Dr. Edgar S. Macias, MD

  • Fresno, CA
  • Dermatologist
NPI1144482373PAC ID6002084092
Medicare services, 2024
20,958
Medicare patients, 2024
2,500
Part D claims, 2024
2,071
Publications
1
MIPS score, 2024
91
Practice address
7115 N Chestnut Ave, Fresno, CA 93720
Practice phone
Call (559) 431-2397
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Edgar S. Macias, M.D., Inc

Fresno, California

See all 5 affiliations

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Dr. Edgar S. Macias is a dermatologist in Fresno, California

Dr. Macias practices at Edgar S. Macias, M.D., Inc in Fresno, California.

Dr. Macias' NPI, 1144482373, was assigned on June 29, 2008. Dr. Macias graduated from Harvard Medical School in 2007. Dr. Macias holds California license A112259.

NPI and contact details
Medicare PAC ID
6002084092
NPI enumeration date
June 29, 2008
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(559) 431-2397
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
45
Medical school graduation
2007

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Edgar S. Macias practices at Edgar S. Macias, M.D., Inc in Fresno, California

Dr. Macias' primary practice is Edgar S. Macias, M.D., Inc, at 7115 N Chestnut Ave, Fresno, CA 93720 in Fresno County. The practice phone is (559) 431-2397.

  • Edgar S. Macias, M.D., Inc
    7115 N Chestnut Ave, Fresno, CA 93720 · Fresno CountyPhone(559) 431-2397

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Edgar S. Macias is affiliated with 4 sites of care and 1 medical group

Dr. Macias' primary practice is Edgar S. Macias, M.D., Inc in Fresno, California. Dr. Macias is also affiliated with Saint Agnes Medical Center. The medical group on file is Macias Dermatology. Dmand AI also links Dr. Macias to 1 more group practice or clinic and 1 home health agency, each named with a free account.

See all 5 affiliations for Dr. Macias

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Edgar S. Macias' practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Macias practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Edgar S. Macias, M.D., IncAvailable with a free account
+3 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Edgar S. Macias is one of 1,910 dermatologists in California

Dermatology is Dr. Macias' primary specialty in the NPI Registry, under taxonomy code 207N00000X. Dr. Macias is board certified in dermatology by the American Board of Dermatology. Dmand AI has Dr. Macias' licenses on file in 2 states: California and New York.

Specialties and state licenses

  • Dermatology, CaliforniaPrimaryLicense A112259 · 2010 to 2026 · taxonomy 207N00000X
  • New York license2010 to 2012

Clinical focus

Dmand AI lists acne, acute skin infection, benign or precancerous skin growths, cancerous skin growth removal, cold sores or genital herpes, contact dermatitis, corns and calluses and facial skin infection among the conditions Dr. Macias treats.

Dermatologists near Dr. Macias

Counts of dermatologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Edgar S. Macias billed Medicare for 20,958 services in 2024

CMS data shows 20,958 Medicare services from Dr. Macias across 53 procedure codes in 2024, for 2,500 Medicare patients. Medicare paid $2,579,125 for them. Every service was in an office.

Medicare services, 202420,958
Medicare patients2,500
Paid by Medicare$2.6M
Procedure codes53

Dr. Macias' Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Surgery
2023: 7,8912024: 8,2004%
Office and hospital visits
2023: 3,0672024: 3,54215%
Lab and pathology
2023: 3,4842024: 3,2796%
Other services
2023: 1,6222024: 2,70667%
Imaging
2023: 1,1352024: 2,05981%
Tests and treatments
2023: 5532024: 77941%
Drugs given in the office
2023: 3682024: 3937%

Dr. Macias compared with the California median for dermatologists, 2024

  • Dr. Macias
  • California median
Medicare services
20,958vs 1,75012.0 times
Medicare patients
2,500vs 3776.6 times
Part D claims
1,920vs 3675.2 times

Medians across 1,831 dermatologists in California with Dmand AI profiles that report each measure.

Dr. Macias' most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Macias

Need commercial claims for Dr. Macias?

Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Macias and other dermatologists in California.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Edgar S. Macias treated 2,500 Medicare patients in 2024, average age 75

CMS counts 2,500 Medicare patients who saw Dr. Macias in 2024. The largest group is 65 to 74, with 1,205 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 7% are also on Medicaid. Their average risk score is 0.96, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Macias' median patient age at 67, with 60% women.

Medicare patients, 20242,500
Average age75
Average risk score0.96
Also on Medicaid7%

Dr. Macias' Medicare patients by age, 2024

Dr. Macias' Medicare patients by sex, 2024

  • Women1,39756%
  • Men1,10344%

Chronic conditions among Dr. Macias' Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis46%
  4. Ischemic heart disease33%
  5. Diabetes26%
  6. Chronic kidney disease23%
  7. Osteoporosis19%
  8. Anxiety17%

Share of Medicare patients with each condition. A patient can have several.

Dr. Macias' patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 67

Patient panel by sex, all payers

  • Women60%
  • Men39%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Edgar S. Macias wrote 2,071 Medicare Part D claims in 2024

In 2024, Dr. Macias wrote 2,071 Medicare Part D claims for 844 patients. 97% of them were for generic drugs. CMS names the drug for 1,920 of them, across 23 drugs with 11 or more claims each, at $259,494 in total drug cost. In 2023, CMS named 1,689 claims across 24 drugs.

Part D claims, 20242,071
Drugs named by CMS23
Total drug cost$259,494
Part D patients844

Dr. Macias' Part D claims by kind of drug, 2024

  • Generic2,002 claims97%
  • Brand-name69 claims3%

Dr. Macias' most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Macias' Part D claims, 2024

  • Opioids2%45 of 2,071 claims
  • Antibiotics41%854 of 2,071 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1,6892024: 1,92014%

Drugs named by CMS: 23 in 2024, 24 in 2023.

See all prescribing by Dr. Macias

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Edgar S. Macias scored 91 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 91 out of 100 for Dr. Macias for performance year 2024, reported individually. Dr. Macias accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 4,132 procedures of removal of skin lesions by Dr. Macias, more than 99% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Macias' MIPS scores, performance year 2024

  • 91of 100Final score
  • 100of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 72of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Macias ranks in Medicare procedure volume

Removal of skin lesions
99th percentile4,132 procedures
Skin biopsy
99th percentile1,449 procedures
Removal of skin cancer
76th percentile754 procedures
Melanoma (skin cancer) excision
95th percentile140 procedures
Removal or shaving of skin growth
78th percentile43 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

For MedTech and pharma teams

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Dr. Edgar S. Macias has 1 publication on record

Dmand AI links 1 paper to Dr. Macias.

Papers1

Recent publications by Dr. Macias

See all 1 publications and co-authors

See who Dr. Macias researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Macias works with, so you can find a warm path to the right dermatologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Edgar S. Macias received $7,949 in industry payments from 2016 to 2025

CMS Open Payments shows 346 general payments to Dr. Macias from 34 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 86% of the total. Abbvie Inc. paid the most, $1,094.

General payments to Dr. Macias by program year, 2016 to 2025

General payments to Dr. Macias by kind, 2016 to 2025

$7.9Kin total
  • Food and beverage$6,86686%
  • Gifts$87311%
  • Education$2103%

Companies that paid Dr. Macias the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Macias

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Edgar S. Macias has 1 award and honors on record

Dmand AI lists 1 award for Dr. Macias, most recently CMS Stage 1 EHR in 2013.

Awards and honors for Dr. Macias

  1. 2013
    • CMS Stage 1 EHR

Source: Dmand AI Professional Profile Data

Dr. Edgar S. Macias graduated from Harvard Medical School

Dr. Macias graduated from Harvard Medical School in 2007.

  1. Medical schoolHarvard Medical School
  2. Board certified in dermatologyAmerican Board of Dermatology

Source: Dmand AI Professional Profile Data

Dr. Edgar S. Macias accepts plans from 16 insurance carriers

Dr. Macias is in network with 16 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • HCSC
  • Blue Cross Blue Shield of Massachusetts
  • Regence Health Plans
  • Alliant Health Plans
  • +8 more carriersWith a free account

Plan types Dr. Macias accepts, by number of carriers

  1. Medicare9
  2. PPO9
  3. HMO7
  4. POS5
  5. EPO4

Source: Dmand AI Insurance Network Data

Sources for Dr. Edgar S. Macias's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Edgar S. Macias

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Edgar S. Macias' NPI number?

Dr. Edgar S. Macias' NPI number is 1144482373. It was assigned on June 29, 2008, and it is active in the NPI Registry.

What kind of doctor is Dr. Edgar S. Macias?

Dr. Edgar S. Macias is a dermatologist in Fresno, California. The primary specialty in the NPI Registry is Dermatology Physician (taxonomy code 207N00000X).

Where does Dr. Edgar S. Macias practice?

Dr. Macias practices at 7115 N Chestnut Ave, Fresno, CA 93720. Dr. Macias' primary practice is Edgar S. Macias, M.D., Inc in Fresno, California. Dmand AI also links Dr. Macias to 1 group practice or clinic and 1 home health agency.

What is Dr. Edgar S. Macias' office phone number?

The practice phone on file for Dr. Macias is (559) 431-2397.

What is Dr. Edgar S. Macias' medical license number?

Dr. Macias holds California license A112259, one of the licenses on file in 2 states.

Which states has Dr. Edgar S. Macias been licensed in?

Dmand AI has state licenses on file for Dr. Macias in California (2010 to 2026) and New York (2010 to 2012).

Which hospitals is Dr. Edgar S. Macias affiliated with?

Dr. Macias is affiliated with Saint Agnes Medical Center.

What medical group is Dr. Edgar S. Macias part of?

Dr. Macias is linked to Macias Dermatology.

Does Dr. Edgar S. Macias accept Medicare?

Yes. CMS data shows Dr. Macias billed Medicare for 20,958 services in 2024, and Dr. Macias accepts Medicare assignment.

What is Dr. Edgar S. Macias' MIPS score?

Dr. Macias' MIPS final score for performance year 2024 is 91 out of 100, reported individually.

Show 9 more questionsShow fewer questions

How many Medicare patients does Dr. Edgar S. Macias see?

CMS counts 2,500 Medicare patients who saw Dr. Macias in 2024, with an average age of 75.

Is Dr. Edgar S. Macias board certified?

Yes. Dr. Macias is board certified in dermatology by the American Board of Dermatology.

What services does Dr. Edgar S. Macias bill to Medicare?

In 2024, Dr. Macias' most billed Medicare services were lab and pathology test (88305), office visit, established patient (99214) and surgery: skin and soft tissue (17003).

Where did Dr. Edgar S. Macias go to medical school?

Dr. Macias graduated from Harvard Medical School in 2007.

What drugs does Dr. Edgar S. Macias prescribe most?

In 2024 Medicare Part D data, Dr. Macias' most prescribed drugs by claims were Cephalexin, Mupirocin and Gentamicin Sulfate.

Has Dr. Edgar S. Macias received payments from drug or device companies?

CMS Open Payments shows $7,949 in general payments to Dr. Macias from 34 companies from 2016 to 2025. The largest total came from Abbvie Inc.

How long has Dr. Edgar S. Macias been practicing?

Dr. Macias graduated from medical school in 2007, 19 years ago.

Does Dr. Edgar S. Macias do research?

Dmand AI links 1 publication to Dr. Macias.

What insurance does Dr. Edgar S. Macias accept?

Dr. Macias is in network with 16 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.

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