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Dr. Elvira Klause, MD

Accepting New Patients

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Specializes in: General Surgery

University of Missouri-Columbia School of Medicine

Professional interests include: peripheral neuropathy, breast biopsy, minimally invasive procedures, and more.

23961 Calle De La Magdalena Suite 417
Laguna Hills, CA 92653

(949) 276-8050

Dr. Elvira Klause, MD is a general surgeon in San Clemente, CA specializing in general surgery. She graduated from University of Missouri-Columbia School of Medicine. Dr. Elvira Klause, MD is affiliated with Greater Newport Physicians, MemorialCare, Providence Medical Foundation and Providence Affiliated Physicians, Mission.

Office Locations

Address:

665 CAMINO DE LOS MARES SUITE 202
San Clemente, CA 92673

Address:

23961 Calle De La Magdalena Suite 417
Laguna Hills, CA 92653

Some issues Dr. Elvira Klause, MD can help you with:

Breast Biopsy

Breast biopsy is a procedure where a small sample of tissue is collected from the breast for testing. A physician may prescribe a breast biopsy for a variety of reasons, but they are most frequently prescribed for a lump found in the breast. Biopsy samples extracted are examined by pathologists in a laboratory setting and are tested to determine if they are cancerous or benign, or indicative of some other condition. Depending on the lab results, physicians may prescribe additional treatment. Other circumstances which may prompt a breast biopsy include:

Mammograms that detect other unusual features in the chest, such as a cyst or calcium deposit
Breast scans or ultrasounds that display abnormalities
Nipple changes, such as scaling, crusting, or bloody discharge

Breast biopsies are collected through several different procedures and the specific type of biopsy that a patient receives depends on the size, location, and features of a breast lump or irregularity. The three main methods of collecting a breast biopsy include:

Fine needle aspiration (FNA biopsy), where a thin needle is directed into a breast lump or abnormality, extracting a small sample of tissue or liquid
Core needle biopsy (CNB biopsy), where a hollow needle is directed into a breast lump or abnormality, extracting cylinders of tissue called "cores"
Open (surgical) biopsy, where a breast lump is removed through an incision in the breast

Fine needle aspiration (FNA) and core needle biopsy (CNB) are sometimes image-guided, where a mammogram, ultrasound, or MRI helps direct the physician performing the needle extraction.

Fine needle aspiration, the most common biopsy method, generally requires few patient preparations. It is recommended patients avoid using lotion, deodorant, and perfume prior to their biopsy procedure. FNA biopsy is performed with local anesthesia (topical numbing cream) and typically has a quick recovery, but patients may experience soreness for a few days. Core needle biopsy extracts slightly more tissue than an FNA biopsy.

Open (surgical) biopsy is more invasive and requires general anesthesia, where patients are put to sleep during the procedure. Patients must fast prior to the surgery. After the biopsy is performed, patients are monitored in a recovery room for a time before being discharged, when they will need someone else to provide transportation.

Although some may consider breast biopsy to be a simple procedure, it can catch critical issues - particularly breast cancer - that impact wellness. If a breast biopsy reveals an underlying condition like life-threatening cancer, patients can receive the diagnosis and medical treatment that is necessary for their long-term health.

Gallbladder Removal Surgery (Cholecystectomy)

The gallbladder is a small, pear-shaped organ on the right side of the upper abdomen, underneath the liver. Its purpose is to store bile, which is used to digest fat. Occasionally, the gallbladder can develop mineral stones, called gallstones. If they are large enough, gallstones can block the ducts in the gallbladder and cause swelling and infection. Gallstones can be treated with lifestyle changes and medication, but sometimes this is not enough. In these cases, it is best to remove the gallbladder before it can cause more serious problems. The surgical removal of the gallbladder is called a cholecystectomy.

Today, most gallbladder surgeries are done laparoscopically. Four tiny incisions are made in the abdomen, and small tools are inserted through these tiny incisions to perform the surgery. Because the incisions are much smaller, recovery time is much faster with this type of surgery. Patients are usually discharged from the hospital the same day. Sometimes, open surgery is used to remove a gallbladder. In this type of surgery, a cut about six inches long is made in the upper right abdomen. After the gallbladder is removed, it is sutured or stapled closed. With open surgery, patients usually stay in the hospital for two to three days to recover before they are discharged.

Gallbladder removal, like any surgery, carries some risks, such as bleeding, infection, or the development of blood clots. Doctors will tell patients how to minimize their risk for complications. After surgery, patients are advised to avoid strenuous activity for several days. They should not soak in a bath until their sutures or staples have been removed. Patients should wash hands before touching the area around the incision. It will take a couple of days until patients feel like themselves again and a few weeks until their scar has healed and faded.

Mastectomy (Breast Removal Surgery)

Mastectomy is the surgical removal of all or part of the breasts, most frequently associated with breast cancer treatment (for both male and female breast cancer patients). Breast cancer patients who receive a mastectomy typically have undergone other treatments, such as chemotherapy, radiation, and less invasive breast-conserving surgery (lumpectomy). If these treatments are unsuccessful, oncologists may eventually prescribe a mastectomy. Other conditions that may prompt a mastectomy include:

Two or more cancerous regions in the same breast
Inability to receive chemotherapy or radiation therapy
High likelihood of recurring breast cancer
Large tumor that is bigger than two inches across
Pregnancy that prohibits radiation therapy
Preexisting conditions like lupus or scleroderma

Notably, some patients may elect to undergo mastectomy without a breast cancer diagnosis. Preventative (prophylactic) mastectomy is performed on those with a high risk of breast cancer, such as having a family history of the disease or carrying the breast cancer BRCA1 or BRCA2 gene. Preventative mastectomy substantially reduces one's chances of developing breast cancer in the future, but it cannot wholly prevent it.

Surgical oncologists perform several types of mastectomies, depending upon the severity of the breast cancer (including factors such as its location and spread), as well as the patients' own aesthetic and personal choices. The six main types of mastectomy include:

Total mastectomy, where the surgical oncologist removes an entire breast, including parts like the pectoral chest muscle, skin, and nipple.
Radical mastectomy, where the surgical oncologist removes the entire breast, underarm lymph nodes, pectoral chest muscles, and outer skin and nipple. One of the most invasive forms of mastectomy, radical mastectomy is infrequently performed.
Modified radical mastectomy, where the surgical oncologist completes a total mastectomy and also removes the underarm lymph nodes. This procedure is slightly less invasive than radical mastectomy.
Skin-sparing mastectomy, where the surgical oncologist removes cancerous breast tissue and nipple, but leaves most of breast skin. This method is used in conjunction with breast reconstruction, as implants can be added below the skin. Skin-sparing mastectomy often requires a treatment team with a surgical oncologist and a plastic surgeon experienced in breast procedures.
Nipple-sparing mastectomy, where the surgical oncologist removes cancerous breast tissue and leaves the nipple and most of the breast skin. This method is only available to patients in the early stages of breast cancer. Similar to skin-sparing mastectomy, this procedure is frequently performed with breast reconstruction.

Any of these procedures can be done on both breasts, in which case the procedure would be known as a double mastectomy. For example, a surgical oncologist might perform a total or nipple-sparing mastectomy on both breasts. Double mastectomies are often used as a preventive surgery for those who are at risk of developing breast cancer later on in life.

Patients have one or two days of hospital stay before returning home from their mastectomy procedures. Full recovery can take several months, but some patients find they are able to resume normal activity within one month of their mastectomy. Patients are advised to limit arm and chest movements whenever possible.

After surgery, patients must also adjust to changes in their appearance. While some patients choose to receive breast reconstruction, other patients may decide to wear prosthetic breasts or will simply embrace their new chest.

Mastectomies permit patients to conquer cancer and lead healthy, thriving lives as breast cancer survivors.

abdominal imaging	29
ablation	15
anorectal procedures	15
doctor visit	178
injections	15
minimally invasive procedures	14
ultrasound (sonogram)	29
vascular procedures	15

**Gender**
Male	69
Female	49

**Ethnicity**
Non-Hispanic White	105
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	43
From 75 to 84	41
85 and over	22
Less than 65	12

Hypertension	61
High Cholesterol	56
Stroke	0
Ischemic Heart Disease	33
Depression	14
Chronic Kidney Disease	24
Asthma	9
Osteoperosis	10
Atrial Fibrilation	13
Heart Failure	22
Chronic Obstructive Pulmonary Disease	14
Diabetes	31
Dementia	12
Cancer	19

abdominal imaging	35
doctor visit	198
gastrointestinal procedures	13
minimally invasive procedures	14
ultrasound (sonogram)	35

**Gender**
Male	65
Female	55

**Ethnicity**
Non-Hispanic White	106
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	53
From 75 to 84	34
85 and over	0
Less than 65	0

Hypertension	57
High Cholesterol	49
Stroke	0
Ischemic Heart Disease	34
Depression	14
Chronic Kidney Disease	24
Asthma	0
Osteoperosis	9
Atrial Fibrilation	12
Heart Failure	20
Chronic Obstructive Pulmonary Disease	0
Diabetes	22
Dementia	0
Cancer	13

abdominal imaging	16
doctor visit	174
gastrointestinal procedures	12
ultrasound (sonogram)	16

**Gender**
Male	98
Female	114

**Age**
From 65 to 74	94
From 75 to 84	62
85 and over	0
Less than 65	0

Hypertension	67
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	36
Depression	15
Chronic Kidney Disease	25
Asthma	14
Osteoperosis	0
Atrial Fibrilation	18
Heart Failure	16
Chronic Obstructive Pulmonary Disease	15
Diabetes	23
Dementia	11
Cancer	19

abdominal imaging	15
doctor visit	125
ultrasound (sonogram)	15

**Gender**
Male	47
Female	41

**Age**
From 65 to 74	37
From 75 to 84	23
85 and over	0
Less than 65	0

Hypertension	65
High Cholesterol	50
Stroke	0
Ischemic Heart Disease	41
Depression	20
Chronic Kidney Disease	28
Asthma	18
Osteoperosis	0
Atrial Fibrilation	13
Heart Failure	24
Chronic Obstructive Pulmonary Disease	17
Diabetes	17
Dementia	16
Cancer	0

abdominal imaging	21
abdominal surgery	10
doctor visit	160
gastrointestinal procedures	29
open surgery	10
ultrasound (sonogram)	21

**Gender**
Male	67
Female	45

**Age**
From 65 to 74	52
From 75 to 84	40
85 and over	0
Less than 65	0

Hypertension	56
High Cholesterol	50
Stroke	0
Ischemic Heart Disease	32
Depression	13
Chronic Kidney Disease	23
Asthma	0
Osteoperosis	0
Atrial Fibrilation	14
Heart Failure	16
Chronic Obstructive Pulmonary Disease	0
Diabetes	17
Dementia	0
Cancer	12

abdominal imaging	13
doctor visit	172
ultrasound (sonogram)	13

**Gender**
Male	66
Female	43

**Ethnicity**
Non-Hispanic White	89
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	55
From 75 to 84	31
85 and over	0
Less than 65	0

Hypertension	53
High Cholesterol	51
Stroke	0
Ischemic Heart Disease	34
Depression	17
Chronic Kidney Disease	25
Asthma	10
Osteoperosis	0
Atrial Fibrilation	18
Heart Failure	23
Chronic Obstructive Pulmonary Disease	13
Diabetes	16
Dementia	0
Cancer	21

abdominal imaging	22
abdominal surgery	12
doctor visit	209
gastrointestinal procedures	28
minimally invasive procedures	16
open surgery	12
ultrasound (sonogram)	22

**Gender**
Male	68
Female	54

**Ethnicity**
Non-Hispanic White	106
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	68
From 75 to 84	33
85 and over	0
Less than 65	0

Hypertension	56
High Cholesterol	55
Stroke	0
Ischemic Heart Disease	27
Depression	13
Chronic Kidney Disease	25
Asthma	0
Osteoperosis	11
Atrial Fibrilation	11
Heart Failure	12
Chronic Obstructive Pulmonary Disease	0
Diabetes	20
Dementia	0
Cancer	14

abdominal imaging	13
doctor visit	136
ultrasound (sonogram)	13

**Gender**
Male	44
Female	39

**Age**
From 65 to 74	49
From 75 to 84	21
85 and over	0
Less than 65	0

Hypertension	63
High Cholesterol	57
Stroke	0
Ischemic Heart Disease	28
Depression	0
Chronic Kidney Disease	20
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	13
Dementia	0
Cancer	14

abdominal imaging	23
abdominal surgery	12
doctor visit	354
gastrointestinal procedures	38
minimally invasive procedures	26
open surgery	12
ultrasound (sonogram)	23

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Elvira Klause, MD for Medicare patients.

The highest averages for the top procedures that Dr. Elvira Klause, MD treated as a general surgeon in San Clemente, CA were gastrointestinal procedures, ultrasound (sonogram), abdominal imaging and minimally invasive procedures.

abdominal imaging	20
abdominal surgery	11
ablation	15
anorectal procedures	15
doctor visit	191
gastrointestinal procedures	25
injections	15
minimally invasive procedures	18
open surgery	11
ultrasound (sonogram)	20
vascular procedures	15

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Elvira Klause, MD.

**Gender**
Female	44
Male	52

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	40
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	2
75 to 84	28
Less than 65	1
65 to 74	45

Average of Total of Conditions of Medicare patients treated by Dr. Elvira Klause, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Elvira Klause, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	47
High Cholesterol	42
Stroke	0
Ischemic Heart Disease	26
Depression	10
Chronic Kidney Disease	19
Asthma	5
Osteoporosis	3
Heart Failure	13
Chronic Obstructive Pulmonary Disease	5
Diabetes	15
Atrial Fibrillation	9
Dementia	3
Cancer	11

Education & Training

Dr. Elvira Klause, MD graduated from University of Missouri-Columbia School of Medicine. She completed residency at Charles R. Drew University of Medicine and Science Affiliated Hospitals. She is certified by the Board Certification: General Surgery and has a state license in California.

Medical School: University of Missouri-Columbia School of Medicine

Residency: Charles R. Drew University of Medicine and Science Affiliated Hospitals

Board Certification: Board Certification: General Surgery

Licensed In: California

Affiliations & Hospitals

Dr. Elvira Klause, MD is associated with these hospitals and organizations:

Greater Newport Physicians

MemorialCare

Providence Medical Foundation

Providence Affiliated Physicians, Mission

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. Elvira Klause, MD appears to accept the following insurance providers: Aetna HMO, CIGNA HMO, Blue Shield of California, Medicare Advantage, CIGNA Commercial HMO, United Healthcare, Aetna, Anthem Blue Cross HMO, Humana, Cigna, Health Net HMO, Anthem, AARP, United Healthcare HMO, Providence, Health Net Medicare Advantage HMO, Health Net Commercial HMO, Insurance Plan, BlueShield Commercial HMO, Oscar EPO, BlueShield Trio Commercial HMO and Centivo ACO.

Insurance Accepted by Provider includes:

According to our sources, Dr. Elvira Klause, MD accepts the following insurance providers:

Aetna HMO

CIGNA HMO

Blue Shield of California

Medicare Advantage

CIGNA Commercial HMO

United Healthcare

Aetna

Anthem Blue Cross HMO

Humana

Cigna

Health Net HMO

Anthem

AARP

United Healthcare HMO

Providence

Health Net Medicare Advantage HMO

Health Net Commercial HMO

Insurance Plan

BlueShield Commercial HMO

Oscar EPO

BlueShield Trio Commercial HMO

Centivo ACO

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General Payments

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

**Payments by Company**
Intuitive Surgical, Inc.	$13,744 Da Vinci Surgical System $13,744
Novadaq Technologies Inc.	$2,072 DERMACELL $2,072
Covidien Sales LLC	$1,601 Sonicision $659	iDrive Ultra $499	Parietex $212	LigaSure $99	ReliaTack $67	Other $65
Davol Inc.	$746 SURGICAL $548	DAV-VENTRALIGHT $112	XENMATRIX $19	BD MAX $13	$54
LIFECELL CORPORATION	$203 AlloDerm $157	STRATTICE $45
Other	$1,166 Seglentis $140	XARACOLL $94	Tacker $62	KYPHON Balloon Kyphoplasty $59	BioZorb $54	Other $757

**Types of Payments**
Education	$10,500
Travel and Lodging	$5,930
Food and Beverage	$3,101

Biography

Dr. Elvira Klause sees patients in San Clemente, CA and Laguna Hills, CA. Her medical specialty is general surgery. Dr. Klause speaks Spanish. Areas of expertise for Dr. Klause include inguinal hernia, umbilical hernia, and skin cancer surgery. Her professional affiliations include Greater Newport Physicians and Providence Medical Foundation. She attended the University of Missouri-Columbia School of Medicine and subsequently trained at Martin Luther King, Jr.-Harbor Hospital and a hospital affiliated with Charles R. Drew University of Medicine and Science for residency. Dr. Klause is an in-network provider for several insurance carriers, including United Healthcare HMO, AARP, and Anthem. Her practice in Laguna Hills, CA is open to new patients as reported by Providence Medical Foundation.