BIJAYA GHIMIRE M.D.
NPI 1891975280
Family Medicine in Richmond, KY

Q: What is Bijaya Ghimire's NPI number?

The NPI number for Bijaya Ghimire is 1891975280. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Q: What is Bijaya Ghimire's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bijaya Ghimire was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since November 14, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

103 KEYSTONE DR STE 5, RICHMOND, KY 40475(859) 353-8884(606) 598-0983 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2025, Nov 18, 2021 (2 updates tracked since 2021).

On this page

About Bijaya Ghimire M.d. NPPES

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

BIJAYA GHIMIRE M.D. (NPI 1891975280) is an individual family medicine provider in Richmond, Kentucky, licensed in Kentucky (KY41249) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Marcum And Wallace Memorial Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1891975280

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBIJAYA GHIMIRECredential: M.D.

Location Address103 KEYSTONE DR STE 5Richmond, KY 40475-7988

Mailing AddressPo Box 1225Richmond, KY 40476-1225 · (859) 353-8884 · Fax (598) 353-8881

Phone(859) 353-8884

Fax(606) 598-0983

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateNovember 14, 2007

Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1891975280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · KY41249

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 41249 (KY)

103 KEYSTONE DR STE 5, Richmond, KY 40475

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Other Identifiers 2

OtherP00667618Rr Medicare

Medicaid7100038390KY

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

Bijaya Ghimire 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 ID7517048176

PECOS Enrollment IDI20080122000088

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 11

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

328 services34 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

152 services132 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

115 services105 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

110 services83 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

70 services47 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

62 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marcum And Wallace Memorial Hospital

Critical Access Hospitals · Irvine, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number181301

Location60 Mercy CourtIrvine, KY 40336 · Estill County

Emergency services

Knox County Hospital

Critical Access Hospitals · Barbourville, KY

OwnershipGovernment - Local

CMS Certification Number181328

Location80 Hospital DriveBarbourville, KY 40906 · Knox County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40475 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

89.05

Other Providers at the Same Location NPPES

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

MR. AUSTIN NICHOLAS BROOKS PA

Physician Assistant

103 KEYSTONE DR STE 5
RICHMOND, KY 40475

Madison County (859) 353-8884

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 Bijaya Ghimire's NPI number?

The NPI number for Bijaya Ghimire is 1891975280. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Where is Bijaya Ghimire located?

Bijaya Ghimire practices at 103 Keystone Dr Ste 5, Richmond, KY 40475. The listed phone number is (859) 353-8884.

What is Bijaya Ghimire's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bijaya Ghimire enrolled in Medicare?

Yes. Bijaya Ghimire 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.

Is Bijaya Ghimire affiliated with any hospitals?

According to CMS data, Bijaya Ghimire is affiliated with Marcum And Wallace Memorial Hospital and Knox County Hospital.

When was this NPI record last updated?

The NPPES record for Bijaya Ghimire was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.