LUKE WIBOWO MD
NPI 1861487068
Pathology - Anatomic Pathology & Clinical Pathology in Dayton, OH

Q: What is Luke Wibowo's NPI number?

The NPI number for Luke Wibowo is 1861487068. It was assigned to this individual provider in the NPPES registry on September 14, 2005. The provider is also known as Achmad Wibowo.

Q: What is Luke Wibowo's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Luke Wibowo was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment

99.74/100

CMS Quality Rating

1 WYOMING ST, DAYTON, OH 45409(937) 208-2978(937) 208-6137 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Luke Wibowo Md NPPES

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

LUKE WIBOWO MD (NPI 1861487068) is an individual anatomic pathology & clinical pathology provider in Dayton, Ohio, licensed in Ohio (35.068054) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1861487068

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameLUKE WIBOWOCredential: MD

Location Address1 WYOMING STDayton, OH 45409-2722

Mailing AddressPo Box 20452Columbus, OH 43220-0452 · (614) 457-8180 · Fax (614) 583-3300

Phone(937) 208-2978

Fax(937) 208-6137

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateSeptember 14, 2005

Last NPPES UpdateJanuary 27, 2023

NPPES CertifiedJanuary 27, 2023

✔ NPI 1861487068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in OH · 35.068054

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1 WYOMING ST, Dayton, OH 45409

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Other Names 1

Former Name (1)Achmad Wibowo

Other Identifiers 1

Medicaid0338469OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Luke Wibowo 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 ID749355840

PECOS Enrollment IDI20080826000026

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 23

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,376 services534 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

980 services122 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

587 services328 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

346 services189 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

178 services82 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

79 services43 patients

Special stained specimen slides to examine tissue, initial procedure 88342

70 services63 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

64 services54 patients

Protein measurement, serum 84165

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

54 services53 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

49 services46 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

43 services41 patients

Immunologic analysis technique on serum (immunofixation) 86334

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

43 services43 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

41 services15 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

33 services12 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

29 services12 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

27 services25 patients

Genetic sequencing localization, initial procedure 88365

Genetic sequencing localization is a process to identify where specific genes are located in your DNA. During the initial procedure, a sample of your cells is collected, usually through a simple swab or blood test. This data is then analyzed to pinpoint the location of certain genes. This can help understand your genetic makeup and potential health risks.

25 services25 patients

Genetic sequencing localization, each additional procedure 88364

Genetic sequencing localization is a process where specific regions of your DNA are identified and studied. If you're having additional procedures, it simply means that more areas of your DNA are being examined. This helps to understand your genetic makeup better and can assist in identifying potential health risks.

21 services15 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

18 services16 patients

Protein measurement, body fluid 84166

A protein measurement of body fluid is a test that gauges the amount of proteins in your fluids. This analysis helps in detecting various health conditions. It's done via a simple sample collection process, usually from blood or urine, in a safe and painless manner.

15 services15 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

13 services11 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

13 services13 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

99.74/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.14

Improvement Activities

Leave this field empty

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.

DANIEL NGUYEN

Student in an Organized Health Care Education/Training Program

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (937) 208-3882

KATHY WAYMIRE CRNA

Nurse Anesthetist, Certified Registered

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (800) 394-4445

DR. RORY JON PEPPARD M.D.

Pediatrics (Neonatal-Perinatal Medicine)

1 WYOMING ST, NEONATOLOGY OFFICE
DAYTON, OH 45409

Montgomery County (937) 208-2907

DR. DANIEL PHILLIP PITSTICK D.O.

Emergency Medicine

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (937) 208-3356

DR. WILLIAM R. MARRIOTT M.D.

Emergency Medicine

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (513) 281-4400

MIAMI VALLEY HOSPITAL

Psychiatric Unit

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (937) 208-8000

LEILA CONSTANCE TOU

Student in an Organized Health Care Education/Training Program

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (937) 208-2866

DR. JARED COTTINGIM RPH

Pharmacist

1 WYOMING ST
DAYTON, OH 45409

Montgomery County (937) 208-3195

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 Luke Wibowo's NPI number?

The NPI number for Luke Wibowo is 1861487068. It was assigned to this individual provider in the NPPES registry on September 14, 2005. The provider is also known as Achmad Wibowo.

Where is Luke Wibowo located?

Luke Wibowo practices at 1 Wyoming St, Dayton, OH 45409. The listed phone number is (937) 208-2978.

What is Luke Wibowo's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Luke Wibowo enrolled in Medicare?

Yes. Luke Wibowo 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 Luke Wibowo accept?

Health plans from CareSource list Luke Wibowo 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 Luke Wibowo affiliated with any hospitals?

According to CMS data, Luke Wibowo 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 Luke Wibowo was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.