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Petia B Kremen, MD

Internal Medicine · San Francisco

NPI 1861570418

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
31 years
Graduated 1995

Offices

1 location · City and County of San Francisco · 368 clinicians in this group

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center · Zuckerberg San Francisco General Hosp & Trauma Ctr. 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. Kremen’s office at (628) 217-5800 to ask if they take your plan before you enroll.

California Medical Board record

Licence A84772 · Current

Licensed to practise in California · since 2003 · expires 2027-05-31 · Medical Academy, Higher Medical Institute of Varna.

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

Hospitals they work in

2 hospitals

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 it
    Overall 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
  • Zuckerberg San Francisco General Hosp & Trauma CtrSan Francisco, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of San Francisco Health Network, which runs 2 hospitalsPatients rate it 3 of 5 · 72% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.449, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.37, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.538, 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.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%
See every measure and the patient survey for Zuckerberg San Francisco General Hosp & Trauma Ctr

Behind the star rating — Deaths: 1 better, 6 the same, 0 worse of 7 measures. Safety: 1 better, 5 the same, 1 worse of 7 measures. Readmissions: 0 better, 7 the same, 2 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Zuckerberg San Francisco General Hosp & Trauma Ctr
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.449BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.37BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.538BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.9 (0 to 1.91) · 667 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.12 (0.76 to 1.49)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths195.34 (147.34 to 243.34) · 76 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.2 · 114 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.2 · 48 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths7.5 · 201 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.5 · 214 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.3 · 261 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.5 · 1,351 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.29 (0.07 to 0.5) · 4,709 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.39 (0.19 to 0.59) · 4,644 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.34 (2.11 to 6.56) · 795 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.59 (0 to 3.28) · 234 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.85 (1.33 to 4.38) · 861 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.95 (0.25 to 17.64) · 261 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6 (2.01 to 9.98) · 242 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.66 (0.17 to 3.14) · 167 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.79 (0.08 to 1.49) · 4,129 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.4 · 35 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0.709No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.769No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.7 · 41 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 227 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits28.6 · 257 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits75.1 · 239 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.2 · 232 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.8 (4.7 to 9.6) · 175 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.3 (8.3 to 15.1) · 175 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.1 · 37 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.2 · 132 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.6 (10.4 to 17.9) · 966 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (0.8 to 1.7) · 88 casesNo differentJan 2024 – Dec 2024

What patients said (1,644 patients answered, 16% of those asked)

Patient survey stars by topic at Zuckerberg San Francisco General Hosp & Trauma Ctr
Cleanliness4
Nurse communication2
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital4
Share of patients giving the best answer at Zuckerberg San Francisco General Hosp & Trauma Ctr
Room was "always" clean69%
Nurses "always" communicated well73%
Doctors "always" communicated well75%
Staff "always" explained56%
Yes, staff "did" give patients this information84%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand68%
Doctors "always" listened carefully75%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)72%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand68%
Nurses "always" listened carefully70%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night55%
"YES", patients would definitely recommend the hospital72%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms84%

Original Medicare doctor bills

$10,442

Medicare paid this office $10,442 for 115 people.

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

Largest Original Medicare bills
Short return visit (20+ min)45$3,891$79
Return visit (30+ min)31$3,121$95
Insertion of needle into vein for collection of blood sample31$346$9

Who their Medicare patients are

115 Original Medicare patients in 2024. Average age 70 · Women 57% · Also on Medicaid 24% · Health risk score 0.96. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 57% · Depression 20% · Diabetes 18% · Coronary heart disease 18% · Cancer 13% · Chronic kidney disease 12% · Atrial fibrillation 10%.

The office billed $65,104, Medicare allowed $14,775 and paid $10,442; for 227 services of 34 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
2024115227700.96$65,104$10,442
2023184373721.03$114,653$21,479
2022293552750.90$109,259$33,116
2021214407750.89$67,354$21,412
2020121232750.95$37,633$9,197
2019101204750.93$30,562$7,964
2018132264751.01$36,591$8,742
2017139273730.91$40,021$10,403
201674139750.94$20,240$5,461
201593371731.26$25,595$6,499
201454585720.99$22,777$3,763
20134056751.54$9,627$2,493

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

Original Medicare services billed in 2023
Short return visit (20+ min)76$7,293$86
Return visit (30+ min)56$7,184$114
New patient visit (30+ min)18$1,936$108
Short return visit11$627$57
Insertion of needle into vein for collection of blood sample20$286$8

2022: 7 services

Original Medicare services billed in 2022
Return visit (30+ min)95$10,516$110
Short return visit (20+ min)121$9,991$81
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen53$2,768$50
New patient visit (30+ min)26$2,652$102
Short return visit31$2,035$66
Injection of drug or substance under skin or into muscle26$364$13
Automated urinalysis test38$84$2

2021: 5 services

Original Medicare services billed in 2021
Short return visit (20+ min)118$9,293$77
Return visit (30+ min)82$9,252$111
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen21$1,078$51
Injection of drug or substance under skin or into muscle19$237$12
Automated urinalysis test36$83$2

2020: 4 services

Original Medicare services billed in 2020
Return visit (30+ min)52$4,393$84
Short return visit (20+ min)69$3,929$57
Injection of drug or substance under skin or into muscle14$182$13
Automated urinalysis test14$31$2

2019: 3 services

Original Medicare services billed in 2019
Short return visit (20+ min)75$4,532$60
Return visit (30+ min)27$2,686$96
Automated urinalysis test13$32$2

2018: 5 services

Original Medicare services billed in 2018
Short return visit (20+ min)116$6,476$53
Return visit (30+ min)15$1,438$96
Inhalation treatment for airway obstruction or sputum production12$247$18
Automated urinalysis test22$62$3
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme11$1None

2017: 4 services

Original Medicare services billed in 2017
Short return visit (20+ min)97$5,329$54
Return visit (30+ min)43$3,861$90
Automated urinalysis test18$54$3
Blood glucose (sugar) test performed by hand-held instrument11$35$3

2016: 2 services

Original Medicare services billed in 2016
Short return visit (20+ min)51$3,104$56
Return visit (30+ min)19$1,725$91

2015: 3 services

Original Medicare services billed in 2015
Short return visit (20+ min)59$3,317$55
Return visit (30+ min)31$2,674$81
Automated urinalysis test11$36$3

2014: 2 services

Original Medicare services billed in 2014
Return visit (30+ min)21$1,642$78
Short return visit (20+ min)23$1,334$58

2013: 1 service

Original Medicare services billed in 2013
Short return visit (20+ min)28$1,448$52

Medicaid work

$20,663 in 2024

Medicaid paid $20,663 for 147 billed services this clinician did in 2024, up to 22 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
Clinic visit/encounter, all-inclusive104$19,371
Short return visit (20+ min)43$1,292
Medicaid work by year
2024147222$20,663
2023187338$17,318
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive92$16,666
Return visit (30+ min)61$413
Short return visit (20+ min)34$240

Drugs they prescribed that Part D paid

$3,679

Pharmacies billed $3,679 in 2024.

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

56 generic and 12 brand-name prescriptions · $3,679 in drug cost · 16 antibiotic prescriptions to 14 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.

Year by year

Part D prescribing by year
20246844None18%$3,679
202313893None9%$5,380
2022151117NoneNone$1,880
202112195NoneNone$1,729
20207761NoneNone$1,400
20196253NoneNone$1,498
20188969None15%$2,175
20179771None13%$1,362
20164637NoneNone$793
20154837NoneNone$1,320
20149647None21%$2,700
20136626None33%$3,029

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

See the drugs prescribed each year

2022: 4 drugs

Part D drugs prescribed in 2022
Cephalexin18$158$9
Amoxicillin-Clavulanate Potass11$88$8
Sulfamethoxazole-Trimethoprim16$80$5
Azithromycin12$67$6

2021: 2 drugs

Part D drugs prescribed in 2021
Cephalexin19$152$8
Sulfamethoxazole-Trimethoprim12$39$3

2019: 1 drug

Part D drugs prescribed in 2019
Azithromycin11$80$7

2018: 2 drugs

Part D drugs prescribed in 2018
Ciprofloxacin11$77$7
Azithromycin12$52$4

2017: 1 drug

Part D drugs prescribed in 2017
Azithromycin15$80$5

Money from drug and device companies

$19 in 2025

A payment is not proof that care is biased.

Payments by company
PfizerPaxlovid$19
1 payment
  • Meals for Paxlovid · 2025-06-17 · $19
See the published payment
Every published payment
PfizerMeals · 2025-06-17Paxlovid$19

Professional record

NPI
1861570418
Licence
CA A84772California A84772: Current · expires 2027-05-31
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
CA 00A847720
Taxonomy
Internal medicine (207R00000X)
Mailing address
1 Embarcadero Ctr Ste 1900, San Francisco, CA, 94111
NPI first listed
2006-11-01
NPI last updated
2023-01-20
NPI record certified
2023-01-20

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

Extra NPI addresses: 751 S Bascom Ave, San Jose, CA, 95128