Carol Sue Machado
Surgery Physician · Fresno, CA
Carol Sue Machado is a surgery physician with a practice address in Fresno, California, and NPI 1982996450, issued on May 3, 2011. Check the license (California A125042, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Carol Sue Machado
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- A125042 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1105 E Spruce Ave, Fresno, CA 93720
- Phone
- (559) 450-7200
- Enumerated
- May 3, 2011
- Record last updated
- Dec 12, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (559) 450-7214
- Medicare enrollment
- Enrolled (PECOS I20161202000619); may accept Medicare assignment
- Medical or professional school
- University Of California, San Diego School Of Medicine, 2011
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 3,118 in California → Look up another NPI →
Also registered at 1105 E Spruce Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- James Bruce, MDColon & Rectal Surgery Physician1699859454
- Jeannie Buhler, N.P.Family Nurse Practitioner1154677219
- Arnold Escarcega, PA-CPhysician Assistant1124020706
- Sonja Growcott, NPNurse Practitioner1841548906
- Chester Morris, FNPNurse Practitioner1992711063
- Soumya PaiSurgery Physician1902107840
Verify Carol Sue Machado in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license A125042Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
38% fewer Medicare Part D claims than the average surgery physician in 2024
91 Medicare Part D claims for 61 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. 46 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen33 claims
- Cephalexin12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 97.1 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $605.68
11 payments; by number, the most common kind was food and beverage; the largest payer was Intuitive Surgical, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Adventist Health Physicians NetworkHanford, CA
- Central Valley General HospitalHanford, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Carol Sue Machado among 3,118 surgery physician records in California
Carol Sue Machado is one of 3,118 surgery physician records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 70% of them.
- NPI issued2011 · 70% of these records are older, 27% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2011 · median 2003 among the 1,901 with a school on file
- Record last updated2016 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in California
There are 3,118 surgery physician records in California.
All 3,118 in California → Every provider in Fresno → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Keith Boone, MDFresno, CA 937201265495139
- Mark Cunningham, MDFresno, CA 937201174621593
- Vassi Gardikas, MDFresno, CA 937201881792208
- Mario Gonzalez, M.D.Fresno, CA 937201376557991
- Deborah Gumina, MDFresno, CA 937201679671002
- Kelvin Higa, MDFresno, CA 937201356304224
- Dawn Johnson, M.D.Fresno, CA 937201629155692
- Carlos Juarez, M.D.Fresno, CA 937201285664243
Common questions
What is Carol Sue Machado's NPI number?
Carol Sue Machado's National Provider Identifier (NPI) is 1982996450, issued on May 3, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Carol Sue Machado located?
The NPPES record lists a practice address at 1105 E Spruce Ave, Fresno, CA, 93720. Phone: (559) 450-7200. Providers update this record themselves, so call before visiting.
How can I verify Carol Sue Machado's license?
NPPES lists California license number A125042, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Carol Sue Machado prescribe under Medicare Part D?
In 2024, Carol Sue Machado had 91 Medicare Part D claims for 61 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Carol Sue Machado's MIPS final score?
The 2023 MIPS final score is 97.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.