always" clean | 70% |
| Nurses "always" communicated well | 73% |
| Doctors "always" communicated well | 76% |
| Staff "always" explained | 57% |
| Yes, staff "did" give patients this information | 82% |
| Yes, staff "did" give patients information about help after discharge | 82% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 74% |
| Doctors "always" treated them with courtesy and respect | 82% |
| Patients who gave a rating of "9" or "10" (high) | 67% |
| Staff "always" explained new medications | 71% |
| Nurses "always" explained things so they could understand | 71% |
| Nurses "always" listened carefully | 69% |
| Nurses "always" treated them with courtesy and respect | 80% |
| "Always" quiet at night | 43% |
| "YES", patients would definitely recommend the hospital | 70% |
| Staff "always" explained possible side effects | 44% |
| Yes, staff "did" give patients information about possible symptoms | 83% |
Original Medicare doctor bills
$20,680
Medicare paid this office $20,680 for 92 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 50 | $4,434 | $65 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 28 | $3,025 | $108 |
Procedures Medicare counted
| Colonoscopy | 1-10 | None |
| Removal of tissue | 1-10 | None |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 | None |
Who their Medicare patients are
92 Original Medicare patients in 2024. Average age 77 · 85 and older 29% · Women 60% · Also on Medicaid 63% · Health risk score 2.02. Above the middle of the specialty; the typical general surgery clinician is at 1.69.
Conditions among them: High blood pressure 75% · Diabetes 58% · Chronic kidney disease 45% · Heart failure 43% · Coronary heart disease 42% · Atrial fibrillation 33% · Dementia 30% · Stroke 29% · COPD 23% · Cancer 18% · Depression 18%.
The office billed $156,938, Medicare allowed $26,779 and paid $20,680; for 158 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 | 92 | 158 | 77 | 2.02 | $156,938 | $20,680 |
| 2023 | 118 | 228 | 77 | 1.93 | $123,910 | $24,089 |
| 2022 | 132 | 242 | 78 | 1.81 | $143,211 | $27,920 |
| 2021 | 112 | 186 | 76 | 1.54 | $106,250 | $19,876 |
| 2020 | 118 | 204 | 76 | 1.85 | $154,705 | $23,069 |
| 2019 | 169 | 273 | 76 | 1.86 | $171,648 | $31,841 |
| 2018 | 152 | 300 | 76 | 2.35 | $168,025 | $36,971 |
| 2017 | 186 | 375 | 75 | 1.76 | $108,579 | $51,529 |
| 2016 | 137 | 352 | 75 | 2.13 | $114,010 | $54,782 |
| 2015 | 16 | 55 | 78 | 1.51 | $18,697 | $8,502 |
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: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 76 | $8,807 | $70 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 12 | $2,894 | $107 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 22 | $2,570 | $117 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 11 | $1,600 | $145 |
2022: 5 services
| Critical care, first 30-74 minutes | 16 | $8,082 | $192 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 59 | $6,231 | $63 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 25 | $2,798 | $112 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 11 | $2,150 | $179 |
| Hospital discharge day management, 30 minutes or less | 13 | $797 | $61 |
2021: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 59 | $5,078 | $63 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 19 | $2,360 | $124 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 14 | $1,420 | $95 |
| Hospital discharge day management, 30 minutes or less | 17 | $1,145 | $67 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 12 | $526 | $35 |
2020: 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 49 | $5,215 | $67 |
| Critical care, first 30-74 minutes | 17 | $5,168 | $199 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 19 | $2,687 | $96 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 11 | $2,020 | $184 |
| Hospital discharge day management, 30 minutes or less | 20 | $1,373 | $69 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 11 | $1,267 | $115 |
2019: 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 94 | $9,182 | $63 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 18 | $3,111 | $173 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 21 | $2,324 | $86 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 17 | $2,073 | $122 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 17 | $1,417 | $83 |
| Hospital discharge day management, 30 minutes or less | 12 | $799 | $67 |
2018: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 84 | $10,378 | $73 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 37 | $6,680 | $106 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 35 | $3,662 | $102 |
| Hospital discharge day management, 30 minutes or less | 11 | $833 | $76 |
2017: 6 services
| Critical care, first 30-74 minutes | 72 | $25,494 | $187 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 47 | $6,375 | $90 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 37 | $4,337 | $117 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 43 | $3,903 | $60 |
| Emergency department visit with high level of medical decision making | 24 | $3,425 | $143 |
| Hospital discharge day management, more than 30 minutes | 17 | $1,535 | $90 |
2016: 6 services
| Critical care, first 30-74 minutes | 50 | $22,699 | $196 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 49 | $6,944 | $93 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 35 | $4,252 | $121 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 36 | $3,794 | $64 |
| Emergency department visit with high level of medical decision making | 21 | $3,119 | $149 |
| Hospital discharge day management, more than 30 minutes | 12 | $1,167 | $97 |
Medicaid work
$4,179 in 2024
Medicaid paid $4,179 for 132 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.
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 132 | $4,179 |
| 2024 | 132 | 1 | 19 | $4,179 |
| 2023 | 367 | 2 | 24 | $5,560 |
| 2022 | 63 | 1 | 17 | $862 |
| 2021 | 129 | 1 | 14 | $2,679 |
| 2020 | 50 | 1 | 15 | $1,030 |
| 2019 | 199 | 1 | 21 | $3,708 |
| 2018 | 164 | 2 | 24 | $3,229 |
See the largest Medicaid services in earlier years
2023
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 354 | $5,421 |
| 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 13 | $139 |
2022
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 63 | $862 |
2021
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 129 | $2,679 |
2020
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 50 | $1,030 |
2019
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 199 | $3,708 |
2018
| SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 152 | $3,006 |
| 1ST HOSP IP/OBS SF/LOW 40 | 12 | $223 |
Money from drug and device companies
$91 in 2024
| 2024 | 2 | 5 | None | $91 |
| 2023 | 2 | 7 | None | $143 |
| 2021 | 1 | 1 | None | $31 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Novartis Pharmaceuticals | Leqvio | $71 | 4 payments
|
| Dexcom | Dexcom G6 Transmitter | $20 | 1 payment
|
See all 5 published payments
| Novartis Pharmaceuticals | Meals · 2024-06-28 | Leqvio | $18 |
| Dexcom | Meals · 2024-05-13 | Dexcom G6 Transmitter | $20 |
| Novartis Pharmaceuticals | Meals · 2024-04-08 | Leqvio | $20 |
| Novartis Pharmaceuticals | Meals · 2024-03-01 | Leqvio | $19 |
| Novartis Pharmaceuticals | Meals · 2024-01-09 | Leqvio | $14 |
See earlier years (2023, 2021)
2023: $143
| Novartis Pharmaceuticals | Leqvio | $97 | 5 payments
|
| Dexcom | Dexcom G6 Transmitter | $47 | 2 payments
|
2021: $31
| AbbVie | Ubrelvy | $31 | 1 payment
|
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 87.6 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1184899874
- Licence
- CA A109752, MA 258365, MA AH19180185639California A109752: Current · expires 2026-12-31
- Trained
- Boston University School of Medicine, 2007
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Surgery (208600000X); Student in a training program (390200000X)
- Mailing address
- 18550 De Paul Dr Ste 203, Morgan Hill, CA, 95037
- NPI first listed
- 2008-04-24
- NPI last updated
- 2024-08-28
- NPI record certified
- 2024-08-28
This is when the NPI record was last certified, not a medical board exam.