Dipesh K C Ghimire, MD
NPI 1295106169 · Hospitalist Physician · Portland, OR
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dipesh K C Ghimire, MD is a Hospitalist Physician provider in Portland, OR (NPI 1295106169).
Provider details
- NPI number
- 1295106169
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD214941 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
160 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 116 | $165 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 44 | $125 |
Typical Medicare-allowed amounts for these services range $125–$165 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (3)
- 118 Northport AveBelfast, ME 04915-6009Phone: (207) 338-2500Fax: (207) 505-4590
- 6 Glen Cove DrRockport, ME 04856-4272Phone: (207) 301-8542Fax: (207) 301-5277
- 1001 Sam Perry BlvdFredericksburg, VA 22401-4453Phone: (540) 741-1122
Registry dates
- Enumerated
- 2015-10-16
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Frequently asked questions
- What is Dipesh K C Ghimire's NPI number?
- Dipesh K C Ghimire's National Provider Identifier (NPI) is 1295106169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dipesh K C Ghimire's specialty?
- Dipesh K C Ghimire is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Dipesh K C Ghimire located?
- Dipesh K C Ghimire's practice location on file with NPPES is 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011.
- What is Dipesh K C Ghimire's phone number?
- The practice phone number listed in the NPPES registry for Dipesh K C Ghimire is (503) 494-1164.
- Does Dipesh K C Ghimire accept Medicare?
- Dipesh K C Ghimire is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dipesh K C Ghimire's NPI active?
- Yes — Dipesh K C Ghimire's NPI (1295106169) is active in the NPPES registry as of the last update on 2026-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.