GERGES E MAKAR MBBCH
NPI 1285955781
Hospitalist in Anthem, AZ

Q: What is Gerges Makar's NPI number?

The NPI number for Gerges Makar is 1285955781. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Q: What is Gerges Makar's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Gerges Makar was last updated on August 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 18, 2010PECOS EnrolledAccepts Medicare Assignment

20.05/100

CMS Quality Rating

3655 W ANTHEM WAY, SUITE A109 PMB 313, ANTHEM, AZ 85086(623) 505-9880(623) 505-9880 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Gerges E Makar Mbbch NPPES

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

GERGES E MAKAR MBBCH (NPI 1285955781) is an individual hospitalist provider in Anthem, Arizona, licensed in Arizona (49201) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1285955781

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameGERGES E MAKARCredential: MBBCH

Location Address3655 W ANTHEM WAY, SUITE A109 PMB 313Anthem, AZ 85086-0430

Mailing Address3655 W Anthem Way, Suite A109 Pmb 313Anthem, AZ 85086-0430 · (623) 505-9880 · Fax (623) 505-9880

Phone(623) 505-9880

Fax(623) 505-9880

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJune 18, 2010

Last NPPES UpdateAugust 5, 2014

✔ NPI 1285955781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in AZ · 49201

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

3655 W ANTHEM WAY, Anthem, AZ 85086

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Other Identifiers 1

Other49201AZ · Arizona Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gerges E Makar Mbbch 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 ID7810114311

PECOS Enrollment IDI20140806002153

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.

Medicare Billing Reassignments

Medicare enrollment records show Gerges Makar reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ternion Physician Group, PLLC

0.2 mi

Internal Medicine

42104 N VENTURE DR, SUITE D118
Anthem, AZ 85086

Reassigned Medicare billing, Arizona enrollment
35 clinicians in this Medicare group

NPI 1013466192 (623) 505-9880

City Of Hope Medical Group Of Arizona LLC

31 mi

Medical Oncology

14200 CELEBRATE LIFE WAY
Goodyear, AZ 85338

Reassigned Medicare billing, Arizona enrollment
359 clinicians in this Medicare group

NPI 1609026806 (847) 746-4333

Phoenix Physician Group, PLLC

38 mi

Emergency Medical Services

3430 N. MOUNTAIN RIDGE, UNIT 14
Mesa, AZ 85207

Reassigned Medicare billing, Arizona enrollment
34 clinicians in this Medicare group

NPI 1154898435 (303) 589-7881

East Valley Ep, PLLC

46 mi

Emergency Medical Services

5656 S POWER RD
Gilbert, AZ 85295

Reassigned Medicare billing, Arizona enrollment
33 clinicians in this Medicare group

NPI 1659039618 (713) 660-0555

Northern Arizona Healthcare Corporation

97 mi

Family Medicine

1200 N. BEAVER STREET, ATTN: PAYER CREDENTIALING
Flagstaff, AZ 86001

Reassigned Medicare billing, Arizona enrollment
552 clinicians in this Medicare group

NPI 1669914552 (928) 773-2546

Trinity Medical Consultants PLLC

102 mi

Internal Medicine

1521 N CLIFF DRIVE
Flagstaff, AZ 86001

Reassigned Medicare billing, Arizona enrollment
5 clinicians in this Medicare group

NPI 1194360784 (928) 440-2350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

6,656 services885 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

3,736 services625 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

2,277 services591 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

1,136 services284 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

916 services384 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

590 services507 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

513 services479 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

388 services350 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

338 services331 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

160 services137 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

150 services31 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

95 services86 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

83 services81 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

26 services26 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

24 services24 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85086 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

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.

20.05/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

66.83

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers72 claims73 services$19.42 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers92 claims93 services$99.12 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

6 suppliers152 claims154 services$18.34 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

3 suppliers21 claims21 services$8.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

ARIZONA SURGICAL PAIN CONSULTANTS PLLC

Pain Medicine (Pain Medicine)

3655 W ANTHEM WAY, SUITE A-109
ANTHEM, AZ 85086

Maricopa County (214) 615-5168

DR. JENNIFER FLYNN PHARM D.

Pharmacist

3655 W ANTHEM WAY
ANTHEM, AZ 85086

Maricopa County (623) 745-3805

MARY BARON PH.D.

Psychologist

3655 W ANTHEM WAY, 145
ANTHEM, AZ 85086

Maricopa County (480) 818-1979

JOAN FRANCES C CHUA MD

Internal Medicine

3655 W ANTHEM WAY, STE A-109; PMB 313
ANTHEM, AZ 85086

Maricopa County (623) 879-5288

GEORGE LANGFORD

Pharmacist

3655 W ANTHEM WAY
ANTHEM, AZ 85086

Maricopa County (623) 551-0300

ALISA HIRSCHBERG PHARM.D.

Pharmacist

3655 W ANTHEM WAY
ANTHEM, AZ 85086

Maricopa County (623) 551-0300

DUSTIN RAY EVERETT M.D.

Hospitalist

3655 W ANTHEM WAY, SUITE A109 PMB 313
ANTHEM, AZ 85086

Maricopa County (623) 505-9880

DR. NICHOLAS PATRICK WALL DDS

Dentist (General Practice)

3655 W ANTHEM WAY, SUITE A-117
ANTHEM, AZ 85086

Maricopa County (623) 551-5555

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 Gerges Makar's NPI number?

The NPI number for Gerges Makar is 1285955781. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Gerges Makar located?

Gerges Makar practices at 3655 W Anthem Way Suite A109 Pmb 313, Anthem, AZ 85086. The listed phone number is (623) 505-9880.

What is Gerges Makar's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Gerges Makar enrolled in Medicare?

Yes. Gerges Makar 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.

Which organizations bill Medicare for Gerges Makar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerges Makar reassigns Medicare benefits to 6 organizations: Ternion Physician Group, PLLC (Anthem, AZ), City Of Hope Medical Group Of Arizona LLC (Goodyear, AZ), Phoenix Physician Group, PLLC (Mesa, AZ), East Valley Ep, PLLC (Gilbert, AZ), Northern Arizona Healthcare Corporation (Flagstaff, AZ) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gerges Makar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerges Makar accept?

Health plans from Blue Cross Blue Shield of Arizona list Gerges Makar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gerges Makar was last updated on August 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.