DR. PANKAJ TIMSINA M.D.
NPI 1568693695
Family Medicine - Sleep Medicine in Woodland, CA

Active since August 06, 2009PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
632 W GIBSON RD, WOODLAND, CA 95695(530) 668-2600(530) 661-0880 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2022, May 18, 2022, Jun 18, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Pankaj Timsina M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PANKAJ TIMSINA M.D. (NPI 1568693695) is an individual sleep medicine provider in Woodland, California, licensed in California (C187900) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1568693695
Entity TypeIndividualMale
Primary Taxonomy207QS1201X
Provider Legal NameDR. PANKAJ TIMSINACredential: M.D.
Location Address632 W GIBSON RDWoodland, CA 95695-5169
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Fax(530) 661-0880
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 6, 2009
Last NPPES UpdateSeptember 21, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2023
NPI 1568693695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS1201X
License Licensed in CA · C187900
Definition
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
632 W GIBSON RD, Woodland, CA 95695

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Pankaj Timsina M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294983342
PECOS Enrollment IDI20230911002859
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
138 services138 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
138 services93 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services31 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
32 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95695 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
632 W GIBSON RD
WOODLAND, CA 95695
Obstetrics & Gynecology
632 W GIBSON RD
WOODLAND, CA 95695
Hospitalist
632 W GIBSON RD
WOODLAND, CA 95695
Physician Assistant
632 W GIBSON RD
WOODLAND, CA 95695
Physician Assistant
632 W GIBSON RD
WOODLAND, CA 95695
Nurse Practitioner
632 W GIBSON RD
WOODLAND, CA 95695
Pharmacy (Community/Retail Pharmacy)
632 W GIBSON RD
WOODLAND, CA 95695
Family Medicine (Sports Medicine)
632 W GIBSON RD
WOODLAND, CA 95695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pankaj Timsina's NPI number?

The NPI number for Pankaj Timsina is 1568693695. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Pankaj Timsina located?

Pankaj Timsina practices at 632 W Gibson Rd, Woodland, CA 95695. The listed phone number is (530) 668-2600.

What is Pankaj Timsina's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Is Pankaj Timsina enrolled in Medicare?

Yes. Pankaj Timsina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Pankaj Timsina was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.