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He was born in village Sokolovići near Višegrad. The Grand Vezir of Ottoman Empire, Mehmed-Paša Sokolović, was either his brother or first cоusin. The two of them, as a boys, were sent to Mileševa [[Monastery]], to prepare for the [[priest]]hood. Bajo, later Mehmed-Pasha was gathered as part of the [[w:|devshirmeh]] (''tribute-in-blood''). Makarije stayed in the monastery. He later left Mileševa and traveled to [[Mount Athos]] where he later was named [[igumen]] of [[Chilandari Monastery (Athos)|Hilandar Monastery]]. He was raised to the rank of [[archimandrite]]. He was consecrated [[bishop]] a few years before the reestablishment re-establishment of the Serbian Patriarchate.

There is a question whether was he the first Patriarch after the reestablishment re-establishment of the patriarchate. In ''Pećko Skazanije'', itis written that before him Patriarch Nikanor (1550-1557) was the first patriarch. Other sources state that Sultan Suleiyman, the Magnificent, approved reestablishment re-establishment of the Peć Patriarchate.

Makarije's official title was: '' Archbishop of Peć and Patriarch of Serbs and Bulgarians''. The inclusion of the Bulgarians was due to the fact that some [[diocese]]s in Bulgaria were part of the Peć Patriarchate. This was done, certainly, with the help of Mehmed. Patr. Makarije reorganized the Serbian Church, established new dioceses, and rebuilt many monasteries. The Turkish Government, which was led by his brother, recognised him as etharch, mylet-pasha, leader of Serbian Nation.

Church courts had almost full jurisdictional power on over Christians, similar to that of the Ecumenical Patrirchate. During his tenure ten new dioceses were created and several importnant important monasteries were rebuilt. Most important among them was Banja Monastery. Makarije opened many schools in monasteries. When he grew old he selected appointed his nephew, Metropolitan Antonije of Herzegovina, as his successor in 1570/1. The [[Holy Synod]] on its session in Banja Monastery approved this decision.

St. Makarije died in September 1574. Soon after his death he was glorified. The Very Right Reverend Professor Radoslav Grujić said that St. Makarije was most importnant among primates of [[Church of Serbia]] after Saint Sava.