DR. JEAN PETERS MAKRIS (MD) – Hospitalist Physician, NPI 1952308710

DR. JEAN PETERS MAKRIS (MD) is a healthcare provider. based in South lake tahoe, California. specializing in Hospitalist Physician. They hold the professional credentials MD. They hold a License No. A77127 (CA). The NPI Number for DR. JEAN PETERS MAKRIS (MD) is 1952308710

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEAN PETERS MAKRIS (MD)
NPI
1952308710
Phone
(530) 543-5659
Address
1111 EMERALD BAY RD
Enumeration Date
7 July 2005
Last Update Date
6 November 2017

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
5305435553
Graduation Year
2000 (26 years ago)
PAC ID
2860397551
Group Practice PAC ID
1850293960
Professional Enrollment ID
I20031204001260
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JEAN PETERS MAKRIS (MD)

  • 1111, Emerald Bay Road, Tahoe Valley, South Lake Tahoe, El Dorado County, California, 96150, United States

    SOUTH LAKE TAHOE, CA 961506207

    Phone: (530) 543-5659

    Fax: (530) 541-8723

    Type: Mailing

  • South Lake Tahoe, El Dorado County, California, United States

    SOUTH LAKE TAHOE, CA 961507026

    Phone: (530) 541-3420

    Fax: (530) 541-8723

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031204001260IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96150)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850293960View full group profile
NameSpecialtyState
Internal MedicineCA
Family PracticeOR
Emergency MedicineCA
Internal Medicine, Pediatric MedicineCA
Family PracticeCA
Nurse PractitionerCA
Internal MedicineCA
Family PracticeCA
Emergency MedicineTN
Emergency MedicineCA

Reviews

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Frequently asked questions

Can I verify DR. JEAN PETERS MAKRIS (MD) with an NPI only?
You can start verification with NPI 1952308710 for DR. JEAN PETERS MAKRIS (MD), then check state licensing separately.
Does CMS list DR. JEAN PETERS MAKRIS (MD) as active?
Yes — DR. JEAN PETERS MAKRIS (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. JEAN PETERS MAKRIS (MD)?
For research purposes, treat DR. JEAN PETERS MAKRIS (MD) as Hospitalist Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JEAN PETERS MAKRIS (MD) on a map?
Expect South Lake Tahoe, California as a primary anchor for DR. JEAN PETERS MAKRIS (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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