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Kelly D Gonzales, MD

General Surgery · San Jose

NPI 1184899874

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

Looking this up.

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

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
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 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 it
    Overall 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.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

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.

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes50$4,434$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes28$3,025$108

Procedures Medicare counted

Procedure volume Medicare published
Colonoscopy1-10None
Removal of tissue1-10None
Upper gastrointestinal (GI) endoscopy for acid reflux1-10None

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

Original Medicare by year
202492158772.02$156,938$20,680
2023118228771.93$123,910$24,089
2022132242781.81$143,211$27,920
2021112186761.54$106,250$19,876
2020118204761.85$154,705$23,069
2019169273761.86$171,648$31,841
2018152300762.35$168,025$36,971
2017186375751.76$108,579$51,529
2016137352752.13$114,010$54,782
20151655781.51$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

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes76$8,807$70
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$2,894$107
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$2,570$117
Initial hospital care with moderate level of medical decision making at least 75 minutes11$1,600$145

2022: 5 services

Original Medicare services billed in 2022
Critical care, first 30-74 minutes16$8,082$192
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes59$6,231$63
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes25$2,798$112
Initial hospital care with moderate level of medical decision making at least 75 minutes11$2,150$179
Hospital discharge day management, 30 minutes or less13$797$61

2021: 5 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes59$5,078$63
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes19$2,360$124
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$1,420$95
Hospital discharge day management, 30 minutes or less17$1,145$67
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes12$526$35

2020: 6 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes49$5,215$67
Critical care, first 30-74 minutes17$5,168$199
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes19$2,687$96
Initial hospital care with moderate level of medical decision making at least 75 minutes11$2,020$184
Hospital discharge day management, 30 minutes or less20$1,373$69
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,267$115

2019: 6 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes94$9,182$63
Initial hospital care with moderate level of medical decision making at least 75 minutes18$3,111$173
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes21$2,324$86
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$2,073$122
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes17$1,417$83
Hospital discharge day management, 30 minutes or less12$799$67

2018: 4 services

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes84$10,378$73
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes37$6,680$106
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes35$3,662$102
Hospital discharge day management, 30 minutes or less11$833$76

2017: 6 services

Original Medicare services billed in 2017
Critical care, first 30-74 minutes72$25,494$187
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes47$6,375$90
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes37$4,337$117
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes43$3,903$60
Emergency department visit with high level of medical decision making24$3,425$143
Hospital discharge day management, more than 30 minutes17$1,535$90

2016: 6 services

Original Medicare services billed in 2016
Critical care, first 30-74 minutes50$22,699$196
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes49$6,944$93
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes35$4,252$121
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes36$3,794$64
Emergency department visit with high level of medical decision making21$3,119$149
Hospital discharge day management, more than 30 minutes12$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.

Largest Medicaid services in 2024
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES132$4,179
Medicaid work by year
2024132119$4,179
2023367224$5,560
202263117$862
2021129114$2,679
202050115$1,030
2019199121$3,708
2018164224$3,229
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES354$5,421
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES13$139

2022

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES63$862

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES129$2,679

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES50$1,030

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES199$3,708

2018

Largest Medicaid services in 2018
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES152$3,006
1ST HOSP IP/OBS SF/LOW 4012$223

Money from drug and device companies

$91 in 2024

Industry payments by year
202425None$91
202327None$143
202111None$31

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
Novartis PharmaceuticalsLeqvio$71
4 payments
  • Meals for Leqvio · 2024-06-28 · $18
  • Meals for Leqvio · 2024-04-08 · $20
  • Meals for Leqvio · 2024-03-01 · $19
  • Meals for Leqvio · 2024-01-09 · $14
DexcomDexcom G6 Transmitter$20
1 payment
  • Meals for Dexcom G6 Transmitter · 2024-05-13 · $20
See all 5 published payments
Every published payment
Novartis PharmaceuticalsMeals · 2024-06-28Leqvio$18
DexcomMeals · 2024-05-13Dexcom G6 Transmitter$20
Novartis PharmaceuticalsMeals · 2024-04-08Leqvio$20
Novartis PharmaceuticalsMeals · 2024-03-01Leqvio$19
Novartis PharmaceuticalsMeals · 2024-01-09Leqvio$14
See earlier years (2023, 2021)

2023: $143

Payments by company in 2023
Novartis PharmaceuticalsLeqvio$97
5 payments
  • Meals for Entresto · 2023-11-09 · $23
  • Meals for Leqvio · 2023-09-20 · $16
  • Meals for Leqvio · 2023-08-17 · $19
  • Meals for Leqvio · 2023-08-03 · $19
  • Meals for Entresto · 2023-06-13 · $19
DexcomDexcom G6 Transmitter$47
2 payments
  • Meals for Dexcom G6 Transmitter · 2023-05-02 · $24
  • Meals for Dexcom G6 Transmitter · 2023-01-31 · $22

2021: $31

Payments by company in 2021
AbbVieUbrelvy$31
1 payment
  • Meals for Ubrelvy · 2021-08-25 · $31

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.