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

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: November 01, 2026.

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

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 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
Open in Google Maps ↗

Other Identifiers 2

OtherP00667618Rr Medicare
Medicaid7100038390KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

14

Medicare enrollment records show Bijaya Ghimire reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Ky Urgent Care Center Inc
0.1 mi
Urgent Care
103 KEYSTONE DR
Richmond, KY 40475
  • Reassigned Medicare billing, Kentucky enrollment
  • 9 clinicians in this Medicare group
NPI 1023535796 (513) 449-9099
Emergency Medicine Physicians Of Estill County,pllc
20 mi
Emergency Medicine
60 MERCY CT
Irvine, KY 40336
  • Reassigned Medicare billing, Kentucky enrollment
  • 54 clinicians in this Medicare group
NPI 1407235666 (330) 493-4443
The James B. Haggin Memorial Hospital Inc
29 mi
Emergency Medicine
464 LINDEN AVE
Harrodsburg, KY 40330
  • Reassigned Medicare billing, Kentucky enrollment
  • 82 clinicians in this Medicare group
NPI 1558581785 (859) 734-5441
Memorial Hospital, Inc.
29 mi
Rural Health
241 MAIN ST S
Mckee, KY 40447
  • Reassigned Medicare billing, Kentucky enrollment
  • 123 clinicians in this Medicare group
NPI 1023649514 (606) 287-3444
Western Healthcare Services Kentucky LLC
54 mi
Emergency Medicine
540 JETT DR
Jackson, KY 41339
  • Reassigned Medicare billing, Kentucky enrollment
  • 32 clinicians in this Medicare group
NPI 1770243842 (606) 666-6000
Southeastern Emergency Physicians LLC
66 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311
Southern Medical Partners, LLC
71 mi
Emergency Medicine
100 MEDICAL CENTER DRIVE
Hazard, KY 41701
  • Reassigned Medicare billing, Kentucky enrollment
  • 153 clinicians in this Medicare group
NPI 1538109962 (606) 439-6651
Floyd Emergency Group, LLC
85 mi
Emergency Medicine
5000 KY ROUTE 321
Prestonsburg, KY 41653
  • Reassigned Medicare billing, Kentucky enrollment
  • 57 clinicians in this Medicare group
NPI 1760834345 (606) 886-8511
Pine Mountain Emergency Group Limited Liability Company
87 mi
Emergency Medicine
81 BALL PARK RD
Harlan, KY 40831
  • Reassigned Medicare billing, Kentucky enrollment
  • 35 clinicians in this Medicare group
NPI 1568010064 (606) 573-8100
Middlesborough Emergency Physicians LLC
87 mi
Emergency Medicine
3600 CUMBERLAND AVE
Middlesboro, KY 40965
  • Reassigned Medicare billing, Kentucky enrollment
  • 57 clinicians in this Medicare group
NPI 1972715878 (606) 237-1700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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
Quality100
Improvement Activities40
Cost89.05

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.

Which organizations bill Medicare for Bijaya Ghimire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bijaya Ghimire reassigns Medicare benefits to 14 organizations: Central Ky Urgent Care Center Inc (Richmond, KY), Emergency Medicine Physicians Of Estill County,pllc (Irvine, KY), The James B. Haggin Memorial Hospital Inc (Harrodsburg, KY), Memorial Hospital, Inc. (Mckee, KY), Western Healthcare Services Kentucky LLC (Jackson, KY) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bijaya Ghimire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 14 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.