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XIAOLI MA MD
NPI 1558300152
Internal Medicine - Gastroenterology in Philadelphia, PA

Active since June 06, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 39D2024656 · Waiver
55.37/100
CMS Quality Rating
121 N 9TH ST, PHILADELPHIA, PA 19107(215) 629-8866(215) 629-8867 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Xiaoli Ma Md NPPES

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

XIAOLI MA MD (NPI 1558300152) is an individual gastroenterology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD065188L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 19, 2027, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1558300152
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameXIAOLI MACredential: MD
Location Address121 N 9TH STPhiladelphia, PA 19107-2410
Mailing Address405 Dartmouth RoadBryn Mawr, PA 19010-0123 · (215) 629-8866 · Fax (215) 629-8867
Phone(215) 629-8866
Fax(215) 629-8867
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJune 6, 2006
Last NPPES UpdateAugust 11, 2011
✔ NPI 1558300152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD065188L
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
121 N 9TH ST, Philadelphia, PA 19107
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN058451PA
Medicare UPINH62424PA
Medicaid0018971410005PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Xiaoli Ma Md 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 ID547265266
PECOS Enrollment IDI20061002000015
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2024656

Xiaoli Ma PC · Philadelphia, PA
Active · expires May 19, 2027
CLIA Number39D2024656
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorDr. Xiaoli Ma
Laboratory Phone(215) 629-8866
Laboratory LocationXiaoli Ma PC121 N 9th Street, Philadelphia, PA 19107
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services34 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
26 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
17 services17 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

55.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality50.93
Improvement Activities0
Cost100

Reported Quality Measures

Colorectal Cancer Screening
76%1,187 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
95%1,809 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
58%1,546 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,546 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 82% · 240 patients
Patients screened: 95% · 240 patients
0%31 patients1/55-star benchmark: 100%
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 2

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

XIAOLI MA, PC
Internal Medicine (Gastroenterology)
121 N 9TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 629-8866
DR DENG CLINIC LLC
Clinic/Center (Primary Care)
121 N 9TH ST
PHILADELPHIA, PA 19107
Philadelphia County (201) 345-3532

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 Xiaoli Ma's NPI number?

The NPI number for Xiaoli Ma is 1558300152. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Xiaoli Ma located?

Xiaoli Ma practices at 121 N 9th St, Philadelphia, PA 19107. The listed phone number is (215) 629-8866.

What is Xiaoli Ma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Xiaoli Ma enrolled in Medicare?

Yes. Xiaoli Ma 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.

Does Xiaoli Ma hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2024656) is associated with this NPI, valid through May 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Xiaoli Ma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Xiaoli Ma 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 Xiaoli Ma was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.