Sergio Chang Figueroa, MD
Endocrinology, Diabetes & Metabolism Physician · Madisonville, KY
Sergio Chang Figueroa, MD is an endocrinology, diabetes & metabolism physician with a practice address in Madisonville, Kentucky, and NPI 1447498522, issued on Jan 28, 2009. Check the license (Kentucky 43933, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Sergio Chang Figueroa
- Credential
- MD
- Primary taxonomy
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License numbers
- 43933 KY
TRN9743 FL
Self-reported in NPPES; status is on the state search - Practice location
- 800 Hospital Dr, Madisonville, KY 42431
- Phone
- (270) 326-3800
- Enumerated
- Jan 28, 2009
- Record last updated
- Dec 11, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicaid ID
- 7100172400 KY
- Medicare enrollment
- Enrolled (PECOS I20110809000486); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest endocrinology, diabetes & metabolism physician records → All 107 in Kentucky → Look up another NPI →
Also registered at 800 Hospital Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Muhammad Akram, MDClinical Cardiac Electrophysiology Physician1902803737
- Sarah Almon, CNMAdvanced Practice Midwife1831296458
- Julie Bak, AU.DAudiologist1699567925
- Marion Boone, CSFASurgical Assistant1417582339
- Debra Brothers, RN, CDEDiabetes Educator Registered Nurse1568740702
- Darren Chapman, MDSurgery Physician1487607610
Verify Sergio Chang Figueroa in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 43933Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4.8 times the Medicare Part D claims of the average endocrinology, diabetes & metabolism physician in 2024
12,576 Medicare Part D claims for 862 beneficiaries, against an average of 2,630 among the 8,223 providers of this specialty who prescribed in Part D. Brand-name drugs were 53% of claims. 69 claims were for opioids.
Most prescribed
- Mounjaro811 claims
- Levothyroxine Sodium715 claims
- Ozempic634 claims
- Jardiance590 claims
- Omnipod 5 Dexg7g6 Pods (Gen 5)441 claims
- Rosuvastatin Calcium441 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): 95.5 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: $138,630.39
374 payments; by number, the most common kind was food and beverage; the largest payer was Lilly USA, LLC. The 5,661 providers of this specialty with any payment received $5,742.15 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 one group practice
- Baptist Health Deaconess Medical Group IncMadisonville, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sergio Chang Figueroa among 107 endocrinology, diabetes & metabolism physician records in Kentucky
Sergio Chang Figueroa, MD is one of 107 endocrinology, diabetes & metabolism physician records with a practice address in Kentucky. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 61% of them.
- NPI issued2009 · 61% of these records are older, 36% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 74% of these records are
- Graduated2004 · median 2004 among the 79 with a school on file
- Record last updated2020 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RE0101X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Endocrinology, Diabetes & Metabolism Physician providers in Kentucky
There are 107 endocrinology, diabetes & metabolism physician records in Kentucky.
All 107 in Kentucky → Every provider in Madisonville → Endocrinology, Diabetes & Metabolism Physician nationwide →
The 8 endocrinology, diabetes & metabolism physician records with the nearest ZIP codes
- Ralph Hines, MDMadisonville, KY 424311841396835
- Rahul PansareHenderson, KY 424201336660851
- Dennis JosephSomerset, KY 425031336307792
- Mary De Croos, MDOwensboro, KY 423031972957157
- Theresa Lanham, D.O.Owensboro, KY 423031972037208
- Betty Villafuerte, MDOwensboro, KY 423031528047362
- Varun SamjiElizabethtown, KY 427011902328826
- Nguyen Young, MDElizabethtown, KY 427011427035914
Common questions
What is Sergio Chang Figueroa, MD's NPI number?
Sergio Chang Figueroa, MD's National Provider Identifier (NPI) is 1447498522, issued on Jan 28, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Sergio Chang Figueroa, MD located?
The NPPES record lists a practice address at 800 Hospital Dr, Madisonville, KY, 42431. Phone: (270) 326-3800. Providers update this record themselves, so call before visiting.
How can I verify Sergio Chang Figueroa, MD's license?
NPPES lists Kentucky license number 43933, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sergio Chang Figueroa, MD prescribe under Medicare Part D?
In 2024, Sergio Chang Figueroa, MD had 12,576 Medicare Part D claims for 862 beneficiaries; the average among endocrinology, diabetes & metabolism physician prescribers was 2,630. Part D covers Medicare prescriptions only.
What is Sergio Chang Figueroa, MD's MIPS final score?
The 2023 MIPS final score is 95.5 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.