Individual provider Active NPI

Brandon Machicao

  • Surgery Physician
  • Warrensburg, MO
National Provider Identifier
1144646845
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2019027047 Issued in MO
Practice address
407 Burkarth Rd Ste 302
Warrensburg, MO 64093-3101
Phone
(660) 747-5558
NPI assigned
Mar 5, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2019027047 MO Primary

Addresses

Primary practice location

407 Burkarth Rd Ste 302
Warrensburg, MO 64093-3101

Mailing address

1208 Hillmann LN
Warrensburg, MO 64093-7895
Phone (417) 773-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829000897 MO Practitioner - General Surgery 5193081636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Missouri Medical CenterGroup PAC ID 7416931506, 67 clinicians

Practice addresses (Care Compare)

403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 747-2500

Hospital & facility affiliations

  • Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097

Merit-based Incentive Payment System (MIPS)

Final score
87.21 of 100Reported as group
Quality
82.95
Promoting interoperability
100
Improvement activities
40
Cost
74.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy28
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux36
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2019027047MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Missouri Medical Center Surgery CurrentSince Aug 15, 2019 Accepting new patients
Western Missouri Medical Center CurrentSince Aug 15, 2019 Accepting new patients
Western Missouri Medical Center Current Accepting new patients

Locations

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

407 Burkarth Rd
Ste 302
Warrensburg, MO 64093
Phone (660) 747-2500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1144646845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HILLMANN LN",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640937895",
            "telephone_number": "417-773-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 BURKARTH RD STE 302",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933101",
            "telephone_number": "660-747-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHICAO",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-05",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2019027047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.