CAROL SUE MACHADO
NPI 1982996450
Surgery in Fresno, CA

Q: What is Carol Machado's NPI number?

The NPI number for Carol Machado is 1982996450. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Q: What is Carol Machado's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Carol Machado was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 03, 2011PECOS Enrolled

97.12/100

CMS Quality Rating

1105 E SPRUCE AVE, SUITE 201, FRESNO, CA 93720(559) 450-7200(559) 450-7214 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Carol Sue Machado NPPES

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

CAROL SUE MACHADO (NPI 1982996450) is an individual surgery provider in Fresno, California, licensed in California (A125042) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2011).

NPPES Registry Identity

NPI1982996450

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameCAROL SUE MACHADO

Location Address1105 E SPRUCE AVE, SUITE 201Fresno, CA 93720-3313

Mailing Address1105 E Spruce Ave, Suite 201Fresno, CA 93720-3313 · (559) 450-7200 · Fax (559) 450-7214

Phone(559) 450-7200

Fax(559) 450-7214

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2011

Enumeration DateMay 3, 2011

Last NPPES UpdateDecember 12, 2016

✔ NPI 1982996450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · A125042

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1105 E SPRUCE AVE, Fresno, CA 93720

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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 (PECOS)

Carol Sue Machado is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870873177

PECOS Enrollment IDI20161202000619

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

220 services143 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.

82 services66 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

68 services68 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

41 services41 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

18 services18 patients

Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic G2012

A virtual check-in is a short online or phone consultation with your healthcare provider. It's for established patients and isn't related to a recent appointment. It's a convenient way to discuss health concerns without needing to visit the office in person.

17 services16 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.

97.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.24

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 11

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

UNAIZA HAYAT, M.D. INC.

Internal Medicine

1105 E SPRUCE AVE, SUITE 202
FRESNO, CA 93720

Fresno County (559) 450-7299

ARNOLD VICTOR ESCARCEGA PA-C

Physician Assistant

1105 E SPRUCE AVE, SUITE 201
FRESNO, CA 93720

Fresno County (559) 450-7200

JEANNIE A BUHLER N.P.

Nurse Practitioner (Family)

1105 E SPRUCE AVE, SUITE 203
FRESNO, CA 93720

Fresno County (559) 432-5156

JAMES ALLEN SVOBODA MD

Surgery

1105 E SPRUCE AVE, SUITE 201
FRESNO, CA 93720

Fresno County (559) 450-7200

SAMUEL RECALDE

Registered Nurse

1105 E SPRUCE AVE
FRESNO, CA 93720

Fresno County (559) 450-7300

PLAZA SURGICAL CENTER, LP

Clinic/Center (Ambulatory Surgical)

1105 E SPRUCE AVE, SUITE 100
FRESNO, CA 93720

Fresno County (559) 450-7300

JAMES MICHAEL BRUCE MD

Colon & Rectal Surgery

1105 E SPRUCE AVE, SUITE 201
FRESNO, CA 93720

Fresno County (559) 450-7200

MRS. SONJA CHRISTINA GROWCOTT NP

Nurse Practitioner

1105 E SPRUCE AVE, SUITE 203
FRESNO, CA 93720

Fresno County (559) 432-3492

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 Carol Machado's NPI number?

The NPI number for Carol Machado is 1982996450. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Where is Carol Machado located?

Carol Machado practices at 1105 E Spruce Ave Suite 201, Fresno, CA 93720. The listed phone number is (559) 450-7200.

What is Carol Machado's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Carol Machado enrolled in Medicare?

Yes. Carol Machado is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carol Machado was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.