MBEMBO BONGUTU MD
NPI 1851393268
Family Medicine in Erie, PA

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
201 STATE ST, ERIE, PA 16550(814) 877-4922(814) 877-3622 Get Directions Write a Review

NPPES record last updated: April 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mbembo Bongutu Md NPPES

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

MBEMBO BONGUTU MD (NPI 1851393268) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (MD062832L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of George Washington University School Of Medicine (1995).

NPPES Registry Identity

NPI1851393268
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMBEMBO BONGUTUCredential: MD
Location Address201 STATE STErie, PA 16550-0002
Mailing Address201 State StErie, PA 16550-0002 · (814) 877-4922 · Fax (814) 877-3622
Fax(814) 877-3622
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1995
Enumeration DateAugust 15, 2005
Last NPPES UpdateApril 26, 2013
NPI 1851393268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD062832L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
201 STATE ST, Erie, PA 16550

Other Identifiers 12

Other080163990PA · Rr Medicare
Other1645032PA · Blue Shield
Other75913PA · Unison
Other00026887601NY · Univera
Other323780PA · Upmc
Other01983279NY · Ny Medical Assistance
Other2228324OH · Ohio Medical Assistance
Medicare UPING62665
Medicaid0016842690006PA
Other7441061PA · Aetna
OtherP001411PA · Gateway
Medicare PIN003119E7C

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

Mbembo Bongutu 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 ID7416099882
PECOS Enrollment IDI20100122000536
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 3

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.
653 services250 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.
131 services131 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.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16550 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.36
Promoting Interoperability100
Improvement Activities40
Cost67.48

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.

Hospitalist
201 STATE ST
ERIE, PA 16550
Physical Therapy Assistant
201 STATE ST
ERIE, PA 16550
Nurse Anesthetist, Certified Registered
201 STATE ST
ERIE, PA 16550
Nurse Anesthetist, Certified Registered
201 STATE ST
ERIE, PA 16550
Emergency Medicine
201 STATE ST
ERIE, PA 16550
Speech-Language Pathologist
201 STATE ST
ERIE, PA 16550
Physician Assistant (Medical)
201 STATE ST
ERIE, PA 16550
Emergency Medicine
201 STATE ST
ERIE, PA 16550

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 Mbembo Bongutu's NPI number?

The NPI number for Mbembo Bongutu is 1851393268. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Mbembo Bongutu located?

Mbembo Bongutu practices at 201 State St, Erie, PA 16550. The listed phone number is (814) 877-4922.

What is Mbembo Bongutu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mbembo Bongutu enrolled in Medicare?

Yes. Mbembo Bongutu 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.

Is Mbembo Bongutu affiliated with any hospitals?

According to CMS data, Mbembo Bongutu is affiliated with Upmc Hamot.

When was this NPI record last updated?

The NPPES record for Mbembo Bongutu was last updated on April 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.