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MIRIAM MACKOVIC-BASIC
NPI 1548286016
Obstetrics & Gynecology in Lakewood, CA

Active since July 15, 2006PECOS Enrolled
3650 SOUTH ST STE 403, LAKEWOOD, CA 90712(562) 634-8812(562) 634-6033 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miriam Mackovic-basic NPPES

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

MIRIAM MACKOVIC-BASIC (NPI 1548286016) is an individual obstetrics & gynecology provider in Lakewood, California, licensed in California (A52699) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548286016
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMIRIAM MACKOVIC-BASIC
Location Address3650 SOUTH ST STE 403Lakewood, CA 90712-1504
Mailing Address3650 South St Ste 403Lakewood, CA 90712-1504
Phone(562) 634-8812
Fax(562) 634-6033
Sole ProprietorNo
Enumeration DateJuly 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1548286016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A52699
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3650 SOUTH ST STE 403, Lakewood, CA 90712
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Other Identifiers 1

Medicare UPING88239

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miriam Mackovic-basic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90712 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
51%217 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
78%553 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%425 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
91%285 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
40%1,178 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
38%731 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 94% · 434 patients
91%434 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
95%1,178 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
80%1,178 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
70%1,178 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

COMPREHENSIVE WOMEN'S ANESTHESIA AND PAIN MANAGEMENT GROUP, INC.
Anesthesiology
3650 SOUTH ST STE 403
LAKEWOOD, CA 90712
Los Angeles County (562) 634-8812
JESSE JOSEPH LICUANAN M.D.
Internal Medicine
3650 SOUTH ST STE 403
LAKEWOOD, CA 90712
Los Angeles County (562) 531-0377
PROHEALTH PARTNERS A MEDICAL GROUP
Internal Medicine
3650 SOUTH ST STE 403
LAKEWOOD, CA 90712
Los Angeles County (562) 531-0377
NEHA BHANSALI M.D
Internal Medicine
3650 SOUTH ST STE 403
LAKEWOOD, CA 90712
Los Angeles County (562) 531-0377

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 Miriam Mackovic-basic's NPI number?

The NPI number for Miriam Mackovic-basic is 1548286016. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Miriam Mackovic-basic located?

Miriam Mackovic-basic practices at 3650 South St Ste 403, Lakewood, CA 90712. The listed phone number is (562) 634-8812.

What is Miriam Mackovic-basic's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Miriam Mackovic-basic enrolled in Medicare?

Yes. Miriam Mackovic-basic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Miriam Mackovic-basic was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.