DR. VICTOR I MACHICAO M.D.
NPI 1801837612
Internal Medicine - Gastroenterology in Houston, TX

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6400 FANNIN ST, SUITE 1400, HOUSTON, TX 77030(713) 704-3450(713) 704-6850 Get Directions Write a Review

NPPES record last updated: April 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Victor I Machicao M.d. NPPES

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

DR. VICTOR I MACHICAO M.D. (NPI 1801837612) is an individual gastroenterology provider in Houston, Texas, licensed in Texas (N4564) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1801837612
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. VICTOR I MACHICAOCredential: M.D.
Location Address6400 FANNIN ST, SUITE 1400Houston, TX 77030-1521
Mailing Address6431 Fannin St, Msb 4.234Houston, TX 77030-1501 · (713) 500-6677 · Fax (713) 500-6699
Fax(713) 704-6850
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJune 10, 2006
Last NPPES UpdateApril 14, 2016
NPI 1801837612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TX · N4564
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X · License N4564 (TX)
6400 FANNIN ST, Houston, TX 77030

Other Names 1

Other Name (5)Victor Ilich Machicao M.d.

Other Identifiers 3

Medicare PIN46531Y
Medicaid259760800FL
Medicare UPING93814

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

Dr. Victor I Machicao 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 ID1759374325
PECOS Enrollment IDI20090430000344
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 7

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
63 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
42 services20 patients
Ultrasound scan of organ tissue for measuring elasticity 76981
An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.
26 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Memorial Hermann Katy Hospital

Acute Care Hospitals · Katy, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450847
Location23900 Katy FreewayKaty, TX 77494 · Fort Bend County
Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Referred Medical Equipment & Supplies CMS DME claims 8

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
12 suppliers104 claims9,576 services$0.29 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers22 claims3,300 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers39 claims5,760 services$0.57 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers63 claims7,920 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,320 services$0.95 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers30 claims900 services$2.37 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.

Dentist (General Practice)
6400 FANNIN ST, SUITE 2040
HOUSTON, TX 77030
Surgery (Vascular Surgery)
6400 FANNIN ST
HOUSTON, TX 77030
Physician Assistant (Surgical)
6400 FANNIN ST, 1700
HOUSTON, TX 77030
Surgery (Vascular Surgery)
6400 FANNIN ST, SUITE NUMBER 2850
HOUSTON, TX 77030
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6400 FANNIN ST, STE 3000
HOUSTON, TX 77030
Orthopaedic Surgery
6400 FANNIN ST, SUITE 1620
HOUSTON, TX 77030
Specialist
6400 FANNIN ST, SUITE 2295
HOUSTON, TX 77030
Nurse Practitioner (Family)
6400 FANNIN ST, SUITE 1400
HOUSTON, TX 77030

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 Victor Machicao's NPI number?

The NPI number for Victor Machicao is 1801837612. It was assigned to this individual provider in the NPPES registry on June 10, 2006. The provider is also known as Victor Ilich Machicao M.D..

Where is Victor Machicao located?

Victor Machicao practices at 6400 Fannin St Suite 1400, Houston, TX 77030. The listed phone number is (713) 704-3450.

What is Victor Machicao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Victor Machicao enrolled in Medicare?

Yes. Victor Machicao 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 Victor Machicao accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Victor Machicao 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 Victor Machicao affiliated with any hospitals?

According to CMS data, Victor Machicao is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Memorial Hermann Memorial City Hospital, Memorial Hermann Katy Hospital and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Victor Machicao was last updated on April 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.