Daniel A Nelson, MD
Emergency Medicine · San Jose
- 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
Offices
1 location · Emergency Physicians Associates San Jose PC · 131 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. Nelson’s office at (408) 947-2500 to ask if they take your plan before you enroll.
California Medical Board record
Licence A125049 · Current
Licensed to practise in California · since 2013 · expires 2029-01-31 · Umdnj Robert Wood Johnson Medical School.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
State licence records
1 licence
- New Jersey 25MA09919200Medical Doctor · since 2016 · expires 2027-06-30ActiveNo board action on this licenceCheck it with the state
We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.
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
$16,133
Medicare paid this office $16,133 for 118 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Emergency department visit with high level of medical decision making | 66 | $8,488 | $129 |
| Critical care, first 30-74 minutes | 18 | $3,525 | $186 |
| Emergency department visit with moderate level of medical decision making | 21 | $1,741 | $83 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 60 | $447 | $7 |
Who their Medicare patients are
118 Original Medicare patients in 2024. Average age 70 · Under 65 25% · 85 and older 15% · Women 42% · Also on Medicaid 78% · Health risk score 3.00. Sicker patients than 9 in 10 peers; the typical emergency medicine clinician is at 2.01.
Conditions among them: High blood pressure 75% · Diabetes 54% · Depression 39% · Chronic kidney disease 37% · Heart failure 35% · Coronary heart disease 34% · COPD 26% · Atrial fibrillation 23% · Dementia 19% · Stroke 19% · Cancer 14%.
The office billed $141,794, Medicare allowed $22,623 and paid $16,133; for 215 services of 22 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 | 118 | 215 | 70 | 3.00 | $141,794 | $16,133 |
| 2023 | 172 | 262 | 73 | 2.16 | $142,223 | $22,300 |
| 2022 | 275 | 507 | 72 | 2.08 | $174,539 | $40,682 |
| 2021 | 344 | 736 | 72 | 2.20 | $249,747 | $61,306 |
| 2020 | 332 | 612 | 72 | 2.37 | $235,473 | $54,920 |
| 2019 | 426 | 937 | 73 | 2.35 | $313,722 | $64,842 |
| 2018 | 439 | 932 | 74 | 2.20 | $310,130 | $63,679 |
| 2017 | 526 | 1,269 | 75 | 2.78 | $398,941 | $110,766 |
| 2016 | 380 | 951 | 73 | 2.82 | $274,903 | $63,176 |
| 2015 | 388 | 959 | 72 | 2.52 | $265,010 | $61,181 |
| 2014 | 636 | 1,621 | 73 | 2.34 | $428,114 | $102,262 |
| 2013 | 290 | 744 | 73 | 2.41 | $188,197 | $45,648 |
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
| Emergency department visit with high level of medical decision making | 96 | $13,161 | $136 |
| Emergency department visit with moderate level of medical decision making | 40 | $3,783 | $92 |
| Critical care, first 30-74 minutes | 18 | $3,271 | $182 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 79 | $574 | $7 |
2022: 6 services
| Emergency department visit with high level of medical decision making | 163 | $27,648 | $169 |
| Emergency department visit with moderate level of medical decision making | 42 | $4,309 | $100 |
| Emergency department visit with low level of medical decision making | 56 | $3,063 | $55 |
| Critical care, first 30-74 minutes | 14 | $3,014 | $215 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 140 | $1,001 | $7 |
| X-ray of chest, 1 view | 51 | $392 | $8 |
2021: 6 services
| Emergency department visit with high level of medical decision making | 247 | $45,265 | $175 |
| Critical care, first 30-74 minutes | 23 | $5,670 | $247 |
| Emergency department visit with moderate level of medical decision making | 38 | $4,004 | $105 |
| Emergency department visit with low level of medical decision making | 35 | $2,065 | $53 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 211 | $1,558 | $7 |
| X-ray of chest, 1 view | 92 | $752 | $8 |
2020: 6 services
| Emergency department visit with high level of medical decision making | 224 | $37,941 | $166 |
| Emergency department visit with moderate level of medical decision making | 40 | $4,087 | $100 |
| Critical care, first 30-74 minutes | 17 | $3,722 | $219 |
| Emergency department visit with low level of medical decision making | 50 | $2,677 | $54 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 144 | $1,195 | $8 |
| X-ray of chest, 1 view | 54 | $495 | $9 |
2019: 7 services
| Emergency department visit with high level of medical decision making | 261 | $39,564 | $147 |
| Critical care, first 30-74 minutes | 41 | $7,888 | $192 |
| Emergency department visit with moderate level of medical decision making | 80 | $7,379 | $92 |
| Emergency department visit with low level of medical decision making | 58 | $3,153 | $49 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 216 | $1,766 | $8 |
| X-ray of chest, 1 view | 124 | $1,068 | $8 |
| X-ray of chest, 2 views | 12 | $120 | $10 |
2018: 7 services
| Emergency department visit with high level of medical decision making | 240 | $35,349 | $144 |
| Critical care, first 30-74 minutes | 50 | $9,779 | $196 |
| Emergency department visit with moderate level of medical decision making | 93 | $8,542 | $91 |
| Emergency department visit with low level of medical decision making | 59 | $3,177 | $47 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 219 | $1,723 | $8 |
| X-ray of chest, 1 view | 118 | $995 | $8 |
| X-ray of chest, 2 views | 21 | $208 | $9 |
2017: 9 services
| Emergency department visit with high level of medical decision making | 355 | $68,826 | $186 |
| Critical care, first 30-74 minutes | 81 | $20,454 | $249 |
| Emergency department visit with moderate level of medical decision making | 57 | $6,356 | $112 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 344 | $3,599 | $10 |
| X-ray of chest, 1 view, front | 211 | $2,366 | $11 |
| Emergent insertion of breathing tube into windpipe using an endoscope | 11 | $1,920 | $175 |
| Emergency department visit with low level of medical decision making | 30 | $1,849 | $58 |
| Insertion of non-tunneled central venous tube for infusion (5 years or older) | 12 | $1,810 | $151 |
| X-ray of pelvis, 1-2 views | 22 | $238 | $11 |
2016: 7 services
| Emergency department visit with high level of medical decision making | 241 | $36,931 | $146 |
| Critical care, first 30-74 minutes | 64 | $12,518 | $196 |
| Emergency department visit with moderate level of medical decision making | 48 | $4,650 | $97 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 258 | $2,121 | $8 |
| Emergency department visit with low level of medical decision making | 26 | $1,491 | $53 |
| X-ray of chest, 1 view, front | 164 | $1,429 | $8 |
| X-ray of pelvis, 1-2 views | 13 | $103 | $8 |
2015: 7 services
| Emergency department visit with high level of medical decision making | 245 | $37,028 | $145 |
| Critical care, first 30-74 minutes | 45 | $8,873 | $193 |
| Emergency department visit with moderate level of medical decision making | 62 | $5,865 | $95 |
| Emergency department visit with low level of medical decision making | 42 | $2,460 | $47 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 233 | $1,889 | $8 |
| X-ray of chest, 1 view, front | 173 | $1,449 | $8 |
| X-ray of pelvis, 1-2 views | 18 | $145 | $8 |
2014: 9 services
| Emergency department visit with high level of medical decision making | 458 | $70,381 | $145 |
| Critical care, first 30-74 minutes | 49 | $9,547 | $195 |
| Emergency department visit with moderate level of medical decision making | 75 | $6,971 | $92 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 422 | $3,500 | $8 |
| Emergency department visit with low level of medical decision making | 58 | $3,127 | $50 |
| X-ray of chest, 1 view, front | 297 | $2,582 | $8 |
| Emergent insertion of breathing tube into windpipe using an endoscope | 17 | $1,624 | $96 |
| X-ray of pelvis, 1-2 views | 20 | $164 | $8 |
| X-ray of chest, 2 views, front and side | 15 | $148 | $10 |
2013: 7 services
| Emergency department visit with high level of medical decision making | 220 | $32,011 | $142 |
| Critical care, first 30-74 minutes | 18 | $3,602 | $190 |
| Emergency department visit with moderate level of medical decision making | 28 | $2,831 | $98 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 181 | $1,466 | $7 |
| Emergency department visit with low level of medical decision making | 22 | $1,192 | $50 |
| X-ray of chest, 1 view, front | 131 | $1,078 | $8 |
| X-ray of pelvis, 1-2 views | 15 | $117 | $8 |
Medicaid work
$16,345 in 2024
Medicaid paid $16,345 for 608 billed services this clinician did in 2024, up to 40 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.
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 267 | $9,652 |
| EMERGENCY DEPT VISIT MOD MDM | 176 | $5,288 |
| Service | 18 | $676 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 134 | $555 |
| EMERGENCY DEPT VISIT LOW MDM | 13 | $174 |
| 2024 | 608 | 5 | 40 | $16,345 |
| 2023 | 1,260 | 6 | 75 | $40,036 |
| 2022 | 1,539 | 5 | 69 | $52,639 |
| 2021 | 1,359 | 5 | 50 | $49,312 |
| 2020 | 1,204 | 8 | 37 | $40,850 |
| 2019 | 1,842 | 10 | 62 | $86,148 |
| 2018 | 2,891 | 13 | 104 | $118,956 |
See the largest Medicaid services in earlier years
2023
| EMERGENCY DEPT VISIT MOD MDM | 534 | $17,826 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 318 | $14,335 |
| Service | 189 | $6,907 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 132 | $669 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 33 | $238 |
| Service | 54 | $60 |
2022
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 472 | $24,431 |
| EMERGENCY DEPT VISIT LOW MDM | 682 | $15,323 |
| EMERGENCY DEPT VISIT MOD MDM | 273 | $9,642 |
| Service | 83 | $2,936 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 29 | $308 |
2021
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 538 | $28,247 |
| EMERGENCY DEPT VISIT LOW MDM | 544 | $13,281 |
| EMERGENCY DEPT VISIT MOD MDM | 190 | $5,959 |
| Service | 37 | $1,367 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 50 | $458 |
2020
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 408 | $19,156 |
| EMERGENCY DEPT VISIT LOW MDM | 484 | $11,740 |
| EMERGENCY DEPT VISIT MOD MDM | 127 | $4,747 |
| Service | 41 | $3,301 |
| Service | 28 | $1,107 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 91 | $623 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 12 | $122 |
| Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy | 13 | $53 |
2019
| Service | 262 | $44,247 |
| EMERGENCY DEPT VISIT LOW MDM | 648 | $13,204 |
| EMERGENCY DEPT VISIT MOD MDM | 287 | $9,878 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 223 | $9,837 |
| Service | 107 | $3,974 |
| COMPREHENSIVE METABOLIC PANEL | 12 | $3,060 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 148 | $1,010 |
| Service | 49 | $596 |
| Unclassified drugs | 82 | $290 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 24 | $52 |
2018
| EMERGENCY DEPT VISIT LOW MDM | 834 | $27,985 |
| EMERGENCY DEPT VISIT MOD MDM | 588 | $26,898 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 324 | $21,358 |
| Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 65 | $18,286 |
| Service | 283 | $10,297 |
| COMPREHENSIVE METABOLIC PANEL | 69 | $4,610 |
| Infusion, normal saline solution , 1000 cc | 62 | $3,832 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 389 | $3,816 |
| Service | 116 | $1,327 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 96 | $384 |
| Injection, ketorolac tromethamine, per 15 mg | 22 | $91 |
| Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy | 31 | $39 |
Professional record
- NPI
- 1992933154
- Licence
- CA A125049, NJ 25MA09919200California A125049: Current · expires 2029-01-31New Jersey 25MA09919200: Active
- Trained
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2009
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 207P00000X (207P00000X)
- Mailing address
- 1442 S Winchester Blvd, Pmb 117, San Jose, CA, 95128
- NPI first listed
- 2009-06-26
- NPI last updated
- 2023-05-22
- NPI record certified
- 2023-05-22
This is when the NPI record was last certified, not a medical board exam.