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Gabriel Alan Goldfien, MD

Family Practice · Saint Paul

NPI 1992369805

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
6

Offices

6 locations · Group Health Inc · 1,627 clinicians in this group

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center. 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. Goldfien’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A177399 · Delinquent

Licence status: Delinquent · since 2022 · expires 2026-06-30 · University of California San Francisco School of Medicine.

License renewal fee has not been paid. No practice is permitted.

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 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
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%

Original Medicare doctor bills

$1,033

Medicare paid this office $1,033 for 14 people.

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

Who their Medicare patients are

14 Original Medicare patients in 2024. Average age 78 · Under 65 0% · Health risk score 1.27. Above the middle of the specialty; the typical family practice clinician is at 1.13.

The office billed $3,496, Medicare allowed $1,295 and paid $1,033; for 29 services of 14 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
20241429781.27$3,496$1,033
2023119230770.99$41,581$11,920
202240572781.17$14,817$4,261

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: 4 services

Original Medicare services billed in 2023
Return visit (30+ min)34$3,679$108
Short return visit (20+ min)41$3,138$77
Injection of drug or substance under skin or into muscle12$169$14
Automated urinalysis test19$42$2

2022: 1 service

Original Medicare services billed in 2022
Short return visit (20+ min)14$1,236$88

Medicaid work

$285,588 in 2024

Medicaid paid $285,588 for 3,419 billed services this clinician did in 2024, up to 132 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-inclusive1,205$268,473
Short return visit (20+ min)1,254$8,564
Return visit (30+ min)857$8,376
Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use25$86
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use19$35
Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use22$27
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, single dose19$23
Administration of influenza virus vaccine18$4
Medicaid work by year
20243,4198132$285,588
20233,0295117$268,573
2022432367$45,866
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive1,234$265,322
Short return visit (20+ min)1,173$2,041
Return visit (30+ min)556$1,145
Short return visit54$65
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month12$0

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive214$45,795
Short return visit (20+ min)161$70
Return visit (30+ min)57$0

Drugs they prescribed that Part D paid

$295,066

Pharmacies billed $295,066 in 2024.

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

Opioids were 3% of their Part D prescriptions (84 of 2,854) in 2024. Above the middle of the specialty; the typical family practice clinician is at 2%. Long-acting opioids: 21% of their opioid prescriptions.

2,481 generic and 345 brand-name prescriptions · $295,066 in drug cost.

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
Jardiance39$57,172$1,466
Trulicity34$34,726$1,021
Ozempic38$34,469$907
Eliquis20$16,848$842
Basaglar Kwikpen U-10016$5,318$332
See all 64 drugs
Every Part D drug this clinician prescribed
Jardiance39$57,172$1,466
Trulicity34$34,726$1,021
Ozempic38$34,469$907
Eliquis20$16,848$842
Basaglar Kwikpen U-10016$5,318$332
Buprenorphine-Naloxone12$3,232$269
Fentanyl11$2,219$202
Albuterol Sulfate Hfa60$1,405$23
Atorvastatin218$1,265$6
Isosorbide Dinitrate22$1,177$54
Levothyroxine73$913$13
Gabapentin41$791$19
Diclofenac35$782$22
Tamsulosin52$734$14
Amlodipine Besylate177$707$4
Metformin122$625$5
Omeprazole77$603$8
Lisinopril108$593$5
Metoprolol56$589$11
Losartan76$548$7
Glipizide36$512$14
Olanzapine12$495$41
Pregabalin33$463$14
Fosinopril25$449$18
Clopidogrel29$436$15
Pravastatin46$404$9
Finasteride35$397$11
Rosuvastatin28$391$14
Oxycodone21$375$18
Trazodone44$349$8
Pantoprazole25$333$13
Propranolol28$319$11
Famotidine32$304$10
Baclofen29$283$10
Duloxetine16$280$18
Oxycodone-Acetaminophen12$275$23
Metoprolol58$272$5
Olmesartan Medoxomil13$260$20
Potassium Chloride12$251$21
Fluticasone Propionate29$239$8
Enalapril Maleate15$219$15
Fenofibrate18$219$12
Furosemide40$218$5
Alendronate28$212$8
Hydrocodone-Acetaminophen13$212$16
Oxybutynin Chloride Er12$211$18
Escitalopram16$211$13
Montelukast24$210$9
Oxybutynin Chloride21$189$9
Hydrochlorothiazide54$179$3
Carvedilol24$174$7
Metformin Hcl Er27$165$6
Atenolol27$154$6
Benazepril24$146$6
Spironolactone13$127$10
Hydralazine11$111$10
Triamcinolone Acetonide21$108$5
Zolpidem17$73$4
Simvastatin14$54$4
Sertraline15$50$3
Tramadol20$48$2
Meloxicam24$38$2
Lorazepam14$31$2
Lisinopril-Hydrochlorothiazide11$22$2

Year by year

Part D prescribing by year
20242,8542573% (84)12%$295,066
20231,8173043% (53)14%$227,356
2022441114NoneNone$54,561
20217125NoneNone$5,118

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

See the drugs prescribed each year

2023: 46 drugs

Part D drugs prescribed in 2023
Trulicity42$47,219$1,124
Jardiance21$28,440$1,354
Eliquis17$11,321$666
Symbicort13$9,085$699
Atorvastatin127$2,852$22
Amlodipine Besylate125$1,542$12
Levothyroxine41$1,434$35
Diclofenac31$1,423$46
Metformin54$1,157$21
Omeprazole47$1,093$23
Tamsulosin33$1,028$31
Losartan47$910$19
Lisinopril56$901$16
Metoprolol26$809$31
Olmesartan Medoxomil11$736$67
Gabapentin28$730$26
Metoprolol45$696$15
Isosorbide Dinitrate14$663$47
Pregabalin21$645$31
Fluticasone Propionate22$607$28
Trazodone42$600$14
Albuterol Sulfate Hfa18$574$32
Clopidogrel24$507$21
Pravastatin16$454$28
Rosuvastatin15$401$27
Simvastatin19$396$21
Duloxetine14$372$27
Pantoprazole17$345$20
Hydrochlorothiazide43$345$8
Finasteride11$320$29
Fosinopril11$303$28
Baclofen16$300$19
Hydrocodone-Acetaminophen15$279$19
Propranolol16$276$17
Famotidine13$268$21
Olanzapine16$252$16
Glipizide19$212$11
Escitalopram13$169$13
Furosemide27$163$6
Carvedilol21$161$8
Oxycodone-Acetaminophen13$150$12
Ondansetron Odt12$140$12
Ibuprofen16$114$7
Spironolactone12$112$9
Naproxen13$107$8
Latanoprost11$98$9

2022: 8 drugs

Part D drugs prescribed in 2022
Eliquis11$8,535$776
Atorvastatin23$383$17
Amlodipine Besylate39$362$9
Lisinopril20$226$11
Metformin14$213$15
Levothyroxine11$163$15
Gabapentin13$107$8
Alendronate12$73$6

Professional record

NPI
1992369805
Licence
CA A177399California A177399: Delinquent · expires 2026-06-30
Trained
University of California, San Francisco School of Medicine, 2019
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2019-04-25
NPI last updated
2025-11-14
NPI record certified
2025-11-14

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

Extra NPI addresses: 795 El Camino Real, Palo Alto, CA, 94301 · 1333 Meridian Ave, San Jose, CA, 95125 · 1642 E Capitol Expy, San Jose, CA, 95121 · 2039 Forest Ave Ste 105, San Jose, CA, 95128 · 455 Oconnor Dr Ste 200, San Jose, CA, 95128