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Katharina Abernethy, PA

Physician Assistant · Windsor

NPI 1518039536

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
1 carrier
Offices
4

Offices

4 locations · Providence Medical Foundation · Permanente Medical Group Inc

Looking this up.

Hospitals listed: Providence Santa Rosa Memorial Hospital. That is not proof they admit you there this week.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Katharina Abernethy’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
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

California Medical Board record

Licence C51580 · Current

Licensed to practise in California · since 2004 · expires 2028-05-31 · Ben-Gurion University of the Negev-Irving and Joyce Goldman School of Med.

Matched on the licence number without its letter prefix; check the name before relying on it.

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.

  • Providence Santa Rosa Memorial HospitalSanta Rosa, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Providence, which runs 54 hospitals in 7 statesPatients rate it 3 of 5 · 69% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.375, Oct 2024 – Sep 2025
See every measure and the patient survey for Providence Santa Rosa Memorial Hospital

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 6 the same, 0 worse of 7 measures. Readmissions: 1 better, 9 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 Providence Santa Rosa Memorial Hospital
Clostridium Difficile (C.Diff)Infections0.375BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.19 (0.26 to 2.13) · 1,736 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.76 (0.48 to 1.03)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths181.27 (137.92 to 224.62) · 109 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.1 · 72 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.8 · 129 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.3 · 226 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.2 · 530 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.2 · 448 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.3 · 245 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.2 · 2,733 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.22 (0.03 to 0.4) · 8,115 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.23 (0.04 to 0.41) · 8,057 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths2.37 (0.56 to 4.18) · 2,186 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.59 (0.1 to 3.08) · 772 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.27 (0.9 to 3.63) · 1,999 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths5.74 (0.06 to 11.42) · 810 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.04 (0.53 to 7.55) · 768 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.8 (0.38 to 3.21) · 401 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.46 (0 to 1) · 7,051 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.3 · 77 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.915No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.552No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.297No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.353No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.1 · 288 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 489 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits0.4 · 259 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-0.4 · 580 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits7.5 · 456 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.2 · 431 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.4 (4.9 to 8.3) · 584 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.3 (8.2 to 12.7) · 584 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 72 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9.4 · 64 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.2 · 133 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.5 (10.8 to 16.7) · 2,810 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (1 to 1.5) · 780 casesNo differentJan 2024 – Dec 2024

What patients said (473 patients answered, 23% of those asked)

Patient survey stars by topic at Providence Santa Rosa Memorial Hospital
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness1
Recommend hospital4
Share of patients giving the best answer at Providence Santa Rosa Memorial Hospital
Room was "always" clean71%
Nurses "always" communicated well76%
Doctors "always" communicated well74%
Staff "always" explained56%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand68%
Doctors "always" listened carefully72%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)66%
Staff "always" explained new medications68%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully72%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night37%
"YES", patients would definitely recommend the hospital69%
Staff "always" explained possible side effects45%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$2,054

Medicare paid this office $2,054 for 55 people.

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

Largest Original Medicare bills
Short return visit (20+ min)38$1,658$44

Who their Medicare patients are

55 Original Medicare patients in 2024. Average age 73 · Women 73% · Also on Medicaid 26% · Health risk score 1.29. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 58% · Chronic kidney disease 22% · Diabetes 20% · Coronary heart disease 20% · Depression 20%.

The office billed $10,930, Medicare allowed $2,990 and paid $2,054; for 55 services of 5 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
20245555731.29$10,930$2,054
20231112730.70$2,660$1,117
2022114126741.01$27,604$9,898
2021397451721.08$94,606$38,165
2020241269701.28$59,604$18,298
2019302370721.36$116,814$25,551
2018300385701.47$148,871$25,252
2017223266671.42$98,221$16,775
2016352438661.33$158,657$27,757

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

2022: 4 services

Original Medicare services billed in 2022
New patient visit (30+ min)39$2,996$77
New patient visit (45+ min)29$2,825$97
Return visit (30+ min)19$1,789$94
Short return visit (20+ min)23$1,396$58

2021: 4 services

Original Medicare services billed in 2021
Return visit (30+ min)153$15,702$96
Short return visit (20+ min)130$8,868$68
New patient visit (30+ min)60$4,922$81
New patient visit (45+ min)37$4,427$120

2020: 3 services

Original Medicare services billed in 2020
Return visit (30+ min)186$13,372$70
Short return visit (20+ min)36$1,876$51
New patient visit (30+ min)16$620$39

2019: 7 services

Original Medicare services billed in 2019
Return visit (30+ min)99$7,657$76
Emergency department visit with high level of medical decision making46$5,155$112
Emergency department visit with moderate level of medical decision making38$2,727$72
Emergency department visit with low level of medical decision making58$2,280$39
Short return visit (20+ min)33$1,621$49
New patient visit (30+ min)22$1,486$68
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only12$65$5

2018: 4 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making81$9,528$115
Emergency department visit with moderate level of medical decision making90$6,663$74
Emergency department visit with low level of medical decision making125$5,201$40
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only32$191$6

2017: 4 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making49$5,770$115
Emergency department visit with moderate level of medical decision making64$4,879$75
Emergency department visit with low level of medical decision making106$4,153$39
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only20$112$6

2016: 5 services

Original Medicare services billed in 2016
Emergency department visit with moderate level of medical decision making98$8,084$79
Emergency department visit with low level of medical decision making186$7,920$41
Emergency department visit with high level of medical decision making66$7,787$118
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less12$306$25
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only20$117$6

Medicaid work

$20,818 in 2019

Medicaid paid $20,818 for 404 billed services this clinician did in 2019, up to 67 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 2019
EMERGENCY DEPT VISIT LOW MDM292$12,894
EMERGENCY DEPT VISIT MOD MDM97$6,379
EMERGENCY DEPARTMENT VISIT HIGH MDM15$1,545
Medicaid work by year
2019404367$20,818
2018899370$49,093
See the largest Medicaid services in earlier years

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT LOW MDM606$26,848
EMERGENCY DEPT VISIT MOD MDM231$15,652
EMERGENCY DEPARTMENT VISIT HIGH MDM62$6,593

Drugs they prescribed that Part D paid

$130,276

Pharmacies billed $130,276 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 1,004) in 2024. At or below the middle of the specialty; the typical physician assistant clinician is at 1%.

892 generic and 112 brand-name prescriptions · $130,276 in drug cost · 26 antibiotic prescriptions to 24 people.

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
Relistor12$29,827$2,486
Xifaxan11$25,508$2,319
Gavilyte-C590$13,347$23
Lubiprostone68$8,964$132
Sutab14$1,955$140
See all 9 drugs
Every Part D drug this clinician prescribed
Relistor12$29,827$2,486
Xifaxan11$25,508$2,319
Gavilyte-C590$13,347$23
Lubiprostone68$8,964$132
Sutab14$1,955$140
Sucralfate38$1,712$45
Pantoprazole95$974$10
Gavilyte-G37$974$26
Buspirone20$303$15

Year by year

Part D prescribing by year
20241,0047500% (0)11%$130,276
20237146110% (0)9%$76,608
2022251200NoneNone$5,208
2021226168NoneNone$2,979
202013595None11%$2,636
201915311510% (15)None$2,524
201815710216% (25)None$3,294
20171248814% (17)None$1,131
201615810920% (32)None$2,856
20151146120% (23)None$1,769
20143421NoneNone$356

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

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Xifaxan12$27,041$2,253
Gavilyte-C476$9,952$21
Linzess11$8,048$732
Lubiprostone22$2,001$91
Gavilyte-G55$1,398$25
Peg-3350 and Electrolytes15$377$25
Pantoprazole24$210$9

2022: 6 drugs

Part D drugs prescribed in 2022
Diclofenac42$1,127$27
Gavilyte-C31$601$19
Triamcinolone Acetonide13$295$23
Cephalexin20$230$11
Doxycycline Monohydrate18$163$9
Azithromycin11$64$6

2021: 6 drugs

Part D drugs prescribed in 2021
Doxycycline Hyclate19$395$21
Nitrofurantoin Mono-Macro15$224$15
Doxycycline Monohydrate18$192$11
Cephalexin32$171$5
Triamcinolone Acetonide11$76$7
Sulfamethoxazole-Trimethoprim12$50$4

2020: 3 drugs

Part D drugs prescribed in 2020
Erythromycin11$144$13
Cephalexin14$67$5
Prednisone11$36$3

2019: 3 drugs

Part D drugs prescribed in 2019
Cephalexin27$197$7
Nitrofurantoin Mono-Macro12$191$16
Sulfamethoxazole-Trimethoprim15$75$5

2018: 3 drugs

Part D drugs prescribed in 2018
Cephalexin15$141$9
Sulfamethoxazole-Trimethoprim12$89$7
Hydrocodone-Acetaminophen12$60$5

2016: 3 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen28$170$6
Fluticasone Propionate14$155$11
Ibuprofen21$91$4

2015: 2 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen17$94$6
Ibuprofen19$78$4

Professional record

NPI
1518039536
Licence
CA 51580, CA AT 8069California C51580: Current · expires 2028-05-31
Group
Providence Medical Foundation · Permanente Medical Group Inc
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Physician assistant (363A00000X); Federal specialty code 225200000X (225200000X)
Mailing address
751 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2006-11-14
NPI last updated
2022-05-26
NPI record certified
2022-05-26

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

Extra NPI addresses: 2044 Montecito Ave Apt 12, Mountain View, CA, 94043

This office lists an electronic records connection.