GODFREY ODUOR WABWIRE MD
NPI 1225325459
Hospitalist in Sioux Falls, SD

Active since July 08, 2011PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
1305 W 18TH ST, SIOUX FALLS, SD 57105(605) 328-4973 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Godfrey Oduor Wabwire Md NPPES

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

GODFREY ODUOR WABWIRE MD (NPI 1225325459) is an individual hospitalist provider in Sioux Falls, South Dakota, licensed in South Dakota (8077) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Sanford Worthington Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1225325459
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameGODFREY ODUOR WABWIRECredential: MD
Location Address1305 W 18TH STSioux Falls, SD 57105
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 8, 2011
Last NPPES UpdateMay 29, 2018
NPI 1225325459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in SD · 8077
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 8077 (SD)
1305 W 18TH ST, Sioux Falls, SD 57105

Accepted 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

Godfrey Oduor Wabwire 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 ID1759552722
PECOS Enrollment IDI20110922000686, I20130315000433
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
452 services164 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
173 services85 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
119 services118 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services52 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

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.

Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner (Neonatal)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1305 W 18TH ST
SIOUX FALLS, SD 57105
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1305 W 18TH ST
SIOUX FALLS, SD 57105

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 Godfrey Wabwire's NPI number?

The NPI number for Godfrey Wabwire is 1225325459. It was assigned to this individual provider in the NPPES registry on July 8, 2011.

Where is Godfrey Wabwire located?

Godfrey Wabwire practices at 1305 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 328-4973.

What is Godfrey Wabwire's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Godfrey Wabwire enrolled in Medicare?

Yes. Godfrey Wabwire 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.

What insurance does Godfrey Wabwire accept?

Health plans from Medica and Oscar Insurance Company list Godfrey Wabwire 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.

Is Godfrey Wabwire affiliated with any hospitals?

According to CMS data, Godfrey Wabwire is affiliated with Sanford Worthington Medical Center, Sanford Luverne Medical Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Godfrey Wabwire was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.