Roshan Ghimire, MD
NPI 1184936072 · Family Medicine Physician · Fayetteville, NY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roshan Ghimire, MD is a Family Medicine Physician provider in Fayetteville, NY (NPI 1184936072).
Provider details
- NPI number
- 1184936072
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 317104 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
977 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 119 | $122 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 110 | $6 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 86 | $8 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 80 | $86 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 76 | $123 |
| Blood Test, Thyroid Stimulating Hormone (tsh)84443 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 96 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 283 | 84 |
| Amlodipine Besylate | 179 | 55 |
| Levothyroxine Sodium | 166 | 50 |
| Lisinopril | 159 | 49 |
| Metformin Hcl | 141 | 34 |
| Metoprolol Succinate | 131 | 30 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$397 across 23 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-08
- Last updated
- 2023-06-20
- Certified
- 2023-06-07
Frequently asked questions
- What is Roshan Ghimire's NPI number?
- Roshan Ghimire's National Provider Identifier (NPI) is 1184936072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roshan Ghimire's specialty?
- Roshan Ghimire is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Roshan Ghimire located?
- Roshan Ghimire's practice location on file with NPPES is 4000 Medical Center Dr, Fayetteville, NY 13066.
- What is Roshan Ghimire's phone number?
- The practice phone number listed in the NPPES registry for Roshan Ghimire is (315) 637-7878.
- Does Roshan Ghimire accept Medicare?
- Roshan Ghimire is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roshan Ghimire's NPI active?
- Yes — Roshan Ghimire's NPI (1184936072) is active in the NPPES registry as of the last update on 2023-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.