Doctor profile · Federal record
Dr. Roshan Ghimire, MD
Family Medicine Physician (CMS: Family Practice) · Fayetteville, NY
- NPI 1184936072
- Accepts Medicare
- 19 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4000 Medical Center Dr, Suite 104
Fayetteville, NY 13066
(315) 637-7878
Credentials & registration
- NPI registered
- July 2010 — 16 yrs on file
- Profile last updated
- June 20, 2023
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- New York #317104
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1184936072. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
598
Distinct HCPCS
10
Medicare allowed
$41,604
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 143 | 77 | $124 | |
36415 |
Insertion of needle into vein for collection of blood sample | 69 | 49 | $6 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 60 | 51 | $87 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 48 | 48 | $127 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 43 | 17 | $77 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 39 | 34 | $8 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 35 | 33 | $63 | |
84443 |
Blood test, thyroid stimulating hormone (tsh) | 29 | 22 | $16 | |
80053 |
Blood test, comprehensive group of blood chemicals | 28 | 27 | $10 | |
80048 |
Blood test, basic group of blood chemicals (calcium, total) | 20 | 16 | $8 |
In context: peer comparison
Among 11 peers in this city , average services per provider: 84. This provider delivers 7.1× the peer median.Open Payments
Industry payments received
All-time total
$397
Transactions
23
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 4 | $70.70 | |
| Otsuka America Pharmaceutical, Inc. | 3 | $49.93 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 3 | $47.08 | |
| PFIZER INC. | 2 | $32.11 | |
| Insulet Corporation | 1 | $27.77 | |
| Ferring Pharmaceuticals Inc. | 1 | $21.65 | |
| ABBVIE INC. | 1 | $21.60 | |
| Novartis Pharmaceuticals Corporation | 1 | $19.45 | |
| Exact Sciences Corporation | 1 | $18.82 | |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $17.60 | |
| GlaxoSmithKline, LLC. | 1 | $15.29 | |
| Amgen Inc. | 1 | $15.27 | |
| AstraZeneca Pharmaceuticals LP | 1 | $13.34 | |
| Novo Nordisk Inc | 1 | $13.29 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 1 | $13.07 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,375
Patients
427
Total drug cost
$72,018
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 224 | 74 | $3,252 |
| Lisinopril | Generic | 155 | 48 | $1,305 |
| Levothyroxine Sodium | Generic | 132 | 47 | $2,356 |
| Amlodipine Besylate | Generic | 121 | 41 | $1,014 |
| Metformin Hcl | Generic | 94 | 28 | $842 |
| Losartan Potassium | Generic | 92 | 33 | $1,632 |
| Metoprolol Succinate | Generic | 84 | 22 | $1,503 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 70 | 29 | $1,982 |
| Gabapentin | Generic | 70 | 16 | $971 |
| Hydrochlorothiazide | Generic | 67 | 18 | $249 |
Frequently asked questions
What is Dr. Roshan Ghimire's medical specialty?
Dr. Roshan Ghimire practices Family Medicine Physician in Fayetteville, NY.
Where does Dr. Roshan Ghimire practice?
Dr. Roshan Ghimire practices at 4000 Medical Center Dr, Fayetteville, NY 13066. Office phone: 3156377878.
What is Dr. Roshan Ghimire's NPI?
Dr. Roshan Ghimire's National Provider Identifier (NPI) is 1184936072, issued by NPPES.
Does Dr. Roshan Ghimire accept Medicare assignment?
Yes. Dr. Roshan Ghimire accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Roshan Ghimire commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.