GUSTAVO ROZINDO MACHADO MD
NPI 1225206188
Plastic Surgery in Lincoln, NE

Active since February 13, 2008PECOS EnrolledAccepts Medicare Assignment
85.91/100
CMS Quality Rating
4130 PIONEER WOODS DR STE 1, LINCOLN, NE 68506(402) 489-4700(402) 489-5220 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2021, Mar 30, 2016 (2 updates tracked since 2016).

About Gustavo Rozindo Machado Md NPPES

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

GUSTAVO ROZINDO MACHADO MD (NPI 1225206188) is an individual plastic surgery provider in Lincoln, Nebraska, licensed in California (A96671) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1225206188
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameGUSTAVO ROZINDO MACHADOCredential: MD
Location Address4130 PIONEER WOODS DR STE 1Lincoln, NE 68506-7552
Mailing Address4130 Pioneer Woods Dr Ste 1Lincoln, NE 68506-7552 · (402) 489-4700 · Fax (402) 489-5220
Fax(402) 489-5220
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 13, 2008
Last NPPES UpdateFebruary 25, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
NPI 1225206188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in CA · A96671
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
4130 PIONEER WOODS DR STE 1, Lincoln, NE 68506

Accepted Insurance

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

Gustavo Rozindo Machado Md 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 ID4082874862
PECOS Enrollment IDI20120402000614
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.

Areas of Expertise CMS Part B claims 16

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
300 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
177 services122 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
120 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
83 services83 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
78 services37 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
75 services46 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Columbus Community Hospital, Inc

Acute Care Hospitals · Columbus, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number280111
Location4600 38th StColumbus, NE 68601 · Platte County
Emergency services Birthing friendly

Lincoln Surgical Hospital

Acute Care Hospitals · Lincoln, NE
OwnershipProprietary
CMS Certification Number280127
Location1710 South 70th StreetLincoln, NE 68506 · Lancaster County

York General Hospital

Critical Access Hospitals · York, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281336
Location2222 N Lincoln AveYork, NE 68467 · York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68506 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

85.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.75
Promoting Interoperability70
Improvement Activities40

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
96%211 patients4/55-star benchmark: 100%
Communication with the Physician or Other Clinician Managing On-going Care Post-Fracture for Men and Women Aged 50 Years and Older
Percentage of patients aged 50 years and older treated for a fracture with documentation of communication, between the physician treating the fracture and the physician or other clinician managing the patient's on-going care, that a fracture occurred and that…
75%52 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,059 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%40 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
96%446 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
87%857 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
93%446 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
0%446 patients1/55-star benchmark: 77%
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$205.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Podiatrist (Foot & Ankle Surgery)
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Physical Therapist
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Physical Therapist
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Physician Assistant
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Physician Assistant
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Physician Assistant (Medical)
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506
Orthopaedic Surgery
4130 PIONEER WOODS DR STE 1
LINCOLN, NE 68506

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 Gustavo Machado's NPI number?

The NPI number for Gustavo Machado is 1225206188. It was assigned to this individual provider in the NPPES registry on February 13, 2008.

Where is Gustavo Machado located?

Gustavo Machado practices at 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506. The listed phone number is (402) 489-4700.

What is Gustavo Machado's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Gustavo Machado enrolled in Medicare?

Yes. Gustavo Machado 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.

What insurance does Gustavo Machado accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Gustavo Machado as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gustavo Machado affiliated with any hospitals?

According to CMS data, Gustavo Machado is affiliated with Bryan Medical Center, Columbus Community Hospital, Inc, Lincoln Surgical Hospital and York General Hospital.

When was this NPI record last updated?

The NPPES record for Gustavo Machado was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.