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DR. MEGNA MACHADO MD
NPI 1922671874
Internal Medicine in Worcester, MA

Active since July 19, 2021PECOS EnrolledAccepts Medicare Assignment
123 SUMMER ST, WORCESTER, MA 01608(508) 363-5000 Get Directions Write a Review

NPPES record last updated: August 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2024, Jul 19, 2021 (2 updates tracked since 2021).

About Dr. Megna Machado Md NPPES

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

DR. MEGNA MACHADO MD (NPI 1922671874) is an individual internal medicine provider in Worcester, Massachusetts, licensed in Massachusetts (1018783) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1922671874
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MEGNA MACHADOCredential: MD
Location Address123 SUMMER STWorcester, MA 01608-1216
Mailing Address123 Summer StWorcester, MA 01608-1216 · (508) 363-5000
Phone(508) 363-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 19, 2021
Last NPPES UpdateAugust 18, 20242 updates tracked since enumeration
NPPES CertifiedAugust 18, 2024
✔ NPI 1922671874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 1018783
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2899314 (MA)
123 SUMMER ST, Worcester, MA 01608
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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. Megna 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 ID6406395771
PECOS Enrollment IDI20240830000338
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 3

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.

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.
93 services60 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.
72 services36 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
45 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01608 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

MADAIAH LOKESHWARI M.D.
Hospitalist
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-6849
DR. JENNIFER LYNNE PAPPALARDO DPM
Podiatrist (Foot & Ankle Surgery)
123 SUMMER ST, DEPARTMENT OF PODIATRY
WORCESTER, MA 01608
Worcester County (508) 363-7390
DR. MADHAV SHARMA MD
Internal Medicine
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5438
YESHASWINI KATKOORI MD
Student in an Organized Health Care Education/Training Program
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5000
DANIELLE MAY PELOQUIN
Nurse Anesthetist, Certified Registered
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5000
DR. YAYAN CHEN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-6049
FARRICY & KRAFT LLP
Obstetrics & Gynecology (Obstetrics)
123 SUMMER ST, SUITE 560
WORCESTER, MA 01608
Worcester County (508) 363-6100
KEITH A BEALS PA
Physician Assistant
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5000

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 Megna Machado's NPI number?

The NPI number for Megna Machado is 1922671874. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Megna Machado located?

Megna Machado practices at 123 Summer St, Worcester, MA 01608. The listed phone number is (508) 363-5000.

What is Megna Machado's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Megna Machado enrolled in Medicare?

Yes. Megna 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.

Is Megna Machado affiliated with any hospitals?

According to CMS data, Megna Machado is affiliated with Heywood Hospital and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Megna Machado was last updated on August 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.