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Winnie W Chan, MD

Emergency Medicine · Castro Valley

NPI 1538521281

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · Eden Emergency Medical Group Inc · Permanente Medical Group Inc

Looking this up.

Hospitals listed: Kaiser Foundation Hospital - San Francisco. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Chan’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A152574 · Current

Licensed to practise in California · since 2017 · expires 2027-11-30 · University of California San Francisco 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.

  • Kaiser Foundation Hospital - San FranciscoSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Kaiser Permanente, which runs 41 hospitals in 3 statesPatients rate it 3 of 5 · 72% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.458, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.247, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital - San Francisco

Behind the star rating — Deaths: 0 better, 1 the same, 0 worse of 1 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 0 better, 1 the same, 0 worse of 1 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Kaiser Foundation Hospital - San Francisco
SSI - Colon SurgeryInfections2.458WorseOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.247BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1 (0 to 2.07) · 140 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.17 (0.73 to 1.61)No differentJul 2022 – Jun 2024
Death rate for stroke patientsComplications and deaths12.9 · 175 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.1 · 2,575 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.44) · 624 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 702 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.21 (0.68 to 5.75) · 228 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.5 (0 to 3.14) · 122 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.14 (0.48 to 3.8) · 205 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.91 (0 to 16.05) · 130 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.72 (0.6 to 8.85) · 123 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.73 (0.21 to 3.25) · 56 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths1.52 (0.38 to 2.65) · 562 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.2 · 44 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.37No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.454No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.436No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections1.823No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits12.9 · 467 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.8 · 497 casesNoneJul 2023 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17 · 317 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10 · 266 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.1 · 111 casesNoneJul 2023 – Jun 2025

What patients said (2,553 patients answered, 29% of those asked)

Patient survey stars by topic at Kaiser Foundation Hospital - San Francisco
Cleanliness3
Nurse communication3
Doctor communication4
Communication about medicines3
Discharge information3
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Kaiser Foundation Hospital - San Francisco
Room was "always" clean65%
Nurses "always" communicated well76%
Doctors "always" communicated well81%
Staff "always" explained58%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge87%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)69%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night39%
"YES", patients would definitely recommend the hospital72%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms85%

Original Medicare doctor bills

$2,551

Medicare paid this office $2,551 for 30 people.

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

Largest Original Medicare bills
Emergency department visit with low level of medical decision making14$659$47

Who their Medicare patients are

30 Original Medicare patients in 2024. Average age 70 · Women 50% · Health risk score 1.09. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 60%.

The office billed $17,231, Medicare allowed $3,602 and paid $2,551; for 35 services of 8 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
20243035701.09$17,231$2,551
20232729661.31$15,348$2,406
2022294494742.63$478,678$50,702
20215691,005752.31$954,349$104,322
2020214341742.09$355,107$35,934

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: 6 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making183$31,301$169
Critical care, first 30-74 minutes41$9,187$224
Emergency department visit with moderate level of medical decision making47$4,779$100
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only136$1,100$7
Emergency department visit with low level of medical decision making17$864$51
Ultrasound of heart, follow-up16$344$22

2021: 6 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making405$71,890$168
Critical care, first 30-74 minutes68$15,968$222
Emergency department visit with moderate level of medical decision making70$7,495$104
Emergency department visit with low level of medical decision making34$2,236$62
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only262$2,156$7
Ultrasound of heart, follow-up35$800$23

2020: 5 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making171$27,974$159
Critical care, first 30-74 minutes15$3,362$224
Emergency department visit with moderate level of medical decision making18$1,769$98
Emergency department visit with low level of medical decision making11$678$57
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only78$662$8

Medicaid work

$12,736 in 2024

Medicaid paid $12,736 for 120 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
EMERGENCY DEPT VISIT LOW MDM89$7,045
EMERGENCY DEPT VISIT MOD MDM31$5,692
Medicaid work by year
2024120219$12,736
202330217$591
2022743745$21,255
20211,8191067$77,155
2020523556$17,287
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM13$301
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM17$290

2022

Largest Medicaid services in 2022
EMERGENCY DEPARTMENT VISIT HIGH MDM212$11,032
EMERGENCY DEPT VISIT MOD MDM145$5,633
EMERGENCY DEPT VISIT LOW MDM134$2,792
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only151$899
Service13$505
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count57$227
COMPREHENSIVE METABOLIC PANEL31$168

2021

Largest Medicaid services in 2021
EMERGENCY DEPT VISIT MOD MDM309$35,904
EMERGENCY DEPARTMENT VISIT HIGH MDM585$30,458
EMERGENCY DEPT VISIT LOW MDM255$5,368
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only373$2,359
Service40$1,550
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count121$568
COMPREHENSIVE METABOLIC PANEL83$534
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP29$194
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report12$149
Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)12$72

2020

Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT HIGH MDM206$10,893
EMERGENCY DEPT VISIT MOD MDM108$3,961
EMERGENCY DEPT VISIT LOW MDM65$1,596
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only131$814
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count13$24

Drugs they prescribed that Part D paid

$8,829

Pharmacies billed $8,829 in 2024.

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

Opioids were 8% of their Part D prescriptions (18 of 228) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.

201 generic and 27 brand-name prescriptions · $8,829 in drug cost · 47 antibiotic prescriptions to 39 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
Oxycodone12$73$6

Year by year

Part D prescribing by year
20242281328% (18)12%$8,829
202317013411% (19)None$4,952
202210586NoneNone$4,100
20219985NoneNone$2,180
20202924NoneNone$2,670

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

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Cefadroxil11$165$15
Prednisone11$84$8
Oxycodone12$74$6

2022: 1 drug

Part D drugs prescribed in 2022
Cephalexin19$145$8

2021: 1 drug

Part D drugs prescribed in 2021
Cephalexin19$140$7

Professional record

NPI
1538521281
Licence
CA A152574California A152574: Current · expires 2027-11-30
Trained
University of California, San Francisco School of Medicine, 2016
Group
Eden Emergency Medical Group Inc · Permanente Medical Group Inc
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X); Student in a training program (390200000X)
Mailing address
1370 8th Ave Apt 4, San Francisco, CA, 94122
NPI first listed
2016-03-22
NPI last updated
2022-05-31
NPI record certified
2022-05-31

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

This office lists an electronic records connection.