Doctor profile · Federal record
Dr. Nirmal Banskota, M.D.
Endocrinology, Diabetes & Metabolism Physician (CMS: Endocrinology) · Arcadia, CA
- NPI 1083654404
- Accepts Medicare
- MIPS 12.0 / 100 · 2023
- 48 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1015 N 1St Ave B
Arcadia, CA 91006
(626) 446-0559
fax (626) 446-0689
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- January 11, 2011
- Year of graduation
- 1978 — 48 yrs since
- Specialty taxonomy
- 207RE0101X — NUCC code
- State license (1)
- California #A44429
- Medicaid
- CA #00A444291
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083654404. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,602
Distinct HCPCS
7
Medicare allowed
$302,620
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 1,661 | 572 | $139 | |
96372 |
Injection of drug or substance under skin or into muscle | 410 | 44 | $16 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 209 | 29 | $82 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 147 | 108 | $98 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 96 | 96 | $237 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 49 | 39 | $182 | |
99238 |
Hospital discharge day management, 30 minutes or less | 30 | 19 | $85 |
In context: peer comparison
Among 2 peers in Arcadia Endocrinology, Diabetes & Metabolism Physician, average services per provider: 257. This provider delivers 10× the peer median.Open Payments
Industry payments received
All-time total
$39
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 2 | $38.92 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,450
Patients
543
Total drug cost
$1,055,721
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 408 | 99 | $7,059 |
| Metformin Hcl | Generic | 243 | 75 | $2,930 |
| Jardiance (Empagliflozin) | Brand | 222 | 45 | $233,505 |
| Ozempic (Semaglutide) | Brand | 197 | 35 | $252,949 |
| Gabapentin | Generic | 181 | 37 | $3,094 |
| Atorvastatin Calcium | Generic | 161 | 39 | $2,165 |
| Synjardy Xr (Empagliflozin/Metformin Hcl) | Brand | 157 | 30 | $146,090 |
| Synthroid (Levothyroxine Sodium) | Brand | 153 | 28 | $13,218 |
| Trulicity (Dulaglutide) | Brand | 148 | 29 | $197,228 |
| Alprazolam | Generic | 128 | 18 | $386 |
Frequently asked questions
What is Dr. Nirmal Banskota's medical specialty?
Dr. Nirmal Banskota practices Endocrinology, Diabetes & Metabolism Physician in Arcadia, CA.
Where does Dr. Nirmal Banskota practice?
Dr. Nirmal Banskota practices at 1015 N 1St Ave B, Arcadia, CA 91006. Office phone: 6264460559.
What is Dr. Nirmal Banskota's NPI?
Dr. Nirmal Banskota's National Provider Identifier (NPI) is 1083654404, issued by NPPES.
Does Dr. Nirmal Banskota accept Medicare assignment?
Yes. Dr. Nirmal Banskota accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nirmal Banskota commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Injection of drug or substance under skin or into muscle (HCPCS 96372); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.