Active NPI 1295791275 Individual Practitioner Male Practitioner

Dr. Mbaga S Walusimbi , MD

Surgery - Trauma Surgery • Dayton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mbaga Walusimbi, MD is a certified Surgery - Trauma Surgery practicing in Dayton, OH. With approximately 34 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1992, Dr. Walusimbi delivers high-quality medical care to the local community at 30 EAST APPLE STREET.

Dr. Walusimbi is affiliated with Premier Health Specialists Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

30 East Apple Street
Suite 5253

Dayton, OH 45409

Telephone 9372082552

Fax 9372086154

Associated Practice Facility / Clinic

🏢 Urology Associates Of Dayton, Inc. Facility NPI 1043318801

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Trauma Surgery in Dayton, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +9.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 18.3 Yrs

Regional Practice Density

2 Specialists

Practicing in Dayton, OH (65 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Walusimbi (34 Years) 34 Yrs

Dayton Specialty Average (25.0 Years) 25.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	191	85	$119.00	$72.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	106	45	$170.00	$106.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$338.00	$157.23
99238 Hospital discharge day management, 30 minutes or less	34	34	$151.00	$73.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$242.00	$121.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	167	102	$170.00	$113.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	119	61	$119.00	$75.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	70	$338.00	$167.80
99291 Critical care, first 30-74 minutes	35	12	$446.00	$207.35
99238 Hospital discharge day management, 30 minutes or less	32	32	$151.00	$77.67
99213 Established patient office or other outpatient visit, typically 15 minutes	23	17	$138.00	$85.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	187	89	$170.00	$96.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	52	$119.00	$68.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	59	$338.00	$190.32
99291 Critical care, first 30-74 minutes	36	11	$446.00	$213.91
99238 Hospital discharge day management, 30 minutes or less	22	22	$151.00	$69.66
99220 Hospital observation care, typically 70 minutes	18	18	$338.00	$165.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	186	91	$119.00	$70.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	106	52	$170.00	$96.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	70	$338.00	$194.35
99291 Critical care, first 30-74 minutes	47	17	$446.00	$218.87
99238 Hospital discharge day management, 30 minutes or less	30	30	$151.00	$69.08
99220 Hospital observation care, typically 70 minutes	22	22	$338.00	$179.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	176	92	$119.00	$69.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	122	66	$170.00	$102.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$338.00	$197.97
99291 Critical care, first 30-74 minutes	34	14	$446.00	$224.50
99238 Hospital discharge day management, 30 minutes or less	32	31	$151.00	$70.47
99220 Hospital observation care, typically 70 minutes	13	13	$338.00	$185.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	240	123	$170.00	$102.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	198	98	$119.00	$71.73
99291 Critical care, first 30-74 minutes	78	30	$446.00	$221.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	69	$338.00	$200.34
99220 Hospital observation care, typically 70 minutes	29	29	$338.00	$176.82
99238 Hospital discharge day management, 30 minutes or less	28	28	$151.00	$72.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	12	$73.00	$39.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	275	158	$119.00	$71.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	136	75	$170.00	$102.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	57	$338.00	$198.84
99238 Hospital discharge day management, 30 minutes or less	32	32	$151.00	$71.31
99291 Critical care, first 30-74 minutes	29	14	$446.00	$219.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	19	$73.00	$38.50
99220 Hospital observation care, typically 70 minutes	22	22	$338.00	$182.43
99225 Subsequent observation care, typically 25 minutes per day	20	16	$117.00	$71.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$242.00	$134.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	333	160	$119.00	$70.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	119	53	$170.00	$101.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	64	$338.00	$197.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	55	$242.00	$131.23
99238 Hospital discharge day management, 30 minutes or less	31	31	$151.00	$70.40
99225 Subsequent observation care, typically 25 minutes per day	30	20	$117.07	$69.34
99291 Critical care, first 30-74 minutes	15	11	$446.00	$219.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$73.00	$38.36
99219 Hospital observation care, typically 50 minutes	11	11	$240.00	$132.53
99220 Hospital observation care, typically 70 minutes	11	11	$338.00	$181.19

Medical Specialties & State Licenses

Surgery - Trauma Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0127X

State License OH 35.084491

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 35084491

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2483594 (OH)

Hospital & Practice Group Affiliations

Premier Health Specialists Inc

450 N Hyatt St, Tipp City, OH 453711433

Phone: 9378324773

Premier Health Specialists Inc

30 E Apple St, Dayton, OH 454092939

Premier Health Specialists Inc

1 Wyoming St, Dayton, OH 454092939

Phone: 9374394381

Premier Health Specialists Inc

1 Wyoming St, Dayton, OH 454092722

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Dr. Randy Woods , MD

Surgery

NPI 1013973098

Doctor of Medicine (M.D.)

Kelly Thobe , PA

Physician Assistant

NPI 1033210752

Physician Assistant

Dr. Akpofure Ekeh , MD

Surgery

NPI 1063478022

Doctor of Medicine (M.D.)

Dr. Mary Mccarthy , MD

Surgery

NPI 1184680183

Doctor of Medicine (M.D.)

Matthew Miller , CNP

Nurse Practitioner - Family

NPI 1316300411

Certified Nurse Practitioner

Sarah Bristow , ACNP

Nurse Practitioner - Acute Care

NPI 1346656147

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 03, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2013

Registered at 30 EAST APPLE STREET, SUITE 5253, DAYTON, OH 45409 (Tel: 9372082552)

📍

Updated Business Mailing Address April 03, 2013

Registered at 725 UNIVERSITY BLVD, DAYTON, OH 454350001 (Tel: 9372457100)

👤

Provider Name / Credentials Updated April 03, 2013

Recorded as MBAGA WALUSIMBI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2013

Surgery (License #35084491 in OH)

🟢

Initial NPI Registration & Enumeration April 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Mbaga Walusimbi. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1295791275

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 26, 2006

Last Update: June 19, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

725 University Blvd

Dayton, OH 454350001

Phone: 9372457100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.