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Home > CA Providers > Colorectal Surgeons

Dr. Tobin M. Schneider, MD

Accepting New Patients

(6 Ratings)

Specializes in: General Surgery, Colon & Rectal Surgery and Surgical Oncology (Cancer Surgery)

Harvard Medical School

Professional interests include: venous disease, eye problems, pancreatic surgery, and more.

101 S San Mateo Drive Suite 104
San Mateo, CA 94401

(650) 342-1414

Dr. Tobin M. Schneider, MD is a general surgeon in San Mateo, CA specializing in general surgery, colon & rectal surgery and surgical oncology (cancer surgery). He graduated from Harvard Medical School. Dr. Tobin M. Schneider, MD is affiliated with El Camino Health, Dignity Health, Sutter Health and Sequoia Hospital.

Office Locations

101 S San Mateo Drive Suite 104
San Mateo, CA 94401

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Some issues Dr. Tobin M. Schneider, MD can help you with:

Adrenalectomy (Adrenal Surgery)

Adrenalectomy is a surgical procedure to remove the adrenal glands, which lie above each kidney. The adrenal glands are responsible for producing hormones that are necessary for bodily functions, such as the regulation of blood pressure and metabolism. If the adrenal glands overproduce certain hormones, or if a tumor grows on them, removal of the glands is a treatment option.

Adrenal surgery can be open or laparoscopic. Laparoscopic adrenalectomy is a minimally invasive procedure that inserts a thin tube with a camera (laparoscope) through several small incisions on the abdomen. The surgeon uses the laparoscope to guide the procedure and is able to access and remove adrenal glands through the small incisions. Laparoscopic adrenal surgery lasts approximately 1-2 hours.

Laparoscopic adrenalectomy is associated with shorter recovery periods, reduced risk of infection, and smaller scars. Although these factors may be desirable, the location of the tumor, its size, and the severity of the condition may require that an individual instead undergo open surgery. An open adrenalectomy is typically done for larger adrenal tumors and requires a single, large incision on the abdomen. Open adrenal surgery takes around 2-4 hours.

Following the operation, patients will remain in the hospital for 1-2 days for a laparoscopic adrenalectomy or 3-5 days for an open adrenalectomy. Patients will likely have a liquid diet immediately after their surgery, but should be able to return to solid foods after a day. If both of the glands are removed, patients will be given drug therapy to replace the hormones they produced.

Laparoscopic Surgery

Laparoscopic surgery is a kind of minimally invasive surgery using a thin, narrow tube called a laparoscope. Usually performed on the abdomen or the pelvic region, the surgeon makes a few very small incisions instead of one large one.

During the procedure, the surgeon inserts the laparoscope, which contains a light and camera that allows the surgeon to see what is happening inside the body. Then tiny tools are placed through the small openings and used to perform the surgery.

The most common laparoscopic surgery is gallbladder removal, but laparoscopic surgery may also be used for the removal of a kidney or appendix, to treat certain cysts and tumors, for bariatric surgery, for some GERD treatments, or for hernia repairs, among others.

Because laparoscopic surgery only uses a few tiny incisions, the scars are minimal and recovery is easier than with open surgery.

Thyroid Surgery

Thyroid surgery is a procedure to remove all or part of the thyroid gland. The thyroid is a small, butterfly-shaped gland in the lower neck that regulates the hormones that manage metabolism. Thyroid surgery, also known as thyroidectomy, treats thyroid disorders such as hyperthyroidism (overactive thyroid), hypothyroidism (underactive thyroid), goiters (noncancerous thyroid inflammation), and thyroid cancer. It may also be used to remove thyroid nodules or cysts that have a risk of becoming cancerous.

Both hypothyroidism and goiters are caused by an autoimmune reaction where the body produces antibodies that attack the thyroid cells for unknown reasons. The thyroid reacts by releasing too little or too much T3 and T4 thyroid hormones, impairing thyroid function and causing irregular metabolism. Goiters develop from the autoimmune reaction causing continued antibody damage to the thyroid over time. Thyroid goiters are large, swollen lumps that can be felt near the base of the neck. Obstructive goiters can cause pain, coughing, and abnormal breathing. Hypothyroidism may also be caused by iodine deficiency, as iodine is needed to produce thyroid hormones.

The exact cause of thyroid cancer and thyroid nodules or cysts is unknown. While thyroid cancer and thyroid nodules or cysts can occur in individuals with thyroid disorders, they are not associated with a malfunctioning thyroid.

Physicians may prescribe thyroid surgery if blood tests reveal patients' thyroid stimulating hormones (TSA) are outside of the acceptable range, indicating a malfunctioning thyroid. Thyroid biopsies (tissue samples) and tests for thyroid-attacking antibodies are also criteria for surgery.

An ENT or general surgeon performs thyroid surgery. While a patient is placed under anesthesia, the surgeon makes an incision at the center of the neck and removes the thyroid gland. Two alternative methods of thyroid surgery are transoral (incision through the mouth) and endoscopic, where a surgeon operates a video camera for live footage to help guide the removal process.

Thyroid surgery requires minimal aftercare. Most patients recover quickly and resume normal activities within a few days of surgery. However, thyroid surgery patients must take daily synthetic thyroid medication (levothyroxine) for life to replace their removed thyroid.

In The News

“Dr. Tobin Schneider is a surgeon at Peninsula Hospital and a former member of the Peninsula Health Care District Board of Directors.”—"Tobin SCHNEIDER, MD", East Bay Times, March 2005

Noteworthy Medicare Patient Procedures Performed by Dr. Tobin M. Schneider, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

complete abdominal ultrasound

ultrasound

whole breast ultrasound

By Affordability:

breast imaging

breast ultrasound

women's imaging

In 2023, among providers in related specialties within California, Dr. Tobin M. Schneider, MD performed more complete abdominal ultrasound, ultrasound (sonogram), and whole breast ultrasound procedures for Medicare patients than 95% of them and he also had a list price for breast imaging, breast ultrasound, and women's imaging that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Affordability:

hemorrhoid ligation

In 2023, Dr. Tobin M. Schneider, MD had a list price for hemorrhoid ligation that was lower than the list prices billed to Medicare by 90% of providers in related specialties within California. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Affordability:

hemorrhoid banding

In 2012, Dr. Tobin M. Schneider, MD had a list price for hemorrhoid banding that was lower than the list prices billed to Medicare by 75% of providers in related specialties within California. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Tobin M. Schneider, MD treated as a general surgeon in San Mateo, CA during 2012 were ultrasound (sonogram), breast procedures, women's imaging and hospital care.

Volume of procedures performed by Dr. Tobin M. Schneider, MD for Medicare patients.

breast procedures	57
doctor visit	140
hospital care	37
inpatient care	37
ultrasound (sonogram)	57
women's imaging	57

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Tobin M. Schneider, MD treated as a general surgeon in San Mateo, CA during 2013 were ultrasound (sonogram), breast procedures, women's imaging and hospital care.

Volume of procedures performed by Dr. Tobin M. Schneider, MD for Medicare patients.

breast procedures	62
doctor visit	179
gastrointestinal procedures	28
hospital care	48
inpatient care	48
ultrasound (sonogram)	62
women's imaging	62

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Tobin M. Schneider, MD.

**Gender**
Male	57
Female	72

**Ethnicity**
Non-Hispanic White	101
Black	0
Hispanic	0
Asian	15
Other	0
Native American	0

**Age**
From 65 to 74	52
From 75 to 84	42
85 and over	22
Less than 65	13

Conditions of Medicare patients treated by Dr. Tobin M. Schneider, MD in 2013

Hypertension	67
High Cholesterol	56
Stroke	0
Ischemic Heart Disease	20
Depression	11
Chronic Kidney Disease	16
Asthma	11
Osteoperosis	12
Atrial Fibrilation	0
Heart Failure	16
Chronic Obstructive Pulmonary Disease	9
Diabetes	29
Dementia	0
Cancer	22

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Tobin M. Schneider, MD treated as a general surgeon in San Mateo, CA during 2014 were gastrointestinal procedures, ultrasound (sonogram), breast procedures and women's imaging.

Volume of procedures performed by Dr. Tobin M. Schneider, MD for Medicare patients.

abdominal imaging	20
breast procedures	37
doctor visit	223
gastrointestinal procedures	70
hospital care	23
inpatient care	23
ultrasound (sonogram)	57
women's imaging	37

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Tobin M. Schneider, MD.

**Gender**
Male	64
Female	81

**Ethnicity**
Non-Hispanic White	121
Black	0
Hispanic	0
Asian	13
Other	0
Native American	0

**Age**
From 65 to 74	66
From 75 to 84	49
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Tobin M. Schneider, MD in 2014

Hypertension	60
High Cholesterol	52
Stroke	0
Ischemic Heart Disease	21
Depression	10
Chronic Kidney Disease	18
Asthma	0
Osteoperosis	10
Atrial Fibrilation	9
Heart Failure	14
Chronic Obstructive Pulmonary Disease	9
Diabetes	21
Dementia	0
Cancer	21

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Tobin M. Schneider, MD treated as a general surgeon in San Mateo, CA during 2015 were ultrasound (sonogram), breast procedures, women's imaging and hospital care.

Volume of procedures performed by Dr. Tobin M. Schneider, MD for Medicare patients.

breast procedures	198
doctor visit	157
gastrointestinal procedures	38
hospital care	52
inpatient care	52
ultrasound (sonogram)	198
women's imaging	198

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Tobin M. Schneider, MD.

**Gender**
Male	96
Female	126

**Ethnicity**
Non-Hispanic White	184
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	88
From 75 to 84	78
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Tobin M. Schneider, MD in 2015

Hypertension	68
High Cholesterol	61
Stroke	0
Ischemic Heart Disease	31
Depression	15
Chronic Kidney Disease	31
Asthma	10
Osteoperosis	14
Atrial Fibrilation	16
Heart Failure	18
Chronic Obstructive Pulmonary Disease	12
Diabetes	28
Dementia	0
Cancer	14

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Tobin M. Schneider, MD treated as a general surgeon in San Mateo, CA during 2016 were ultrasound (sonogram), breast procedures, women's imaging and gastrointestinal procedures.

Volume of procedures performed by Dr. Tobin M. Schneider, MD for Medicare patients.

abdominal imaging	21
breast procedures	244
diagnostic procedures	13
doctor visit	183
gastrointestinal procedures	63
hospital care	40
inpatient care	40
minimally invasive procedures	13
removal of lesion (e.g. growth)	13
ultrasound (sonogram)	265
women's imaging	244

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Tobin M. Schneider, MD.

**Gender**
Male	54
Female	76

**Ethnicity**
Non-Hispanic White	103
Black	0
Hispanic	0
Asian	16
Other	0
Native American	0

**Age**
From 65 to 74	54
From 75 to 84	43
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Tobin M. Schneider, MD in 2016

Hypertension	61
High Cholesterol	56
Stroke	0
Ischemic Heart Disease	14
Depression	15
Chronic Kidney Disease	26
Asthma	15
Osteoperosis	12
Atrial Fibrilation	12
Heart Failure	18
Chronic Obstructive Pulmonary Disease	12
Diabetes	25
Dementia	10
Cancer	25

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Tobin M. Schneider, MD treated as a general surgeon in San Mateo, CA during 2017 were ultrasound (sonogram), breast procedures, women's imaging and gastrointestinal procedures.

Volume of procedures performed by Dr. Tobin M. Schneider, MD for Medicare patients.

breast procedures	264
doctor visit	145
gastrointestinal procedures	58
hospital care	12
inpatient care	12
minimally invasive procedures	15
preventive care	15
ultrasound (sonogram)	264
women's imaging	264

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Tobin M. Schneider, MD.

**Gender**
Male	44
Female	64

**Ethnicity**
Non-Hispanic White	80
Black	0
Hispanic	0
Asian	12
Other	0
Native American	0

**Age**
From 65 to 74	53
From 75 to 84	35
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Tobin M. Schneider, MD in 2017

Hypertension	66
High Cholesterol	51
Stroke	0
Ischemic Heart Disease	14
Depression	18
Chronic Kidney Disease	26
Asthma	0
Osteoperosis	11
Atrial Fibrilation	0
Heart Failure	19
Chronic Obstructive Pulmonary Disease	0
Diabetes	31
Dementia	0
Cancer	20

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Tobin M. Schneider, MD treated as a general surgeon in San Mateo, CA during 2018 were ultrasound (sonogram), breast procedures, women's imaging and hospital care.

Volume of procedures performed by Dr. Tobin M. Schneider, MD for Medicare patients.

breast procedures	244
doctor visit	128
gastrointestinal procedures	55
hospital care	57
inpatient care	57
ultrasound (sonogram)	244
women's imaging	244

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Tobin M. Schneider, MD.

**Gender**
Male	50
Female	71

**Ethnicity**
Non-Hispanic White	90
Black	0
Hispanic	0
Asian	15
Other	0
Native American	0

**Age**
From 65 to 74	53
From 75 to 84	40
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Tobin M. Schneider, MD in 2018

Hypertension	60
High Cholesterol	55
Stroke	0
Ischemic Heart Disease	24
Depression	19
Chronic Kidney Disease	29
Asthma	9
Osteoperosis	13
Atrial Fibrilation	12
Heart Failure	17
Chronic Obstructive Pulmonary Disease	10
Diabetes	30
Dementia	13
Cancer	21

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Tobin M. Schneider, MD treated as a general surgeon in San Mateo, CA during 2019 were ultrasound (sonogram), breast procedures, women's imaging and hospital care.

Volume of procedures performed by Dr. Tobin M. Schneider, MD for Medicare patients.

breast procedures	252
doctor visit	99
gastrointestinal procedures	50
hospital care	55
inpatient care	55
ultrasound (sonogram)	252
women's imaging	252

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Tobin M. Schneider, MD.

**Gender**
Male	51
Female	72

**Ethnicity**
Non-Hispanic White	87
Black	0
Hispanic	0
Asian	24
Other	0
Native American	0

**Age**
From 65 to 74	54
From 75 to 84	50
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Tobin M. Schneider, MD in 2019

Hypertension	69
High Cholesterol	61
Stroke	0
Ischemic Heart Disease	26
Depression	17
Chronic Kidney Disease	34
Asthma	0
Osteoperosis	13
Atrial Fibrilation	11
Heart Failure	20
Chronic Obstructive Pulmonary Disease	11
Diabetes	36
Dementia	0
Cancer	24

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Tobin M. Schneider, MD treated as a general surgeon in San Mateo, CA during 2020 were ultrasound (sonogram), breast procedures, women's imaging and hospital care.

Volume of procedures performed by Dr. Tobin M. Schneider, MD for Medicare patients.

abdominal imaging	16
breast procedures	208
doctor visit	99
gastrointestinal procedures	45
hospital care	74
inpatient care	74
ultrasound (sonogram)	224
women's imaging	208

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Tobin M. Schneider, MD.

**Gender**
Male	45
Female	66

**Ethnicity**
Non-Hispanic White	76
Black	0
Hispanic	0
Asian	19
Other	0
Native American	0

**Age**
From 65 to 74	44
From 75 to 84	44
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Tobin M. Schneider, MD in 2020

Hypertension	58
High Cholesterol	50
Stroke	0
Ischemic Heart Disease	20
Depression	21
Chronic Kidney Disease	37
Asthma	0
Osteoperosis	14
Atrial Fibrilation	0
Heart Failure	14
Chronic Obstructive Pulmonary Disease	10
Diabetes	24
Dementia	0
Cancer	18

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Tobin M. Schneider, MD treated as a general surgeon in San Mateo, CA during 2021 were ultrasound (sonogram), breast procedures, women's imaging and hospital care.

Volume of procedures performed by Dr. Tobin M. Schneider, MD for Medicare patients.

abdominal imaging	12
breast procedures	194
doctor visit	87
hospital care	57
inpatient care	57
ultrasound (sonogram)	206
women's imaging	194

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Tobin M. Schneider, MD.

**Gender**
Male	47
Female	56

**Ethnicity**
Non-Hispanic White	71
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	42
From 75 to 84	40
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Tobin M. Schneider, MD in 2021

Hypertension	68
High Cholesterol	67
Stroke	0
Ischemic Heart Disease	25
Depression	15
Chronic Kidney Disease	36
Asthma	11
Osteoperosis	14
Atrial Fibrilation	16
Heart Failure	21
Chronic Obstructive Pulmonary Disease	0
Diabetes	22
Dementia	12
Cancer	25

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Tobin M. Schneider, MD treated as a general surgeon in San Mateo, CA during 2022 were ultrasound (sonogram), breast procedures, women's imaging and hospital care.

Volume of procedures performed by Dr. Tobin M. Schneider, MD for Medicare patients.

abdominal imaging	18
breast procedures	158
doctor visit	109
gastrointestinal procedures	41
hospital care	42
inpatient care	42
ultrasound (sonogram)	176
women's imaging	158

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Tobin M. Schneider, MD.

**Gender**
Male	42
Female	65

**Ethnicity**
Non-Hispanic White	69
Black	0
Hispanic	0
Asian	27
Other	0
Native American	0

**Age**
From 65 to 74	49
From 75 to 84	44
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Tobin M. Schneider, MD in 2022

Hypertension	64
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	20
Depression	0
Chronic Kidney Disease	21
Asthma	10
Osteoperosis	19
Atrial Fibrilation	12
Heart Failure	10
Chronic Obstructive Pulmonary Disease	0
Diabetes	27
Dementia	0
Cancer	20

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Tobin M. Schneider, MD for Medicare patients.

The highest averages for the top procedures that Dr. Tobin M. Schneider, MD treated as a general surgeon in San Mateo, CA were ultrasound (sonogram), breast procedures, women's imaging and gastrointestinal procedures.

abdominal imaging	17
breast procedures	174
diagnostic procedures	13
doctor visit	140
gastrointestinal procedures	49
hospital care	45
inpatient care	45
minimally invasive procedures	14
preventive care	15
removal of lesion (e.g. growth)	13
ultrasound (sonogram)	182
women's imaging	174

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Tobin M. Schneider, MD.

**Gender**
Female	68
Male	50

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	12
Non-Hispanic White	89
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
85 and over	2
75 to 84	42
Less than 65	1
65 to 74	50

Average of Total of Conditions of Medicare patients treated by Dr. Tobin M. Schneider, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Tobin M. Schneider, MD treated were hypertension, high cholesterol, chronic kidney disease and diabetes.

Hypertension	58
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	19
Depression	12
Chronic Kidney Disease	24
Asthma	6
Osteoporosis	12
Heart Failure	15
Chronic Obstructive Pulmonary Disease	6
Diabetes	24
Atrial Fibrillation	8
Dementia	3
Cancer	19

Education & Training

Dr. Tobin M. Schneider, MD graduated from Harvard Medical School. He completed residency at Stanford Hospital & Clinics. He is certified by the Surgery General Surgery and has a state license in California.

Medical School: Harvard Medical School

Residency: Stanford Hospital & Clinics

Board Certification: Surgery General Surgery

Licensed In: California

Affiliations & Hospitals

Dr. Tobin M. Schneider, MD is associated with these hospitals and organizations:

El Camino Health

Dignity Health

Sutter Health

Sequoia Hospital

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Tobin M. Schneider, MD appears to accept the following insurance providers: Medicare.

Insurance Accepted by Provider includes:

According to our sources, Dr. Tobin M. Schneider, MD accepts the following insurance providers:

Medicare

Ratings & Reviews

Dr. Tobin M. Schneider, MD has a high overall rating with an average of 3.67 out of 5 stars based on 6 ratings. We collect ratings and reviews of Dr. Tobin M. Schneider, MD from all over the web to help you find the right in San Mateo, CA.

3.67

Overall Rating

(6 Ratings)

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General Payments

These charts describe general payments received by Dr. Tobin M. Schneider, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Davol Inc.	$1,689 SURGICAL $1,689
KCI USA, Inc	$800 VAC THERAPY $800
Medtronic, Inc.	$13 PARIETENE DS $13

**Types of Payments**
Honoraria	$1,650
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$800
Food and Beverage	$52

Biography

Dr. Tobin Schneider, who practices in San Mateo, CA, is a medical specialist in general surgery, surgical oncology (cancer surgery), and colon & rectal surgery. Dr. Schneider (or staff) is conversant in Spanish and French. Clinical interests for Dr. Schneider include achalasia, sentinel lymph node biopsy (SLNB), and thyroid surgery. His hospital/clinic affiliations include Sequoia Hospital, El Camino Health, and Sutter Health. He studied medicine at Harvard Medical School. For his residency, Dr. Schneider trained at Stanford Hospital & Clinics and a hospital affiliated with Harvard Medical School. Dr. Schneider's average rating from his patients is 3.5 stars (out of 5). He is an in-network provider for Medicare insurance. According to El Camino Health, Dr. Schneider is currently accepting new patients at his office in San Mateo, CA.