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Nancy L Ascher, MD

General Surgery · San Francisco

NPI 1396799516

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
9
1 carrier
Offices
2
Since medical school
52 years
University of Michigan Medical School, 1974

Offices

2 locations · UCSF Dept of Surgery · UCSF Medical Group Business Services

Looking this up.

Hospitals listed: UCSF Medical Center. That is not proof they admit you there this week.

Plans that list them

9 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Ascher’s office 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
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

California Medical Board record

Licence G63147 · Current

Licensed to practise in California · since 1988 · expires 2028-03-31 · University of Michigan Medical School.

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.

  • UCSF Medical CenterSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of University of California Health, which runs 12 hospitalsHome of UCSF Helen Diller Family Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 81% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 4.9 (3.79 to 6.02) · 7,590 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 12.8 (11.3 to 14.4) · 2,019 cases, Jan 2024 – Dec 2024Better than the national rate — Death rate among surgical inpatients with serious treatable complications: 139.4 (110.22 to 168.58) · 452 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.622, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.626, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.491, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.8 (0.7 to 1) · 2,336 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for UCSF Medical Center

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: 3 better, 5 the same, 3 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 UCSF Medical Center
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.9 (3.79 to 6.02) · 7,590 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.8 (11.3 to 14.4) · 2,019 casesWorseJan 2024 – Dec 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths139.4 (110.22 to 168.58) · 452 casesBetterJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.622BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.626BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.491BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.7 to 1) · 2,336 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.24 (0.58 to 1.9) · 4,689 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.05 (0.89 to 1.2)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.9 · 89 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.5 · 85 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.1 · 132 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths6.6 · 454 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.3 · 618 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.6 · 380 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.7 · 5,000 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.22 (0.06 to 0.38) · 15,965 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.2 (0.05 to 0.35) · 17,859 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths0.85 (0 to 1.83) · 4,184 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2 (1.1 to 2.9) · 6,516 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.35 (4.49 to 10.21) · 3,989 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5 (3.22 to 6.77) · 4,087 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.95 (0.74 to 3.15) · 2,034 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.95 (0.63 to 1.28) · 15,431 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 399 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.899No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.689No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.224No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16 · 156 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20 · 564 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits60.3 · 160 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-9.7 · 550 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits44.1 · 660 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.8 · 667 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (4.8 to 6.7) · 2,019 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6 · 421 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10.5 · 53 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 107 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.9 (11.3 to 17.1) · 3,247 casesNo differentJan 2022 – Dec 2024

What patients said (3,181 patients answered, 25% of those asked)

Patient survey stars by topic at UCSF Medical Center
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at UCSF Medical Center
Room was "always" clean71%
Nurses "always" communicated well80%
Doctors "always" communicated well80%
Staff "always" explained61%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand74%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)76%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully78%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night50%
"YES", patients would definitely recommend the hospital81%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$13,696

Medicare paid this office $13,696 for 42 people.

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

Largest Original Medicare bills
Return visit (30+ min)22$2,467$80
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$2,218$106

Who their Medicare patients are

42 Original Medicare patients in 2024. Average age 66 · Women 43% · Also on Medicaid 48% · Health risk score 4.52. Sicker patients than 9 in 10 peers; the typical general surgery clinician is at 1.69.

Conditions among them: High blood pressure 75% · Chronic kidney disease 74% · Diabetes 71% · Coronary heart disease 43% · Heart failure 29% · Atrial fibrillation 26%.

The office billed $157,866, Medicare allowed $17,463 and paid $13,696; for 76 services of 13 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
20244276664.52$157,866$13,696
202357116654.43$599,290$57,511
202260110644.28$464,444$45,906
202168129643.98$583,097$61,764
202055122624.97$589,415$60,082
201981132645.26$382,329$39,964
201885142645.61$731,153$72,560
201778142595.65$590,473$57,844
20166487594.91$442,083$41,072
201591148605.46$619,497$61,387
2014118211605.34$845,647$80,018
2013119253585.76$888,923$90,027

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: 3 services

Original Medicare services billed in 2023
Return visit (30+ min)24$2,974$87
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$2,126$106
Short return visit (20+ min)11$591$54

2022: 2 services

Original Medicare services billed in 2022
Return visit (30+ min)17$1,549$77
Short return visit19$865$31

2021: 3 services

Original Medicare services billed in 2021
Return visit (30+ min)19$2,410$83
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes17$2,338$94
Long return visit (40+ min)11$2,147$134

2020: 1 service

Original Medicare services billed in 2020
Return visit (30+ min)24$3,121$73

2019: 3 services

Original Medicare services billed in 2019
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$2,806$65
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes13$2,144$93
Return visit (30+ min)24$1,699$65

2018: 3 services

Original Medicare services billed in 2018
Transplantation of donor kidney14$29,484$2,106
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes32$3,299$65
Return visit (30+ min)21$1,467$64

2017: 2 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes32$3,748$65
Return visit (30+ min)16$939$55

2016: 1 service

Original Medicare services billed in 2016
Return visit (30+ min)22$1,571$68

2015: 4 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes32$2,673$65
Return visit (30+ min)15$977$65
Short return visit (20+ min)14$633$42
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes13$455$35

2014: 6 services

Original Medicare services billed in 2014
Transplantation of donor kidney12$25,470$2,123
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes39$3,761$63
Return visit (30+ min)17$1,181$69
New patient visit (45+ min)11$1,163$106
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes22$906$35
Short return visit (20+ min)20$805$40

2013: 5 services

Original Medicare services billed in 2013
Transplantation of donor kidney15$34,062$2,271
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes59$7,340$63
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes27$1,217$34
Preparation of donor kidney for transplantation11$865$79
Short return visit (20+ min)15$612$41

Drugs they prescribed that Part D paid

$26,511

Pharmacies billed $26,511 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 219) in 2024. At or below the middle of the specialty; the typical general surgery clinician is at 34%. Surgeons prescribe little besides pain medicine after an operation, so their opioid share runs high.

189 generic and fewer than 11 brand-name prescriptions · $26,511 in drug cost · 19 antibiotic prescriptions.

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
Tenofovir Disoproxil15$432$29
Prednisone15$150$10
Omeprazole21$143$7
Pantoprazole11$137$12
Sulfamethoxazole-Trimethoprim17$100$6
See all 6 drugs
Every Part D drug this clinician prescribed
Tenofovir Disoproxil15$432$29
Prednisone15$150$10
Omeprazole21$143$7
Pantoprazole11$137$12
Sulfamethoxazole-Trimethoprim17$100$6
Clopidogrel12$23$2

Year by year

Part D prescribing by year
2024219220% (0)None$26,511
2023180240% (0)None$24,376
202215725NoneNone$17,347
2021270350% (0)12%$53,032
2020158320% (0)None$30,195
201918236NoneNone$26,418
201816633NoneNone$51,531
201728437NoneNone$52,975
201631247None18%$87,866
201529046None20%$91,688
201426843NoneNone$114,855
201322446NoneNone$122,681

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

See the drugs prescribed each year

2023: 5 drugs

Part D drugs prescribed in 2023
Valganciclovir15$2,900$193
Pantoprazole18$329$18
Omeprazole23$256$11
Sulfamethoxazole-Trimethoprim24$163$7
Prednisone15$152$10

2022: 6 drugs

Part D drugs prescribed in 2022
Valganciclovir14$3,226$230
Mycophenolate Mofetil11$1,555$141
Lamivudine Hbv11$1,282$117
Sulfamethoxazole-Trimethoprim26$150$6
Prednisone15$146$10
Omeprazole16$101$6

2021: 8 drugs

Part D drugs prescribed in 2021
Valganciclovir19$19,912$1,048
Entecavir13$7,647$588
Mycophenolate Mofetil23$2,160$94
Metoprolol17$358$21
Pantoprazole16$187$12
Omeprazole21$143$7
Sulfamethoxazole-Trimethoprim18$106$6
Prednisone17$105$6

2020: 4 drugs

Part D drugs prescribed in 2020
Valganciclovir18$16,476$915
Prednisone23$130$6
Sulfamethoxazole-Trimethoprim19$84$4
Omeprazole13$54$4

2019: 5 drugs

Part D drugs prescribed in 2019
Valganciclovir18$12,779$710
Terazosin11$123$11
Omeprazole14$113$8
Fluconazole12$77$6
Sulfamethoxazole-Trimethoprim16$76$5

2018: 3 drugs

Part D drugs prescribed in 2018
Valganciclovir20$37,387$1,869
Prednisone13$249$19
Sulfamethoxazole-Trimethoprim21$190$9

2017: 7 drugs

Part D drugs prescribed in 2017
Mycophenolic Acid22$14,678$667
Tacrolimus16$2,880$180
Dapsone14$1,653$118
Mycophenolate Mofetil13$1,242$96
Omeprazole35$325$9
Prednisone20$312$16
Sulfamethoxazole-Trimethoprim28$274$10

2016: 7 drugs

Part D drugs prescribed in 2016
Valganciclovir20$53,358$2,668
Humalog13$1,184$91
Omeprazole21$418$20
Prednisone33$360$11
Sulfamethoxazole-Trimethoprim25$248$10
Ciprofloxacin15$78$5
Amlodipine Besylate15$42$3

2015: 6 drugs

Part D drugs prescribed in 2015
Valganciclovir12$41,627$3,469
Omeprazole26$782$30
Dapsone12$383$32
Tamsulosin13$264$20
Sulfamethoxazole-Trimethoprim40$229$6
Carvedilol11$63$6

2014: 6 drugs

Part D drugs prescribed in 2014
Valcyte19$80,460$4,235
Dapsone11$1,717$156
Omeprazole33$743$23
Prednisone23$405$18
Sulfamethoxazole-Trimethoprim32$223$7
Fluconazole14$181$13

2013: 7 drugs

Part D drugs prescribed in 2013
Valcyte16$44,616$2,789
Truvada17$26,058$1,533
Tacrolimus15$3,776$252
Mycophenolate Mofetil13$1,330$102
Omeprazole31$945$30
Sulfamethoxazole-Trimethoprim24$284$12
Prednisone12$127$11

Money from drug and device companies

$397 in 2019

A payment is not proof that care is biased.

Payments by company
One LambdaNone$397
1 payment
  • Travel · 2019-01-22 · $397
See the published payment
Every published payment
One LambdaTravel · 2019-01-22None$397

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
75.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1396799516
Licence
CA G63147California G63147: Current · expires 2028-03-31
Trained
University of Michigan Medical School, 1974 · 52 years ago
Group
UCSF Dept of Surgery · UCSF Medical Group Business Services
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
CA 00G631470
Taxonomy
Surgery (208600000X); Federal specialty code 204F00000X (204F00000X); Surgical oncology (2086X0206X)
Mailing address
1635 Divisadero Street, Suite 625, Box 1821, San Francisco, CA, 94143
NPI first listed
2006-05-20
NPI last updated
2008-07-23

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