Doctor profile · Federal record
Dr. Raj Ghimire, M.D.,
Hospitalist Physician (CMS: Hospitalist) · Internal Medicine Physician · Internal Medicine Physician · Ephrata, PA
- NPI 1669605416
- Accepts Medicare
- 23 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
169 Martin Ave
Ephrata, PA 175221734
(717) 721-4740
fax (717) 738-6872 - Additional location
-
252 S 4Th St Fl 2
Lebanon, PA 170426111
(717) 270-4876
fax (717) 270-3875 - Mailing address
-
601 Memory Ln
York, PA 174022231
Credentials & registration
- NPI registered
- August 2009 — 17 yrs on file
- Profile last updated
- September 12, 2024
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 208M00000X — NUCC code
- State licenses (2)
- Pennsylvania #MD440482 · Virginia #0101273704
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669605416. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
911
Distinct HCPCS
5
Medicare allowed
$88,122
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 729 | 215 | $86 | |
99239 |
Hospital discharge day management, more than 30 minutes | 76 | 76 | $125 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 45 | 29 | $128 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 43 | 43 | $184 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | 18 | $142 |
In context: peer comparison
Among 9 peers in Ephrata Hospitalist Physician, average services per provider: 106. This provider delivers 8.6× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
14
Patients
0
Total drug cost
$8,095
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Eliquis (Apixaban) | Brand | 14 | 0 | $8,095 |
Hospital affiliations
Frequently asked questions
What is Dr. Raj Ghimire's medical specialty?
Dr. Raj Ghimire practices Hospitalist Physician in Ephrata, PA.
Where does Dr. Raj Ghimire practice?
Dr. Raj Ghimire practices at 169 Martin Ave, Ephrata, PA 175221734. Office phone: 7177214740.
What is Dr. Raj Ghimire's NPI?
Dr. Raj Ghimire's National Provider Identifier (NPI) is 1669605416, issued by NPPES.
Does Dr. Raj Ghimire accept Medicare assignment?
Yes. Dr. Raj Ghimire accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Raj Ghimire commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Hospital discharge day management (HCPCS 99239); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.