Kimberly G Shepard, MD
Otolaryngology · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 22
- 4 carriers
- Office
- 1
Offices
1 location · County of Santa Clara · 1,000 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
22 plans · 4 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Shepard’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
22 of 22 plans
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Harmony (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Silicon (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health the ONE (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
California Medical Board record
Licence G75979 · Current
Licensed to practise in California · since 1993 · expires 2028-12-31 · Dartmouth 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.
- 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
$7,803
Medicare paid this office $7,803 for 132 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Short return visit | 59 | $1,525 | $25 |
| New patient visit (15+ min) | 26 | $913 | $35 |
| New patient visit (30+ min) | 14 | $690 | $49 |
| Removal of impacted ear wax | 28 | $641 | $21 |
| Diagnostic exam of voice box using a flexible endoscope | 13 | $550 | $42 |
Who their Medicare patients are
132 Original Medicare patients in 2024. Average age 74 · Under 65 15% · 85 and older 17% · Women 57% · Also on Medicaid 83% · Health risk score 1.71. Sicker patients than 9 in 10 peers; the typical otolaryngology clinician is at 1.19.
Conditions among them: High blood pressure 74% · Diabetes 40% · Coronary heart disease 20% · Chronic kidney disease 20% · Depression 20% · Heart failure 19% · Atrial fibrillation 16% · COPD 13% · Dementia 10% · Cancer 9% · Stroke 8%.
The office billed $101,353, Medicare allowed $12,301 and paid $7,803; for 191 services of 19 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 | 132 | 191 | 74 | 1.71 | $101,353 | $7,803 |
| 2023 | 116 | 170 | 72 | 1.26 | $83,133 | $7,162 |
| 2022 | 107 | 161 | 73 | 1.42 | $74,919 | $7,224 |
| 2021 | 52 | 82 | 71 | 2.23 | $52,751 | $6,214 |
| 2020 | 44 | 84 | 69 | 2.58 | $72,306 | $7,005 |
| 2019 | 169 | 280 | 72 | 1.84 | $152,663 | $16,011 |
| 2018 | 76 | 128 | 68 | 2.41 | $82,976 | $10,011 |
| 2017 | 106 | 213 | 67 | 2.16 | $145,246 | $19,013 |
| 2016 | 100 | 196 | 68 | 2.14 | $152,906 | $18,068 |
| 2015 | 111 | 229 | 67 | 2.32 | $175,020 | $21,800 |
| 2014 | 149 | 352 | 66 | 1.88 | $213,824 | $31,337 |
| 2013 | 108 | 218 | 65 | 1.44 | $113,741 | $17,614 |
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: 5 services
| Short return visit | 50 | $1,078 | $20 |
| Diagnostic exam of voice box using a flexible endoscope | 11 | $667 | $56 |
| New patient visit (15+ min) | 15 | $621 | $41 |
| Removal of impacted ear wax | 23 | $523 | $23 |
| Short return visit (20+ min) | 14 | $455 | $30 |
2022: 4 services
| Short return visit | 56 | $1,807 | $31 |
| Return visit (30+ min) | 12 | $1,276 | $85 |
| Short return visit (20+ min) | 28 | $1,264 | $45 |
| Removal of impacted ear wax | 20 | $584 | $28 |
2021: 2 services
| Short return visit (20+ min) | 25 | $1,711 | $59 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 13 | $1,083 | $72 |
2020: 3 services
| Return visit (30+ min) | 19 | $1,662 | $64 |
| Diagnostic exam of voice box using a flexible endoscope | 12 | $840 | $65 |
| Short return visit (20+ min) | 12 | $572 | $48 |
2019: 8 services
| Return visit (30+ min) | 33 | $3,273 | $70 |
| Diagnostic exam of voice box using a flexible endoscope | 31 | $2,353 | $62 |
| New patient visit (15+ min) | 59 | $1,939 | $33 |
| Short return visit (20+ min) | 34 | $1,480 | $42 |
| New patient visit (30+ min) | 25 | $1,459 | $58 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 12 | $1,095 | $91 |
| Removal of impacted ear wax | 21 | $554 | $25 |
| Short return visit | 12 | $232 | $19 |
2018: 3 services
| Return visit (30+ min) | 23 | $1,523 | $56 |
| New patient visit (30+ min) | 21 | $1,030 | $49 |
| Diagnostic exam of voice box using a flexible endoscope | 15 | $934 | $58 |
2017: 5 services
| Diagnostic exam of voice box using a flexible endoscope | 32 | $2,091 | $57 |
| Short return visit (20+ min) | 50 | $1,999 | $36 |
| Return visit (30+ min) | 21 | $1,730 | $67 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 17 | $1,615 | $90 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 14 | $1,296 | $65 |
2016: 4 services
| Short return visit (20+ min) | 54 | $2,461 | $42 |
| Diagnostic exam of voice box using a flexible endoscope | 29 | $2,184 | $66 |
| Return visit (30+ min) | 13 | $700 | $47 |
| Short return visit | 19 | $424 | $21 |
2015: 4 services
| Return visit (30+ min) | 57 | $4,785 | $62 |
| Diagnostic exam of voice box using a flexible endoscope | 39 | $2,975 | $65 |
| Short return visit (20+ min) | 39 | $1,419 | $35 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 11 | $875 | $80 |
2014: 4 services
| Diagnostic exam of voice box using a flexible endoscope | 66 | $5,513 | $65 |
| Short return visit (20+ min) | 68 | $4,116 | $42 |
| Return visit (30+ min) | 48 | $3,618 | $66 |
| New patient visit (30+ min) | 13 | $878 | $68 |
2013: 4 services
| Return visit (30+ min) | 42 | $2,679 | $60 |
| Diagnostic exam of voice box using a flexible endoscope | 32 | $2,390 | $63 |
| Short return visit (20+ min) | 48 | $2,079 | $38 |
| Short return visit | 11 | $258 | $22 |
Medicaid work
$7,089 in 2024
Medicaid paid $7,089 for 1,530 billed services this clinician did in 2024, up to 74 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.
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 202 | $3,582 |
| OFF/OP CONSLTJ NEW/EST SF 20 | 209 | $2,176 |
| Diagnostic flexible fiberoptic laryngoscopy | 40 | $849 |
| New patient visit (30+ min) | 13 | $220 |
| Removal of impacted ear wax | 37 | $201 |
| Short return visit | 27 | $60 |
| Pain severity quantified; no pain present (COA) (ONC) | 27 | $0 |
| Medication list documented in medical record (COA) | 501 | $0 |
| Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record (COA) | 234 | $0 |
| Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD) | 125 | $0 |
| Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM) | 115 | $0 |
| 2024 | 1,530 | 11 | 74 | $7,089 |
| 2023 | 567 | 7 | 28 | $5,934 |
| 2022 | 338 | 5 | 33 | $3,569 |
| 2021 | 161 | 2 | 20 | $2,145 |
| 2020 | 138 | 5 | 23 | $2,193 |
| 2019 | 594 | 7 | 30 | $4,612 |
| 2018 | 479 | 7 | 34 | $2,988 |
See the largest Medicaid services in earlier years
2023
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 250 | $4,168 |
| OFF/OP CONSLTJ NEW/EST SF 20 | 190 | $1,070 |
| Return visit (30+ min) | 12 | $333 |
| Short return visit | 65 | $244 |
| Short return visit (20+ min) | 25 | $89 |
| Removal of impacted ear wax | 12 | $31 |
| Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM) | 13 | $0 |
2022
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 177 | $2,083 |
| Diagnostic flexible fiberoptic laryngoscopy | 24 | $610 |
| OFF/OP CONSLTJ NEW/EST SF 20 | 99 | $563 |
| Short return visit (20+ min) | 12 | $195 |
| Short return visit | 26 | $118 |
2021
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 97 | $1,493 |
| Short return visit (20+ min) | 64 | $652 |
2020
| Return visit (30+ min) | 40 | $738 |
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 60 | $539 |
| Diagnostic flexible fiberoptic laryngoscopy | 13 | $479 |
| Short return visit (20+ min) | 12 | $286 |
| OFF/OP CONSLTJ NEW/EST SF 20 | 13 | $151 |
2019
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 171 | $1,626 |
| OFF/OP CONSLTJ NEW/EST SF 20 | 119 | $1,151 |
| Return visit (30+ min) | 137 | $773 |
| REMOVE TONSILS AND ADENOIDS | 13 | $454 |
| Short return visit (20+ min) | 114 | $376 |
| New patient visit (30+ min) | 12 | $134 |
| Short return visit | 28 | $98 |
2018
| OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 235 | $1,929 |
| Return visit (30+ min) | 90 | $311 |
| Short return visit (20+ min) | 54 | $259 |
| OFF/OP CONSLTJ NEW/EST SF 20 | 58 | $233 |
| Service | 17 | $146 |
| Diagnostic flexible fiberoptic laryngoscopy | 13 | $83 |
| Service | 12 | $26 |
Money from drug and device companies
$187 in 2025
| 2025 | 1 | 11 | None | $187 |
| 2023 | 1 | 1 | None | $16 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Smith+Nephew | Tula | $187 | 11 payments
|
See all 11 published payments
| Smith+Nephew | Meals · 2025-11-12 | Tula | $12 |
| Smith+Nephew | Meals · 2025-07-16 | Halo | $20 |
| Smith+Nephew | Meals · 2025-07-16 | Tula | $7 |
| Smith+Nephew | Meals · 2025-06-18 | Tula | $14 |
| Smith+Nephew | Meals · 2025-06-15 | Halo | $25 |
| Smith+Nephew | Meals · 2025-05-29 | Tula | $24 |
| Smith+Nephew | Meals · 2025-04-18 | Tula | $28 |
| Smith+Nephew | Meals · 2025-02-13 | Tula | $35 |
| Smith+Nephew | Meals · 2025-02-13 | Halo | $1 |
| Smith+Nephew | Meals · 2025-02-13 | Tula | $3 |
| Smith+Nephew | Meals · 2025-02-13 | Tula | $18 |
See earlier years (2023)
2023: $16
| KLS-Martin L.P. | None | $16 | 1 payment
|
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 80.6 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1720183395
- Licence
- CA G75979California G75979: Current · expires 2028-12-31
- Trained
- Geisel School of Medicine at Dartmouth, 1991
- Gender
- Female
More record details
- Sole proprietor
- No
- Medicaid ID
- CA 00G759790
- Taxonomy
- Otolaryngology (207Y00000X)
- Mailing address
- 751 S Bascom Ave, San Jose, CA, 95128
- NPI first listed
- 2006-09-14
- NPI last updated
- 2007-09-12
This is when the NPI record was last certified, not a medical board exam.