SAMI MAKAROUN
NPI 1225271372
Obstetrics & Gynecology - Maternal & Fetal Medicine in Pittsburgh, PA

Active since April 18, 2009PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
300 HALKET ST, MAGEE WOMENS HOSPITAL SUITE 0610, PITTSBURGH, PA 15213(412) 641-6412 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2021, Mar 16, 2017, Aug 12, 2016 (3 updates tracked since 2016).

About Sami Makaroun NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMI MAKAROUN (NPI 1225271372) is an individual maternal & fetal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD447571) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and is a graduate of University Of Pittsburgh School Of Medicine (2009).

NPPES Registry Identity

NPI1225271372
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameSAMI MAKAROUN
Location Address300 HALKET ST, MAGEE WOMENS HOSPITAL SUITE 0610Pittsburgh, PA 15213-3108
Mailing Address2 Hot Metal St, Quantum One Suite 001Pittsburgh, PA 15203-2348
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2009
Enumeration DateApril 18, 2009
Last NPPES UpdateMay 24, 20213 updates tracked since enumeration
NPI 1225271372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License Licensed in PA · MD447571
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
300 HALKET ST, Pittsburgh, PA 15213

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sami Makaroun is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608015300
PECOS Enrollment IDI20130610000205
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
36 services36 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Obstetrics & Gynecology)
300 HALKET ST, SUITE 0610
PITTSBURGH, PA 15213
Nurse Practitioner
300 HALKET ST
PITTSBURGH, PA 15213
Nurse Practitioner (Neonatal, Critical Care)
300 HALKET ST
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
300 HALKET ST
PITTSBURGH, PA 15213
Pathology (Anatomic Pathology & Clinical Pathology)
300 HALKET ST
PITTSBURGH, PA 15213
Obstetrics & Gynecology
300 HALKET ST, SUITE 5120
PITTSBURGH, PA 15213
Pharmacist
300 HALKET ST
PITTSBURGH, PA 15213
Nurse Anesthetist, Certified Registered
300 HALKET ST, UPMC EAST
PITTSBURGH, PA 15213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sami Makaroun's NPI number?

The NPI number for Sami Makaroun is 1225271372. It was assigned to this individual provider in the NPPES registry on April 18, 2009.

Where is Sami Makaroun located?

Sami Makaroun practices at 300 Halket St Magee Womens Hospital Suite 0610, Pittsburgh, PA 15213. The listed phone number is (412) 641-6412.

What is Sami Makaroun's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Sami Makaroun enrolled in Medicare?

Yes. Sami Makaroun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sami Makaroun affiliated with any hospitals?

According to CMS data, Sami Makaroun is affiliated with Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for Sami Makaroun was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.