DR. AVINASH GHIMIRE MD
NPI 1972662260
Internal Medicine - Nephrology in Bastrop, TX

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
3101 HIGHWAY 71 E STE 201, BASTROP, TX 78602(512) 901-4010(512) 901-3910 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Avinash Ghimire Md NPPES

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

DR. AVINASH GHIMIRE MD (NPI 1972662260) is an individual nephrology provider in Bastrop, Texas, licensed in Texas (T8408) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Hospital-san Marcos, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1972662260
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. AVINASH GHIMIRECredential: MD
Location Address3101 HIGHWAY 71 E STE 201Bastrop, TX 78602-5157
Mailing Address3101 Highway 71 E Ste 201Bastrop, TX 78602-5157 · (512) 901-4010 · Fax (512) 901-3910
Fax(512) 901-3910
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 6, 2006
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
NPI 1972662260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in TX · T8408 Licensed in ME · MD19410
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD19410 (ME)
3101 HIGHWAY 71 E STE 201, Bastrop, TX 78602

Other Identifiers 1

Other1972662260ME · Medicare-unspecified

Accepted Insurance

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. Avinash Ghimire Md 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 ID5092967539
PECOS Enrollment IDI20231117000635
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 8

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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
250 services44 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.
116 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
71 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
44 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78602 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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 Avinash Ghimire's NPI number?

The NPI number for Avinash Ghimire is 1972662260. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Avinash Ghimire located?

Avinash Ghimire practices at 3101 Highway 71 E Ste 201, Bastrop, TX 78602. The listed phone number is (512) 901-4010.

What is Avinash Ghimire's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Avinash Ghimire enrolled in Medicare?

Yes. Avinash 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.

What insurance does Avinash Ghimire accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Avinash Ghimire as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Avinash Ghimire affiliated with any hospitals?

According to CMS data, Avinash Ghimire is affiliated with Christus Santa Rosa Hospital-San Marcos, St David's Medical Center, St David's South Austin Medical Center and Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Avinash Ghimire was last updated on January 11, 2024. 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.