DR. EDGAR S. MACIAS M.D.
NPI 1144482373
Dermatology in Fresno, CA

Active since June 29, 2008PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2035662 · Certificate of Compliance
98.65/100
CMS Quality Rating
7115 N CHESTNUT AVE STE 101, FRESNO, CA 93720(559) 431-2397 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edgar S. Macias M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDGAR S. MACIAS M.D. (NPI 1144482373) is an individual dermatology provider in Fresno, California, licensed in California (A112259) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through May 22, 2027, and is a graduate of Harvard Medical School (2007).

NPPES Registry Identity

NPI1144482373
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. EDGAR S. MACIASCredential: M.D.
Location Address7115 N CHESTNUT AVE STE 101Fresno, CA 93720-0361
Mailing Address7115 N Chestnut Ave Ste 101Fresno, CA 93720-0361 · (559) 431-2397
Sole ProprietorYes
Medical School CMSHarvard Medical SchoolGraduated 2007
Enumeration DateJune 29, 2008
Last NPPES UpdateMarch 29, 2019
NPI 1144482373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A112259
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
7115 N CHESTNUT AVE STE 101, Fresno, CA 93720

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Edgar S. Macias M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002084092
PECOS Enrollment IDI20111005000575
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2035662

Edgar S Macias MD Inc · Fresno, CA
Active · expires May 22, 2027
CLIA Number05D2035662
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorEdgar S. Macias
Laboratory Phone(559) 431-2397
Laboratory LocationEdgar S Macias MD Inc7115 N Chestnut, Ste 101, Fresno, CA 93720
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 53

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
3,060 services1,384 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
2,346 services1,371 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,786 services484 patients
Puraply am, per square centimeter Q4196
Puraply AM is a type of wound dressing applied to help heal complex wounds. It's made from a special material that helps control bacteria and promote healing. The size of the dressing is measured per square centimeter to fit the wound size.
1,395 services49 patients
High dose rate electronic brachytherapy, external 0394T
High Dose Rate Electronic Brachytherapy (HDR EBT) is a precise form of radiation therapy. It involves placing a tiny source of radiation directly into the area needing treatment. This allows a high dose of radiation to be delivered directly to the area, while reducing exposure to surrounding healthy tissues.
1,311 services71 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
1,212 services880 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.22
Promoting Interoperability100
Improvement Activities40
Cost98.29

Reported Quality Measures

Advance Care Plan
100%2,230 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
93%9,114 patients3/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%338 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 2,524 patients
Patients screened: 100% · 2,524 patients
96%74 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%3,805 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%711 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
7115 N CHESTNUT AVE STE 101
FRESNO, CA 93720
Nurse Practitioner
7115 N CHESTNUT AVE STE 101
FRESNO, CA 93720
Dermatology
7115 N CHESTNUT AVE STE 101
FRESNO, CA 93720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgar Macias's NPI number?

The NPI number for Edgar Macias is 1144482373. It was assigned to this individual provider in the NPPES registry on June 29, 2008.

Where is Edgar Macias located?

Edgar Macias practices at 7115 N Chestnut Ave Ste 101, Fresno, CA 93720. The listed phone number is (559) 431-2397.

What is Edgar Macias's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Edgar Macias enrolled in Medicare?

Yes. Edgar Macias is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Edgar Macias hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2035662) is associated with this NPI, valid through May 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Edgar Macias was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.