Carol Sue Machado

  • Visalia, CA
  • General surgeon
NPI1982996450PAC ID3870873177
Medicare services, 2024
457
Medicare patients, 2024
254
Part D claims, 2024
91
Publications
1
MIPS score, 2024
96
Practice address
5400 W. Hillsdale, Visalia, CA 93291
Professional email
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Mobile number
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Social profiles

Primary practice

Visalia Medical Clinic - Imaging - Adventist Health Physicians Network

Mammography / Breast Imaging Center · Visalia, California

See all 12 affiliations

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Carol Sue Machado is a general surgeon in Visalia, California

Carol Machado practices at Visalia Medical Clinic - Imaging - Adventist Health Physicians Network in Visalia, California.

Carol Machado's NPI, 1982996450, was assigned on May 3, 2011. Carol Machado graduated from UC San Diego School of Medicine in 2011. Carol Machado holds California license A125042.

NPI and contact details
Medicare PAC ID
3870873177
NPI enumeration date
May 3, 2011
NPI status
Active
Offers telehealth
Yes
Professional email
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Personal email
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Mobile number
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Sex
Female
Estimated age
41
Medical school graduation
2011

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

Carol Sue Machado practices at Visalia Medical Clinic - Imaging - Adventist Health Physicians Network in Visalia, California

Carol Machado's primary practice is Visalia Medical Clinic - Imaging - Adventist Health Physicians Network, at 5400 W. Hillsdale, Visalia, CA 93291.

  • Visalia Medical Clinic - Imaging - Adventist Health Physicians Network
    5400 W. Hillsdale, Visalia, CA 93291

Source: Dmand AI Affiliation Data

Carol Sue Machado is affiliated with 8 sites of care and 4 medical groups

Carol Machado's primary practice is Visalia Medical Clinic - Imaging - Adventist Health Physicians Network in Visalia, California. Carol Machado is also affiliated with Kaweah Health Medical Center. The medical group on file is Adventist Health Physicians Network. Dmand AI also links Carol Machado to 3 more hospitals, 3 medical groups, 2 group practices and clinics and 1 rural health clinic, each named with a free account. Carol Machado's employer is on file too: a breast imaging center.

See all 12 affiliations for Carol Machado

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Carol Sue Machado's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Carol Machado practices, 8 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Visalia Medical Clinic - Imaging - Adventist Health Physicians NetworkAvailable with a free account
+7 more sites and 3 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Carol Sue Machado is one of 2,926 general surgeons in California

Surgery is Carol Machado's primary specialty in the NPI Registry, under taxonomy code 208600000X. Carol Machado is board certified in surgery by the American Board of Surgery. Carol Machado is licensed in California.

Specialties and state licenses

  • Surgery, CaliforniaPrimaryLicense A125042 · 2013 to 2027 · taxonomy 208600000X

Clinical focus

Dmand AI lists abdominal hernia repair surgery, acute gallbladder or bile duct inflammation, breast reconstruction, gallbladder removal, gastrointestinal bleeding, groin hernia surgery, hemorrhoids and mastectomy among the conditions Carol Machado treats.

General surgeons near Carol Machado

Counts of general surgeons 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

Carol Sue Machado billed Medicare for 457 services in 2024

CMS data shows 457 Medicare services from Carol Machado across 7 procedure codes in 2024, for 254 Medicare patients. Medicare paid $33,080 for them.

Medicare services, 2024457
Medicare patients254
Paid by Medicare$33,080
Procedure codes7

Carol Machado's Medicare services by type, 2024

  1. Office and hospital visits411
  2. Surgery29
  3. Other services17

Where Carol Machado's Medicare services took place, 2024

  • In an office42894%
  • In a facility296%

Carol Machado compared with the California median for general surgeons, 2024

  • Carol Machado
  • California median
Medicare services
457vs 1662.8 times
Medicare patients
254vs 1212.1 times
Part D claims
45vs 3432% above

Medians across 2,606 general surgeons in California with Dmand AI profiles that report each measure.

Carol Machado's 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 Carol Machado

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Medicare shows one payer. Book a meeting to get commercial claims data for Carol Machado and other general surgeons in California.

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

Carol Sue Machado treated 254 Medicare patients in 2024, average age 73

CMS counts 254 Medicare patients who saw Carol Machado in 2024. The largest group is 65 to 74, with 133 patients. 75% of them have high cholesterol, and 73% have high blood pressure. 7% are also on Medicaid. Their average risk score is 1.11, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Carol Machado's median patient age at 56, with 77% women.

Medicare patients, 2024254
Average age73
Average risk score1.11
Also on Medicaid7%

Carol Machado's Medicare patients by age, 2024

Carol Machado's Medicare patients by sex, 2024

  • Women22187%
  • Men3313%

Chronic conditions among Carol Machado's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure73%
  3. Cancer41%
  4. Arthritis35%
  5. Diabetes29%
  6. Ischemic heart disease25%
  7. Anxiety24%
  8. Osteoporosis21%

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

Carol Machado's patients across all payers

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

Patient panel by age, all payers

Median age 56

Patient panel by sex, all payers

  • Women77%
  • Men23%

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

Carol Sue Machado wrote 91 Medicare Part D claims in 2024

In 2024, Carol Machado wrote 91 Medicare Part D claims for 61 patients. 99% of them were for generic drugs. CMS names the drug for 45 of them, across 2 drugs with 11 or more claims each, at $277 in total drug cost.

Part D claims, 202491
Drugs named by CMS2
Total drug cost$277
Part D patients61

Carol Machado's Part D claims by kind of drug, 2024

  • Generic90 claims99%
  • Brand-name and other1 claims1%

Carol Machado's 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 Carol Machado's Part D claims, 2024

  • Opioids51%46 of 91 claims
  • Antibiotics24%22 of 91 claims

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

See all prescribing by Carol Machado

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

Carol Sue Machado scored 96 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 96 out of 100 for Carol Machado for performance year 2024, reported through an alternative payment model (APM). CMS lists Carol Machado as offering telehealth. CMS counts 21 procedures of mastectomy by Carol Machado, more than 79% of the clinicians it reports for that procedure.

Offers telehealth
Yes

Carol Machado's MIPS scores, performance year 2024

  • 96of 100Final score
  • 81.5of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

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

Where Carol Machado ranks in Medicare procedure volume

Mastectomy
79th percentile21 procedures

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

Colonoscopy: 1 to 10 procedures (CMS shows small counts as a range)

Hernia repair (minimally invasive): 1 to 10 procedures (CMS shows small counts as a range)

Hernia repair - groin (open): 1 to 10 procedures (CMS shows small counts as a range)

Melanoma (skin cancer) excision: 1 to 10 procedures (CMS shows small counts as a range)

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

Removal or shaving of skin growth: 1 to 10 procedures (CMS shows small counts as a range)

Skin biopsy: 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)

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Carol Sue Machado has 1 publication on record

Dmand AI links 1 paper to Carol Machado. Carol Machado's most frequent co-authors are Richard F. Clark, MD and Sean P. Nordt, MD.

Papers1

Carol Machado's most frequent co-authors

Recent publications by Carol Machado

See all 1 publications and co-authors

See who Carol Machado researches with

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

How network discovery works

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

Carol Sue Machado received $1,346 in industry payments from 2024 to 2025

CMS Open Payments shows 23 general payments to Carol Machado from 9 drug and device companies from 2024 to 2025. Food and beverage make up the largest share, 100% of the total. Intuitive Surgical, Inc. paid the most, $695.

General payments to Carol Machado by program year, 2024 to 2025

Companies that paid Carol Machado the most, 2024 to 2025

Share is of all general payments to this clinician.

See all payments to Carol Machado

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

Carol Sue Machado graduated from UC San Diego School of Medicine

Carol Machado graduated from UC San Diego School of Medicine in 2011.

  1. Medical schoolUC San Diego School of Medicine
  2. Board certified in surgeryAmerican Board of Surgery

Source: Dmand AI Professional Profile Data

Carol Sue Machado accepts plans from 13 insurance carriers

Carol Machado is in network with 13 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 8. 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
  • +5 more carriersWith a free account

Plan types Carol Machado accepts, by number of carriers

  1. Medicare8
  2. PPO8
  3. HMO7
  4. POS5
  5. EPO3

Source: Dmand AI Insurance Network Data

Sources for Carol Sue Machado'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 phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy 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)
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 Carol Sue Machado

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

What is Carol Sue Machado's NPI number?

Carol Sue Machado's NPI number is 1982996450. It was assigned on May 3, 2011, and it is active in the NPI Registry.

What does Carol Sue Machado specialize in?

Carol Sue Machado is a general surgeon in Visalia, California. The primary specialty in the NPI Registry is Surgery Physician (taxonomy code 208600000X).

Where does Carol Sue Machado practice?

Carol Machado practices at 5400 W. Hillsdale, Visalia, CA 93291. Carol Machado's primary practice is Visalia Medical Clinic - Imaging - Adventist Health Physicians Network in Visalia, California. Dmand AI also links Carol Machado to 3 hospitals, 3 medical groups, 2 group practices and clinics and 1 rural health clinic.

What is Carol Sue Machado's medical license number?

Carol Machado holds California license A125042.

Which hospitals is Carol Sue Machado affiliated with?

Carol Machado is affiliated with Kaweah Health Medical Center. Dmand AI links Carol Machado to 3 more hospitals.

What medical group is Carol Sue Machado part of?

Carol Machado is linked to Adventist Health Physicians Network. Dmand AI links Carol Machado to 3 more medical groups.

Does Carol Sue Machado accept Medicare?

Yes. CMS data shows Carol Machado billed Medicare for 457 services in 2024.

Does Carol Sue Machado offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Carol Machado as offering telehealth services.

What is Carol Sue Machado's MIPS score?

Carol Machado's MIPS final score for performance year 2024 is 96 out of 100, reported through an alternative payment model (APM).

How many Medicare patients does Carol Sue Machado see?

CMS counts 254 Medicare patients who saw Carol Machado in 2024, with an average age of 73.

Show 9 more questionsShow fewer questions

Is Carol Sue Machado board certified?

Yes. Carol Machado is board certified in surgery by the American Board of Surgery.

What services does Carol Sue Machado bill to Medicare?

In 2024, Carol Machado's most billed Medicare services were office visit, established patient (99212), office visit, established patient (99213) and office visit, new patient (99203).

Where did Carol Sue Machado go to medical school?

Carol Machado graduated from UC San Diego School of Medicine in 2011.

What drugs does Carol Sue Machado prescribe most?

In 2024 Medicare Part D data, Carol Machado's most prescribed drugs by claims were Hydrocodone-Acetaminophen and Cephalexin.

Has Carol Sue Machado received payments from drug or device companies?

CMS Open Payments shows $1,346 in general payments to Carol Machado from 9 companies from 2024 to 2025. The largest total came from Intuitive Surgical, Inc.

How long has Carol Sue Machado been practicing?

Carol Machado graduated from medical school in 2011, 15 years ago.

Does Carol Sue Machado do research?

Dmand AI links 1 publication to Carol Machado.

Who does Carol Sue Machado publish with?

Carol Machado's most frequent co-authors are Richard F. Clark, MD (1 shared paper) and Sean P. Nordt, MD (1 shared paper).

What insurance does Carol Sue Machado accept?

Carol Machado is in network with 13 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.

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