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Paul R Waldron, MD

Infectious Disease · San Jose

NPI 1962674283

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

Offices

1 location · Permanente Medical Group Inc · 10,928 clinicians in this group

Looking this up.

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

Plans that list them

4 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Waldron’s office at (408) 972-3000 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
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Dual Complete North P23 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Basic Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026

California Medical Board record

Licence A120662 · Current

Licensed to practise in California · since 2012 · expires 2027-08-31 · Johns Hopkins University 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 JoseSan Jose, 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 · 66% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.258, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital-San Jose

Behind the star rating — Deaths: 0 better, 3 the same, 0 worse of 3 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 2 the same, 0 worse of 2 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 Jose
Clostridium Difficile (C.Diff)Infections0.258BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.3 (0.22 to 2.37) · 181 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.89 (0.43 to 1.34)No differentJul 2022 – Jun 2024
Death rate for pneumonia patientsComplications and deaths14.2 · 27 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.6 · 271 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 2,952 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.27 (0.04 to 0.5) · 894 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 908 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.19 (0.67 to 5.72) · 176 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.63 (0 to 3.34) · 61 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.23 (0.53 to 3.92) · 168 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.11 (0 to 17.58) · 68 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.85 (0.67 to 9.03) · 63 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.74 (0.22 to 3.26) · 51 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.43 (0 to 1.53) · 630 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 48 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.843No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.88No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.611No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15 · 171 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.9 · 571 casesNoneJul 2023 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits147.1 · 28 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits21 · 639 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.6 · 48 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 157 casesNoneJul 2023 – Jun 2025

What patients said (1,294 patients answered, 21% of those asked)

Patient survey stars by topic at Kaiser Foundation Hospital-San Jose
Cleanliness4
Nurse communication2
Doctor communication4
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Kaiser Foundation Hospital-San Jose
Room was "always" clean71%
Nurses "always" communicated well70%
Doctors "always" communicated well79%
Staff "always" explained54%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)61%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully66%
Nurses "always" treated them with courtesy and respect78%
"Always" quiet at night37%
"YES", patients would definitely recommend the hospital66%
Staff "always" explained possible side effects41%
Yes, staff "did" give patients information about possible symptoms85%

Original Medicare doctor bills

$3,437

Medicare paid this office $3,437 for 23 people.

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

Who their Medicare patients are

23 Original Medicare patients in 2024. Average age 65 · Under 65 52% · Health risk score 4.97. Sicker patients than 9 in 10 peers; the typical infectious disease clinician is at 3.

Conditions among them: High blood pressure 75% · Diabetes 74% · Chronic kidney disease 57% · Heart failure 48%.

The office billed $7,746, Medicare allowed $4,535 and paid $3,437; for 43 services of 9 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
20242343654.97$7,746$3,437
20232352684.52$7,665$4,080
20221463663.35$6,858$3,428
20211445632.31$5,576$3,032
20201125712.23$3,116$1,318
20191321644.62$3,931$1,296
20182139643.91$7,569$2,297
20171725681.73$4,993$1,571
20164891724.14$28,319$7,830
201584252713.02$81,551$22,616

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: 1 service

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$1,212$71

2017: 1 service

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes13$927$58

2016: 1 service

Original Medicare services billed in 2016
Long return visit (40+ min)11$1,109$92

2015: 6 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes30$6,998$93
Initial hospital care with moderate level of medical decision making at least 75 minutes26$4,832$179
Hospital discharge day management, 30 minutes or less38$2,592$66
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$1,493$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,468$122
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes16$768$35

Drugs they prescribed that Part D paid

$1,542,484

Pharmacies billed $1,542,484 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 1,070) in 2024. At or below the middle of the specialty; the typical infectious disease clinician is at 0%.

845 generic and fewer than 11 brand-name prescriptions · $1,542,484 in drug cost · 410 antibiotic prescriptions to 133 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
Biktarvy69$540,675$7,836
Nuzyra14$218,365$15,598
Odefsey15$117,549$7,837
Thalomid11$83,567$7,597
Amoxicillin52$3,267$63
See all 29 drugs
Every Part D drug this clinician prescribed
Biktarvy69$540,675$7,836
Nuzyra14$218,365$15,598
Odefsey15$117,549$7,837
Thalomid11$83,567$7,597
Amoxicillin52$3,267$63
Vancomycin12$2,902$242
Rifampin24$2,865$119
Doxycycline Monohydrate70$2,723$39
Voriconazole22$2,158$98
Cephalexin45$2,140$48
Linezolid43$2,111$49
Menveo A-C-Y-W-135-Dip12$1,812$151
Cefpodoxime Proxetil14$1,658$118
Ethambutol12$1,395$116
Amoxicillin-Clavulanate Potass30$1,372$46
Fluconazole29$1,203$41
Ciprofloxacin34$689$20
Azithromycin24$656$27
Levofloxacin21$266$13
Lisinopril-Hydrochlorothiazide21$253$12
Atorvastatin25$242$10
Amlodipine Besylate20$218$11
Levothyroxine13$211$16
Tamsulosin11$165$15
Famotidine13$141$11
Metoprolol13$135$10
Sulfamethoxazole-Trimethoprim12$108$9
Furosemide12$105$9
Meloxicam13$80$6

Year by year

Part D prescribing by year
20241,0701910% (0)None$1,542,484
2023864152NoneNone$1,150,780
2022697109NoneNone$794,471
202163096None28%$827,418
2020552870% (0)28%$745,909
2019592101None32%$946,520
20187301270% (0)39%$769,531
2017650103None39%$529,737
201621857None26%$107,806
201516539NoneNone$96,598
201429NoneNoneNone$9,402
201311028None15%$15,430

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

See the drugs prescribed each year

2023: 23 drugs

Part D drugs prescribed in 2023
Biktarvy54$415,845$7,701
Thalomid12$101,802$8,483
Odefsey17$80,249$4,721
Tivicay14$28,264$2,019
Rifampin21$2,764$132
Amoxicillin40$1,976$49
Ethambutol19$1,788$94
Lamivudine13$1,726$133
Amoxicillin-Clavulanate Potass30$1,147$38
Doxycycline Monohydrate28$1,099$39
Cephalexin24$954$40
Linezolid11$825$75
Fluconazole34$786$23
Azithromycin18$577$32
Ciprofloxacin35$508$15
Atorvastatin37$364$10
Levofloxacin15$335$22
Lisinopril-Hydrochlorothiazide25$244$10
Levothyroxine13$240$18
Lisinopril11$128$12
Hydrochlorothiazide11$125$11
Famotidine11$118$11
Amlodipine Besylate19$112$6

2022: 19 drugs

Part D drugs prescribed in 2022
Biktarvy39$296,892$7,613
Odefsey19$69,877$3,678
Tivicay19$45,138$2,376
Rifampin35$4,762$136
Ethambutol23$2,093$91
Fluconazole17$1,742$102
Azithromycin27$1,094$41
Doxycycline Monohydrate19$898$47
Amoxicillin19$812$43
Amoxicillin-Clavulanate Potass16$549$34
Cephalexin14$508$36
Levothyroxine17$385$23
Levofloxacin15$295$20
Atorvastatin28$258$9
Famotidine17$217$13
Lisinopril14$163$12
Lisinopril-Hydrochlorothiazide20$163$8
Hydrochlorothiazide13$149$11
Amlodipine Besylate21$127$6

2021: 17 drugs

Part D drugs prescribed in 2021
Biktarvy26$206,270$7,933
Triumeq13$101,289$7,791
Odefsey22$64,712$2,941
Tivicay23$48,467$2,107
Intelence11$35,513$3,228
Rifampin25$8,508$340
Fluconazole24$2,440$102
Voriconazole11$1,850$168
Ethambutol15$1,202$80
Amoxicillin25$982$39
Azithromycin14$889$63
Cephalexin19$847$45
Doxycycline Monohydrate20$739$37
Amoxicillin-Clavulanate Potass14$531$38
Atorvastatin32$299$9
Ciprofloxacin12$255$21
Amlodipine Besylate14$92$7

2020: 17 drugs

Part D drugs prescribed in 2020
Biktarvy20$163,267$8,163
Tivicay19$50,447$2,655
Intelence11$46,946$4,268
Prezcobix12$45,985$3,832
Descovy11$35,001$3,182
Odefsey11$30,590$2,781
Rifampin19$4,923$259
Fluconazole16$1,986$124
Cephalexin33$1,517$46
Amoxicillin35$1,378$39
Ethambutol14$1,154$82
Lactulose16$605$38
Azithromycin15$570$38
Ciprofloxacin14$382$27
Mupirocin12$249$21
Atorvastatin21$239$11
Chlorhexidine Gluconate13$158$12

2019: 17 drugs

Part D drugs prescribed in 2019
Triumeq15$126,236$8,416
Biktarvy13$98,976$7,614
Odefsey12$93,244$7,770
Descovy15$65,709$4,381
Dificid12$58,286$4,857
Intelence13$57,321$4,409
Prezcobix11$52,814$4,801
Prezista11$46,494$4,227
Xifaxan11$24,563$2,233
Rifampin27$4,902$182
Fluconazole20$3,000$150
Voriconazole11$1,553$141
Doxycycline Monohydrate24$1,220$51
Lactulose32$809$25
Amoxicillin18$705$39
Cephalexin19$417$22
Atorvastatin15$324$22

2018: 24 drugs

Part D drugs prescribed in 2018
Triumeq23$148,064$6,438
Odefsey19$102,497$5,395
Descovy19$72,313$3,806
Tivicay22$64,788$2,945
Genvoya14$48,871$3,491
Prezista15$40,143$2,676
Xifaxan17$35,968$2,116
Voriconazole14$7,861$562
Fluconazole33$4,953$150
Vancomycin14$4,903$350
Ritonavir16$2,394$150
Omega-3 Acid Ethyl Esters11$1,597$145
Dapsone14$1,422$102
Rifampin19$1,370$72
Lactulose33$905$27
Amoxicillin30$791$26
Doxycycline Monohydrate17$689$41
Cephalexin21$686$33
Azithromycin18$579$32
Amoxicillin-Clavulanate Potass13$501$39
Atorvastatin18$390$22
Ciprofloxacin13$370$28
Lisinopril15$218$15
Sulfamethoxazole-Trimethoprim13$147$11

2017: 21 drugs

Part D drugs prescribed in 2017
Odefsey14$78,313$5,594
Triumeq17$77,485$4,558
Tivicay23$67,691$2,943
Descovy19$52,354$2,755
Genvoya12$30,310$2,526
Prezista13$28,590$2,199
Voriconazole11$5,868$533
Norvir16$4,757$297
Fluconazole26$4,331$167
Rifampin27$1,873$69
Menveo A-C-Y-W-135-Dip13$1,534$118
Dapsone13$1,375$106
Ciprofloxacin24$1,119$47
Amoxicillin33$963$29
Lactulose20$660$33
Cephalexin14$488$35
Azithromycin24$429$18
Atorvastatin18$350$19
Levofloxacin17$245$14
Sulfamethoxazole-Trimethoprim16$205$13
Doxycycline Monohydrate11$201$18

2016: 1 drug

Part D drugs prescribed in 2016
Atorvastatin13$115$9

2015: 3 drugs

Part D drugs prescribed in 2015
Complera12$26,464$2,205
Atripla12$25,259$2,105
Atorvastatin15$89$6

2013: 1 drug

Part D drugs prescribed in 2013
Simvastatin13$104$8

Professional record

NPI
1962674283
Licence
CA A120662California A120662: Current · expires 2027-08-31
Trained
Johns Hopkins University School of Medicine, 2009
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RI0200X (207RI0200X); Internal medicine (207R00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2008-03-26
NPI last updated
2015-07-28

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