1. Home
  2. Directory
  3. Ohio
  4. Dayton
  5. Surgery
  6. NPI Profile

MBAGA S WALUSIMBI MD
NPI 1295791275
Surgery - Trauma Surgery in Dayton, OH

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
77.04/100
CMS Quality Rating
30 EAST APPLE STREET, SUITE 5253, DAYTON, OH 45409(937) 208-2552(937) 208-6154 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2018, May 9, 2018 (2 updates tracked since 2018).

About Mbaga S Walusimbi Md NPPES

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

MBAGA S WALUSIMBI MD (NPI 1295791275) is an individual trauma surgery provider in Dayton, Ohio, licensed in Ohio (35.084491) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1992).

NPPES Registry Identity

NPI1295791275
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameMBAGA S WALUSIMBICredential: MD
Location Address30 EAST APPLE STREET, SUITE 5253Dayton, OH 45409
Mailing Address725 University BlvdDayton, OH 45435-0001 · (937) 245-7100 · Fax (937) 245-7999
Phone(937) 208-2552
Fax(937) 208-6154
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1992
Enumeration DateApril 26, 2006
Last NPPES UpdateJune 19, 20182 updates tracked since enumeration
✔ NPI 1295791275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License✔ Licensed in OH · 35.084491
Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Also ListedSurgeryTaxonomy 208600000X · License 35084491 (OH)
30 EAST APPLE STREET, Dayton, OH 45409
Open in Google Maps ↗

Other Identifiers 1

Medicaid2483594OH

Accepted Insurance

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

Mbaga S Walusimbi 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 ID8628056991
PECOS Enrollment IDI20040713000043
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 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.
191 services85 patients
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.
106 services45 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.
43 services43 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
34 services34 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

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.

77.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.82
Promoting Interoperability100
Improvement Activities40
Cost48.67

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
91%76 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%240 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
63%146 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
94%64 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 93% · 42 patients
65%20 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%146 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%146 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
16%146 patients
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 5

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

RANDY J WOODS MD
Surgery
30 EAST APPLE STREET, SUITE 5253
DAYTON, OH 45409
Montgomery County (937) 208-2552
UROLOGY ASSOCIATES OF DAYTON, INC.
Urology
30 EAST APPLE STREET, SUITE 5258
DAYTON, OH 45409
Montgomery County (937) 208-2540
AKPOFURE P EKEH MD
Surgery
30 EAST APPLE STREET, SUITE 5253
DAYTON, OH 45409
Montgomery County (937) 208-2552
MARY C MCCARTHY MD
Surgery
30 EAST APPLE STREET, SUITE 5253
DAYTON, OH 45409
Montgomery County (937) 208-2552
ALEXANDER G LITTLE III MD
Surgery
30 EAST APPLE STREET, SUITE 5253
DAYTON, OH 45409
Montgomery County (937) 208-2552

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 Mbaga Walusimbi's NPI number?

The NPI number for Mbaga Walusimbi is 1295791275. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Mbaga Walusimbi located?

Mbaga Walusimbi practices at 30 East Apple Street Suite 5253, Dayton, OH 45409. The listed phone number is (937) 208-2552.

What is Mbaga Walusimbi's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Mbaga Walusimbi enrolled in Medicare?

Yes. Mbaga Walusimbi 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 Mbaga Walusimbi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Mbaga Walusimbi 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 Mbaga Walusimbi affiliated with any hospitals?

According to CMS data, Mbaga Walusimbi is affiliated with Miami Valley Hospital, Atrium Medical Center and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Mbaga Walusimbi was last updated on June 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.