Doctor profile · Federal record
Dr. Shankar Ghimire, M.D.
Family Medicine Physician (CMS: Family Practice) · Fremont, CA
- NPI 1851693378
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 23 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
734 Mowry Ave
Fremont, CA 945364115
(510) 742-6274
Credentials & registration
- NPI registered
- December 2010 — 16 yrs on file
- Profile last updated
- July 15, 2011
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- California #A114532
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1851693378. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,575
Distinct HCPCS
10
Medicare allowed
$332,399
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,243 | 294 | $121 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 572 | 127 | $132 | |
99306 |
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 200 | 158 | $205 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 135 | 55 | $88 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 99 | 79 | $193 | |
99239 |
Hospital discharge day management, more than 30 minutes | 98 | 82 | $129 | |
99315 |
Nursing facility discharge day management, 30 minutes or less | 96 | 93 | $93 | |
99308 |
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 70 | 51 | $85 | |
99497 |
Advance care planning, first 30 minutes | 47 | 46 | $84 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 15 | 15 | $153 |
In context: peer comparison
Among 26 peers in Fremont Family Medicine Physician, average services per provider: 126. This provider delivers 20× the peer median.Open Payments
Industry payments received
All-time total
$36
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Pharmaceuticals, INC | 1 | $36.38 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
913
Patients
145
Total drug cost
$73,054
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Eliquis (Apixaban) | Brand | 125 | 17 | $49,095 |
| Pantoprazole Sodium | Generic | 116 | 32 | $2,946 |
| Levothyroxine Sodium | Generic | 108 | 14 | $1,232 |
| Atorvastatin Calcium | Generic | 97 | 26 | $1,540 |
| Gabapentin | Generic | 67 | 15 | $2,250 |
| Amlodipine Besylate | Generic | 62 | 17 | $709 |
| Metoprolol Tartrate | Generic | 52 | 12 | $716 |
| Furosemide | Generic | 47 | 12 | $298 |
| Quetiapine Fumarate | Generic | 38 | 0 | $2,292 |
| Lacosamide | Generic | 36 | 0 | $7,897 |
Hospital affiliations
Frequently asked questions
What is Dr. Shankar Ghimire's medical specialty?
Dr. Shankar Ghimire practices Family Medicine Physician in Fremont, CA.
Where does Dr. Shankar Ghimire practice?
Dr. Shankar Ghimire practices at 734 Mowry Ave, Fremont, CA 945364115. Office phone: 5107426274.
What is Dr. Shankar Ghimire's NPI?
Dr. Shankar Ghimire's National Provider Identifier (NPI) is 1851693378, issued by NPPES.
Does Dr. Shankar Ghimire accept Medicare assignment?
Yes. Dr. Shankar Ghimire accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shankar Ghimire commonly perform?
Top Medicare-reported procedures in 2023: Subsequent nursing facility care with moderate level of medical decision making (HCPCS 99309); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Initial nursing facility care with high level of medical decision making (HCPCS 99306). Source: CMS Medicare Physician & Other Practitioners file.