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Seth Gengler, DO

Orthopedic Surgery · San Jose

NPI 1396067328

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

Looking this up.

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.

Plans whose provider directory lists this clinician
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 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 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

$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.

Largest Original Medicare bills
Treatment of broken neck of thigh bone with bone implant13$12,380$952
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement13$11,804$908
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes31$3,115$100
Short return visit (20+ min)11$609$47

Procedures Medicare counted

Procedure volume Medicare published
Removal of tissue1-10None

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

Original Medicare by year
202481144782.01$219,107$46,594
2023102248782.04$210,540$50,249
2022148459781.85$372,194$96,489
2021157462781.81$286,269$78,013
2020216602781.89$430,252$114,033
2019219652772.01$389,444$107,355
2018148428741.93$211,883$61,679
2017161525751.98$242,385$77,809
20163085771.71$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

Original Medicare services billed in 2023
Treatment of broken neck of thigh bone with bone implant18$17,559$975
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement13$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 minutes11$1,141$104
X-ray of hip, 2-3 views25$1,058$29
X-ray of thigh bone, minimum 2 views11$402$22

2022: 8 services

Original Medicare services billed in 2022
Treatment of broken neck of thigh bone with bone implant26$25,469$980
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement20$19,182$959
Short return visit (20+ min)50$4,105$66
X-ray of hip, 2-3 views44$2,157$31
New patient visit (30+ min)13$1,171$90
X-ray of thigh bone, minimum 2 views13$741$22
X-ray of ankle, minimum of 3 views14$598$25
X-ray of shoulder, minimum of 2 views11$574$25

2021: 10 services

Original Medicare services billed in 2021
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement23$22,412$974
Treatment of broken neck of thigh bone with bone implant14$14,064$1,005
Short return visit (20+ min)60$4,791$63
X-ray of hip, 2-3 views34$1,748$33
New patient visit (30+ min)20$1,701$85
X-ray of ankle, minimum of 3 views25$894$20
X-ray of wrist, minimum of 3 views12$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 and15$597$40
X-ray of thigh bone, minimum 2 views13$579$24
X-ray of knee, 1-2 views11$537$21

2020: 12 services

Original Medicare services billed in 2020
Treatment of broken neck of thigh bone with bone implant31$31,160$1,005
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement27$28,278$975
Short return visit (20+ min)79$5,108$50
X-ray of hip, 2-3 views52$2,212$28
New patient visit (30+ min)23$1,746$76
X-ray of thigh bone, minimum 2 views26$982$24
X-ray of shoulder, minimum of 2 views16$695$23
X-ray of wrist, minimum of 3 views16$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 and17$600$33
X-ray of ankle, minimum of 3 views11$537$26
X-ray of elbow, minimum of 3 views11$489$21
X-ray of knee, 1-2 views15$465$21

2019: 12 services

Original Medicare services billed in 2019
Treatment of broken neck of thigh bone with bone implant24$23,819$992
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement20$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 minutes26$2,125$82
X-ray of hip, 2-3 views30$1,333$32
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,212$110
X-ray of wrist, minimum of 3 views18$997$25
X-ray of shoulder, minimum of 2 views19$624$22
X-ray of ankle, minimum of 3 views15$603$26
X-ray of thigh bone, minimum 2 views13$460$21
X-ray of knee, 1-2 views14$357$22

2018: 8 services

Original Medicare services billed in 2018
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes27$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 minutes20$1,433$72
New patient visit (30+ min)16$1,179$74
X-ray of hip, 2-3 views25$642$17
X-ray of wrist, minimum of 3 views16$433$15
X-ray of ankle, minimum of 3 views15$353$14
X-ray of shoulder, minimum of 2 views15$300$11

2017: 10 services

Original Medicare services billed in 2017
Treatment of broken neck of thigh bone with bone implant17$15,949$938
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement12$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 minutes33$2,580$78
New patient visit (30+ min)20$1,477$74
X-ray of hip, 2-3 views32$1,210$21
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$954$56
X-ray of wrist, minimum of 3 views16$590$17
X-ray of shoulder, minimum of 2 views12$285$12
X-ray of ankle, minimum of 3 views11$265$15

Money from drug and device companies

$269 in 2025

Industry payments by year
202524None$269
202424None$217
202314None$174
202211None$113
202122None$109
202011None$115
201912None$152

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
DePuy Synthes SalesNa$249
3 payments
  • Meals for Fibulink · 2025-10-11 · $78
  • Meals for Na · 2025-09-11 · $78
  • Meals for Na · 2025-07-10 · $93
Zimmer Biomet HoldingsAvitus Bone Harvester$20
1 payment
  • Meals for Avitus Bone Harvester · 2025-01-20 · $20
See all 4 published payments
Every published payment
DePuy Synthes SalesMeals · 2025-10-11Fibulink$78
DePuy Synthes SalesMeals · 2025-09-11Na$78
DePuy Synthes SalesMeals · 2025-07-10Na$93
Zimmer Biomet HoldingsMeals · 2025-01-20Avitus Bone Harvester$20
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $217

Payments by company in 2024
DePuy Synthes SalesNa$167
2 payments
  • Meals for Unium · 2024-08-19 · $19
  • Meals for Na · 2024-05-16 · $149
Zimmer Biomet HoldingsComprehensive Shoulder System$50
2 payments
  • Meals for A.L.P.S. · 2024-08-13 · $16
  • Meals for Comprehensive Shoulder System · 2024-08-06 · $34

2023: $174

Payments by company in 2023
DePuy Synthes SalesNa$174
4 payments
  • Meals for Lcp · 2023-09-19 · $21
  • Meals for Na · 2023-08-26 · $15
  • Meals for Na · 2023-07-28 · $117
  • Meals for Na · 2023-06-14 · $22

2022: $113

Payments by company in 2022
DePuy Synthes SalesNa$113
1 payment
  • Meals for Na · 2022-05-18 · $113

2021: $109

Payments by company in 2021
DePuy Synthes SalesNa$88
1 payment
  • Meals for Na · 2021-10-26 · $88
Zimmer Biomet Holdings361 System Assembly$21
1 payment
  • Meals for 361 System Assembly · 2021-11-19 · $21

2020: $115

Payments by company in 2020
DePuy Synthes SalesDhs$115
1 payment
  • Meals for Dhs · 2020-02-19 · $115

2019: $152

Payments by company in 2019
DePuy Synthes SalesBme Nitinol Continuous Compression Implants$152
2 payments
  • Meals for Tfn Advanced · 2019-07-09 · $32
  • Meals for Bme Nitinol Continuous Compression Implants · 2019-01-24 · $120

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.