GERGES E MAKAR MBBCH
NPI 1285955781
Hospitalist in Anthem, AZ

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: July 26, 2026.

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
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

Other Identifiers 1

Other49201AZ · Arizona Medical Board

Accepted Insurance

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

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.

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

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
Quality0
Improvement Activities0
Cost66.83

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 18

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

Pain Medicine (Pain Medicine)
3655 W ANTHEM WAY, SUITE A-109
ANTHEM, AZ 85086
Pharmacist
3655 W ANTHEM WAY
ANTHEM, AZ 85086
Psychologist
3655 W ANTHEM WAY, 145
ANTHEM, AZ 85086
Internal Medicine
3655 W ANTHEM WAY, STE A-109; PMB 313
ANTHEM, AZ 85086
Pharmacist
3655 W ANTHEM WAY
ANTHEM, AZ 85086
Pharmacist
3655 W ANTHEM WAY
ANTHEM, AZ 85086
Hospitalist
3655 W ANTHEM WAY, SUITE A109 PMB 313
ANTHEM, AZ 85086
Pain Medicine (Pain Medicine)
3655 W ANTHEM WAY, A109 BOX 272
ANTHEM, AZ 85086

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.

What insurance does Gerges Makar accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare 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 with the weekly NPPES data releases published by CMS.