WINIFRED MAK MD
NPI 1912160680
Obstetrics & Gynecology - Reproductive Endocrinology in Philadelphia, PA

Active since July 03, 2008PECOS EnrolledAccepts Medicare Assignment
71.53/100
CMS Quality Rating
3400 SPRUCE ST, 1 MALONEY, PHILADELPHIA, PA 19104(215) 662-2459 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Winifred Mak Md NPPES

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

WINIFRED MAK MD (NPI 1912160680) is an individual reproductive endocrinology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT193189) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1912160680
Entity TypeIndividualFemale
Primary Taxonomy207VE0102X
Provider Legal NameWINIFRED MAKCredential: MD
Location Address3400 SPRUCE ST, 1 MALONEYPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce St, 1 MaloneyPhiladelphia, PA 19104-4206 · (215) 662-2459
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 3, 2008
✔ NPI 1912160680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
License✔ Licensed in PA · MT193189
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT193189 (PA)
3400 SPRUCE ST, Philadelphia, PA 19104

Accepted 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

Winifred Mak 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 ID9638341456
PECOS Enrollment IDI20181002000334
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

3

Medicare enrollment records show Winifred Mak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Service
5301 ROSS RD, #H
Del Valle, TX 78617
  • Reassigned Medicare billing, Texas enrollment
  • 294 clinicians in this Medicare group
General Practice
1601 TRINITY STREET
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 208 clinicians in this Medicare group
Diagnostic Radiology
25753 OLD FREDERICKSBURG
Boerne, TX 78015
  • Reassigned Medicare billing, Texas enrollment
  • 2,397 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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.

71.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.85
Improvement Activities40
Cost69.55

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.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physical Therapist
3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104

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 Winifred Mak's NPI number?

The NPI number for Winifred Mak is 1912160680. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is Winifred Mak located?

Winifred Mak practices at 3400 Spruce St 1 Maloney, Philadelphia, PA 19104. The listed phone number is (215) 662-2459.

What is Winifred Mak's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Is Winifred Mak enrolled in Medicare?

Yes. Winifred Mak 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 Winifred Mak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Winifred Mak reassigns Medicare benefits to 3 organizations: The University Of Texas At Austin (Del Valle, TX), University Of Texas At Austin Dell Medical School (Austin, TX) and University Of Texas Health Science Center At San Antonio (Boerne, TX). 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 Winifred Mak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Winifred Mak accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Winifred Mak 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 Winifred Mak was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.