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Douglas G Hetzler, MD

Otolaryngology · Santa Cruz

NPI 1801876701

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Offices
4
Since medical school
45 years
University of Iowa, Rj & L Carver College of Medicine, 1981

Offices

4 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: Dominican Hospital. 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. Hetzler’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 Sutter Advantage +More (HMO)Alignment Health PlanListedOct 3, 2026

California Medical Board record

Licence C41078 · Current

Licensed to practise in California · since 1983 · expires 2028-11-30 · University of Iowa College of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Otolaryngology - Otolaryngology

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.

  • Dominican HospitalSanta Cruz, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 4 of 5 · 68% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Postoperative sepsis rate: 11.66 (8.02 to 15.3) · 412 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.168, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.169, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.489, Oct 2024 – Sep 2025
See every measure and the patient survey for Dominican Hospital

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 1 better, 8 the same, 2 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 Dominican Hospital
Postoperative sepsis rateComplications and deaths11.66 (8.02 to 15.3) · 412 casesWorseJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.168BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.169BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.489BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.01 (0.06 to 1.95) · 1,248 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.14 (0.85 to 1.43)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths134.37 (94.33 to 174.41) · 132 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.4 · 54 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.2 · 137 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12 · 228 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.5 · 534 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.8 · 491 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 278 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.4 · 2,973 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.14 (0 to 0.34) · 7,510 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.4) · 7,695 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.42 (1.44 to 5.4) · 1,594 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.26 (0 to 2.76) · 436 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.85 (0.4 to 3.29) · 1,474 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.73 (3 to 14.46) · 437 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.58 (0.13 to 3.03) · 343 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.57 (0 to 1.17) · 6,336 casesNo differentJul 2022 – Jun 2024
MRSA BacteremiaInfections0.615No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.937No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16 · 212 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22 · 505 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits45 · 237 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-13.5 · 594 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.9 · 510 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.9 · 473 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (3.4 to 7.8) · 126 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13 (9.4 to 17.7) · 126 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits12.7 · 43 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 143 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.1 (9.4 to 15.4) · 1,585 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.3) · 390 casesNo differentJan 2024 – Dec 2024

What patients said (774 patients answered, 23% of those asked)

Patient survey stars by topic at Dominican Hospital
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness1
Recommend hospital4
Share of patients giving the best answer at Dominican Hospital
Room was "always" clean73%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand77%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand76%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night32%
"YES", patients would definitely recommend the hospital68%
Staff "always" explained possible side effects48%
Yes, staff "did" give patients information about possible symptoms88%

Original Medicare doctor bills

$67,938

Medicare paid this office $67,938 for 296 people.

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

Largest Original Medicare bills
Reconstruction of ear canal15$19,018$1,268
Short return visit (20+ min)152$16,849$68
New patient visit (30+ min)94$7,669$82
Removal of impacted ear wax120$6,730$34
Diagnostic exam of voice box using a flexible endoscope37$4,388$107
See all 8 services
Every Original Medicare service billed
Reconstruction of ear canal15$19,018$1,268
Short return visit (20+ min)152$16,849$68
New patient visit (30+ min)94$7,669$82
Removal of impacted ear wax120$6,730$34
Diagnostic exam of voice box using a flexible endoscope37$4,388$107
Diagnostic exam of nasal passages using an endoscope14$2,600$162
Return visit (30+ min)21$2,015$88
New patient visit (15+ min)16$878$55

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Removal of impacted ear wax238187186184178196
Diagnostic exam of voice box using a flexible endoscope615740574841
Reconstruction of ear canal131514151515
Diagnostic exam of nasal passages using an endoscope14––15–16

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

296 Original Medicare patients in 2024. Average age 75 · Under 65 5% · 85 and older 12% · Women 51% · Also on Medicaid 11% · Health risk score 0.89. At or below the middle of the specialty; the typical otolaryngology clinician is at 1.19.

Conditions among them: High blood pressure 58% · Coronary heart disease 17% · Diabetes 16% · Atrial fibrillation 16% · Depression 16% · Cancer 15% · Chronic kidney disease 13% · COPD 9% · Heart failure 8% · Stroke 6% · Dementia 4%.

The office billed $351,965, Medicare allowed $92,895 and paid $67,938; for 717 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
2024296717750.89$351,965$67,938
2023293708760.88$326,370$69,855
2022306746760.90$349,471$77,058
2021299659750.94$272,446$65,000
2020284646751.07$271,737$59,141
2019372867751.01$332,436$71,579
2018442918740.92$410,549$87,468
20174771,038741.08$373,579$82,154
2016449969751.04$375,897$81,359
2015412929741.08$349,837$78,630
2014422923750.98$300,377$68,909
2013351723751.13$239,341$54,869

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: 8 services

Original Medicare services billed in 2023
Reconstruction of ear canal15$19,883$1,326
Short return visit (20+ min)164$19,787$72
Removal of impacted ear wax120$6,470$36
Diagnostic exam of voice box using a flexible endoscope46$5,341$111
New patient visit (30+ min)67$5,297$79
Return visit (30+ min)15$1,692$106
New patient visit (15+ min)30$1,565$52
Short return visit12$521$37

2022: 9 services

Original Medicare services billed in 2022
Reconstruction of ear canal15$21,353$1,424
Short return visit (20+ min)151$19,198$75
Removal of impacted ear wax122$6,727$37
Diagnostic exam of voice box using a flexible endoscope51$6,099$107
New patient visit (30+ min)66$6,071$92
Return visit (30+ min)25$2,685$99
Diagnostic exam of nasal passages using an endoscope15$2,604$174
New patient visit (15+ min)40$1,971$49
Short return visit16$818$48

2021: 9 services

Original Medicare services billed in 2021
Reconstruction of ear canal14$18,653$1,332
Short return visit (20+ min)138$15,718$73
Removal of impacted ear wax125$6,434$35
New patient visit (30+ min)55$5,040$92
Diagnostic exam of voice box using a flexible endoscope33$4,474$112
Return visit (30+ min)31$3,443$108
New patient visit (15+ min)39$2,126$55
Short return visit14$660$41
Repositioning exercises of head for treatment of dizziness, each day11$517$34

2020: 8 services

Original Medicare services billed in 2020
Reconstruction of ear canal15$19,142$1,276
Short return visit (20+ min)139$10,732$57
Removal of impacted ear wax116$6,781$36
Diagnostic exam of voice box using a flexible endoscope41$6,081$107
New patient visit (30+ min)46$3,540$77
New patient visit (15+ min)35$2,139$61
Return visit (30+ min)21$2,019$96
Short return visit31$1,163$36

2019: 10 services

Original Medicare services billed in 2019
Reconstruction of ear canal13$16,281$1,252
Short return visit (20+ min)182$15,621$57
Removal of impacted ear wax149$8,420$35
Diagnostic exam of voice box using a flexible endoscope51$6,258$103
New patient visit (30+ min)50$4,102$82
New patient visit (15+ min)52$3,041$58
Return visit (30+ min)25$2,846$92
Diagnostic exam of nasal passages using an endoscope14$2,459$176
Short return visit31$1,198$33
Repositioning exercises of head for treatment of dizziness, each day12$497$36

2018: 9 services

Original Medicare services billed in 2018
Reconstruction of ear canal20$23,547$1,177
Short return visit (20+ min)203$15,234$56
Removal of impacted ear wax139$6,753$35
New patient visit (15+ min)88$4,892$56
New patient visit (30+ min)52$4,305$83
Diagnostic exam of voice box using a flexible endoscope43$4,177$93
Return visit (30+ min)35$2,995$81
Short return visit39$1,493$32
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing11$440$40

2017: 9 services

Original Medicare services billed in 2017
Short return visit (20+ min)209$16,621$55
Reconstruction of ear canal12$14,685$1,224
Removal of impacted ear wax152$7,222$34
New patient visit (15+ min)128$7,060$55
New patient visit (30+ min)82$6,814$83
Diagnostic exam of voice box using a flexible endoscope43$4,532$92
Return visit (30+ min)31$2,542$77
Short return visit57$2,148$31
Repositioning exercises of head for treatment of dizziness, each day17$1,069$36

2016: 9 services

Original Medicare services billed in 2016
Reconstruction of ear canal16$19,757$1,235
Short return visit (20+ min)183$14,481$55
New patient visit (15+ min)143$7,623$53
Removal of impacted ear wax131$6,186$36
New patient visit (30+ min)58$4,768$82
Diagnostic exam of voice box using a flexible endoscope39$3,692$95
Short return visit73$2,976$31
Return visit (30+ min)16$1,231$77
Repositioning exercises of head for treatment of dizziness, each day15$744$34

2015: 8 services

Original Medicare services billed in 2015
Short return visit (20+ min)171$14,673$58
Removal of impacted ear wax142$6,805$38
New patient visit (15+ min)119$6,481$54
New patient visit (30+ min)54$4,403$82
Diagnostic exam of voice box using a flexible endoscope34$3,599$97
Short return visit73$2,884$34
Return visit (30+ min)22$2,326$93
Repositioning exercises of head for treatment of dizziness, each day21$995$34

2014: 9 services

Original Medicare services billed in 2014
Short return visit (20+ min)179$14,109$53
New patient visit (15+ min)120$6,212$52
Removal of impacted ear wax135$6,003$34
New patient visit (30+ min)72$5,490$76
Short return visit77$3,053$32
Diagnostic exam of nasal passages using an endoscope16$2,776$173
Diagnostic exam of voice box using a flexible endoscope26$2,682$92
Return visit (30+ min)22$1,957$78
Repositioning exercises of head for treatment of dizziness, each day15$780$30

2013: 8 services

Original Medicare services billed in 2013
Short return visit (20+ min)146$10,532$53
New patient visit (15+ min)103$5,425$53
Removal of impacted ear wax85$4,180$37
Diagnostic exam of voice box using a flexible endoscope35$3,554$91
New patient visit (30+ min)39$3,149$81
Short return visit65$2,669$32
Diagnostic exam of nasal passages using an endoscope12$2,081$173
Return visit (30+ min)16$1,438$85

Drugs they prescribed that Part D paid

$3,764

Pharmacies billed $3,764 in 2024.

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

126 generic and fewer than 11 brand-name prescriptions · $3,764 in drug cost · 15 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
Ipratropium18$620$34
Neomycin-Polymyxin-Hydrocort13$516$40
Prednisone19$79$4

Year by year

Part D prescribing by year
202413564NoneNone$3,764
202313568None0%$4,032
202212254NoneNone$4,755
202113072NoneNone$5,168
202012860NoneNone$4,558
201913263NoneNone$4,471
201818283None10%$8,433
201717977None9%$6,571
20161456613% (19)10%$5,023
201512568None11%$4,920
2014163777% (12)10%$5,695
20131435810% (14)11%$5,528

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

See the drugs prescribed each year

2023: 4 drugs

Part D drugs prescribed in 2023
Ipratropium28$1,566$56
Neomycin-Polymyxin-Hydrocort12$702$59
Fluticasone Propionate14$247$18
Prednisone19$71$4

2022: 4 drugs

Part D drugs prescribed in 2022
Ipratropium14$1,154$82
Fluticasone Propionate27$536$20
Mupirocin11$58$5
Prednisone14$38$3

2021: 4 drugs

Part D drugs prescribed in 2021
Ipratropium20$1,178$59
Neomycin-Polymyxin-Hydrocort12$636$53
Fluticasone Propionate24$473$20
Prednisone12$29$2

2020: 3 drugs

Part D drugs prescribed in 2020
Ipratropium14$782$56
Fluticasone Propionate27$590$22
Prednisone15$76$5

2019: 2 drugs

Part D drugs prescribed in 2019
Fluticasone Propionate29$413$14
Prednisone22$69$3

2018: 5 drugs

Part D drugs prescribed in 2018
Ipratropium25$1,939$78
Neomycin-Polymyxin-Hydrocort21$1,189$57
Fluticasone Propionate45$626$14
Ciprofloxacin15$207$14
Prednisone15$69$5

2017: 4 drugs

Part D drugs prescribed in 2017
Ipratropium28$1,604$57
Neomycin-Polymyxin-Hydrocort19$863$45
Fluticasone Propionate35$707$20
Prednisone15$61$4

2016: 4 drugs

Part D drugs prescribed in 2016
Ipratropium20$986$49
Fluticasone Propionate24$294$12
Hydrocodone-Acetaminophen15$115$8
Prednisone16$68$4

2015: 3 drugs

Part D drugs prescribed in 2015
Ipratropium21$806$38
Fluticasone Propionate23$371$16
Prednisone18$63$4

2014: 3 drugs

Part D drugs prescribed in 2014
Ipratropium33$1,079$33
Fluticasone Propionate28$560$20
Prednisone23$101$4

2013: 3 drugs

Part D drugs prescribed in 2013
Fluticasone Propionate32$1,012$32
Ipratropium32$1,003$31
Hydrocodone-Acetaminophen13$155$12

Professional record

NPI
1801876701
Licence
CA C41078California C41078: Current · expires 2028-11-30
Trained
University of Iowa, Rj & L Carver College of Medicine, 1981 · 45 years ago
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Otolaryngology (207Y00000X)
Mailing address
Po Box 1833, Santa Cruz, CA, 95061
NPI first listed
2006-01-18
NPI last updated
2026-07-13

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