BIJAYA GHIMIRE (M.D.) – Family Medicine Physician, NPI 1891975280
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
886 EMERGENCY MEDICINE in KY
Provider Addresses for BIJAYA GHIMIRE (M.D.)
PO BOX 1225
RICHMOND, KY 404761225
Phone: (859) 353-8884
Fax: (598) 353-8881
Type: Mailing
103 KEYSTONE DR STE 5
RICHMOND, KY 404757988
Phone: (859) 353-8884
Fax: (606) 598-0983
Type: Location
509, Memorial Drive, Manchester, Clay County, Kentucky, 40962, United States
SUITE 2
MANCHESTER, KY 409626195
Phone: (606) 598-5104
Fax: (606) 598-0983
Type: Mailing
Manchester Memorial Hospital, 210, Marie Langdon Drive, Manchester, Clay County, Kentucky, 40962, United States
MANCHESTER, KY 409626388
Phone: (606) 598-5104
Fax: (606) 598-0983
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-01-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080122000088 | I | Emergency Medicine | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 194 | 174 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 146 | 17 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 133 | 121 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 87 | 70 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 73 | 70 | $0 |
Insurance plans in this area (ZIP 40476)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | KY | 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Physician Assistant | KY |
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