Seth Gengler, DO
Orthopedic Surgery · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 1
- 1 carrier
- Office
- 1
Offices
1 location · Acute Care Surgery Medical Group Inc · 205 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
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. Gengler’s office at (408) 259-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
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
$46,594
Medicare paid this office $46,594 for 81 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Treatment of broken neck of thigh bone with bone implant | 13 | $12,380 | $952 |
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 13 | $11,804 | $908 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 31 | $3,115 | $100 |
| Short return visit (20+ min) | 11 | $609 | $47 |
Procedures Medicare counted
| Removal of tissue | 1-10 | None |
Who their Medicare patients are
81 Original Medicare patients in 2024. Average age 78 · 85 and older 27% · Women 74% · Also on Medicaid 38% · Health risk score 2.01. Sicker patients than 9 in 10 peers; the typical orthopedic surgery clinician is at 1.13.
Conditions among them: High blood pressure 75% · COPD 43% · Depression 43% · Chronic kidney disease 42% · Diabetes 41% · Coronary heart disease 40% · Heart failure 36% · Atrial fibrillation 30% · Dementia 28% · Stroke 23% · Cancer 17%.
The office billed $219,107, Medicare allowed $58,739 and paid $46,594; for 144 services of 40 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 | 81 | 144 | 78 | 2.01 | $219,107 | $46,594 |
| 2023 | 102 | 248 | 78 | 2.04 | $210,540 | $50,249 |
| 2022 | 148 | 459 | 78 | 1.85 | $372,194 | $96,489 |
| 2021 | 157 | 462 | 78 | 1.81 | $286,269 | $78,013 |
| 2020 | 216 | 602 | 78 | 1.89 | $430,252 | $114,033 |
| 2019 | 219 | 652 | 77 | 2.01 | $389,444 | $107,355 |
| 2018 | 148 | 428 | 74 | 1.93 | $211,883 | $61,679 |
| 2017 | 161 | 525 | 75 | 1.98 | $242,385 | $77,809 |
| 2016 | 30 | 85 | 77 | 1.71 | $65,405 | $20,940 |
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: 6 services
| Treatment of broken neck of thigh bone with bone implant | 18 | $17,559 | $975 |
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 13 | $12,190 | $938 |
| Short return visit (20+ min) | 28 | $2,130 | $67 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 11 | $1,141 | $104 |
| X-ray of hip, 2-3 views | 25 | $1,058 | $29 |
| X-ray of thigh bone, minimum 2 views | 11 | $402 | $22 |
2022: 8 services
| Treatment of broken neck of thigh bone with bone implant | 26 | $25,469 | $980 |
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 20 | $19,182 | $959 |
| Short return visit (20+ min) | 50 | $4,105 | $66 |
| X-ray of hip, 2-3 views | 44 | $2,157 | $31 |
| New patient visit (30+ min) | 13 | $1,171 | $90 |
| X-ray of thigh bone, minimum 2 views | 13 | $741 | $22 |
| X-ray of ankle, minimum of 3 views | 14 | $598 | $25 |
| X-ray of shoulder, minimum of 2 views | 11 | $574 | $25 |
2021: 10 services
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 23 | $22,412 | $974 |
| Treatment of broken neck of thigh bone with bone implant | 14 | $14,064 | $1,005 |
| Short return visit (20+ min) | 60 | $4,791 | $63 |
| X-ray of hip, 2-3 views | 34 | $1,748 | $33 |
| New patient visit (30+ min) | 20 | $1,701 | $85 |
| X-ray of ankle, minimum of 3 views | 25 | $894 | $20 |
| X-ray of wrist, minimum of 3 views | 12 | $753 | $29 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 15 | $597 | $40 |
| X-ray of thigh bone, minimum 2 views | 13 | $579 | $24 |
| X-ray of knee, 1-2 views | 11 | $537 | $21 |
2020: 12 services
| Treatment of broken neck of thigh bone with bone implant | 31 | $31,160 | $1,005 |
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 27 | $28,278 | $975 |
| Short return visit (20+ min) | 79 | $5,108 | $50 |
| X-ray of hip, 2-3 views | 52 | $2,212 | $28 |
| New patient visit (30+ min) | 23 | $1,746 | $76 |
| X-ray of thigh bone, minimum 2 views | 26 | $982 | $24 |
| X-ray of shoulder, minimum of 2 views | 16 | $695 | $23 |
| X-ray of wrist, minimum of 3 views | 16 | $616 | $28 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 17 | $600 | $33 |
| X-ray of ankle, minimum of 3 views | 11 | $537 | $26 |
| X-ray of elbow, minimum of 3 views | 11 | $489 | $21 |
| X-ray of knee, 1-2 views | 15 | $465 | $21 |
2019: 12 services
| Treatment of broken neck of thigh bone with bone implant | 24 | $23,819 | $992 |
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 20 | $19,484 | $974 |
| Short return visit (20+ min) | 85 | $6,781 | $57 |
| New patient visit (30+ min) | 29 | $2,490 | $86 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 26 | $2,125 | $82 |
| X-ray of hip, 2-3 views | 30 | $1,333 | $32 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 11 | $1,212 | $110 |
| X-ray of wrist, minimum of 3 views | 18 | $997 | $25 |
| X-ray of shoulder, minimum of 2 views | 19 | $624 | $22 |
| X-ray of ankle, minimum of 3 views | 15 | $603 | $26 |
| X-ray of thigh bone, minimum 2 views | 13 | $460 | $21 |
| X-ray of knee, 1-2 views | 14 | $357 | $22 |
2018: 8 services
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 27 | $2,905 | $108 |
| Short return visit (20+ min) | 35 | $2,219 | $50 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 20 | $1,433 | $72 |
| New patient visit (30+ min) | 16 | $1,179 | $74 |
| X-ray of hip, 2-3 views | 25 | $642 | $17 |
| X-ray of wrist, minimum of 3 views | 16 | $433 | $15 |
| X-ray of ankle, minimum of 3 views | 15 | $353 | $14 |
| X-ray of shoulder, minimum of 2 views | 15 | $300 | $11 |
2017: 10 services
| Treatment of broken neck of thigh bone with bone implant | 17 | $15,949 | $938 |
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 12 | $11,120 | $927 |
| Short return visit (20+ min) | 57 | $4,256 | $51 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 33 | $2,580 | $78 |
| New patient visit (30+ min) | 20 | $1,477 | $74 |
| X-ray of hip, 2-3 views | 32 | $1,210 | $21 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 16 | $954 | $56 |
| X-ray of wrist, minimum of 3 views | 16 | $590 | $17 |
| X-ray of shoulder, minimum of 2 views | 12 | $285 | $12 |
| X-ray of ankle, minimum of 3 views | 11 | $265 | $15 |
Money from drug and device companies
$269 in 2025
| 2025 | 2 | 4 | None | $269 |
| 2024 | 2 | 4 | None | $217 |
| 2023 | 1 | 4 | None | $174 |
| 2022 | 1 | 1 | None | $113 |
| 2021 | 2 | 2 | None | $109 |
| 2020 | 1 | 1 | None | $115 |
| 2019 | 1 | 2 | None | $152 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| DePuy Synthes Sales | Na | $249 | 3 payments
|
| Zimmer Biomet Holdings | Avitus Bone Harvester | $20 | 1 payment
|
See all 4 published payments
| DePuy Synthes Sales | Meals · 2025-10-11 | Fibulink | $78 |
| DePuy Synthes Sales | Meals · 2025-09-11 | Na | $78 |
| DePuy Synthes Sales | Meals · 2025-07-10 | Na | $93 |
| Zimmer Biomet Holdings | Meals · 2025-01-20 | Avitus Bone Harvester | $20 |
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)
2024: $217
| DePuy Synthes Sales | Na | $167 | 2 payments
|
| Zimmer Biomet Holdings | Comprehensive Shoulder System | $50 | 2 payments
|
2023: $174
| DePuy Synthes Sales | Na | $174 | 4 payments
|
2022: $113
| DePuy Synthes Sales | Na | $113 | 1 payment
|
2021: $109
| DePuy Synthes Sales | Na | $88 | 1 payment
|
| Zimmer Biomet Holdings | 361 System Assembly | $21 | 1 payment
|
2020: $115
| DePuy Synthes Sales | Dhs | $115 | 1 payment
|
2019: $152
| DePuy Synthes Sales | Bme Nitinol Continuous Compression Implants | $152 | 2 payments
|
Professional record
- NPI
- 1396067328
- Licence
- MI 5101018944, MO 2018011903
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207XX0801X (207XX0801X)
- Mailing address
- 621 S New Ballas Rd Ste 5015b, Saint Louis, MO, 63141
- NPI first listed
- 2010-02-17
- NPI last updated
- 2018-09-12
This is when the NPI record was last certified, not a medical board exam.