Dr. Sanjay Timilsina, MD

  • Springfield, MA
  • Internist
NPI1043731011PAC ID5597019109
Medicare services, 2024
843
Medicare patients, 2024
340
Part D claims, 2024
698
Publications
9
Hospital affiliations
1
Practice address
759 Chestnut Street, Springfield, MA 01199
Practice phone
Call (413) 794-0000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Baystate Medical Center

Hospital · Springfield, Massachusetts

See all 3 affiliations

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Dr. Sanjay Timilsina is an internist in Springfield, Massachusetts

Dr. Timilsina practices at Baystate Medical Center in Springfield, Massachusetts, part of Baystate Health.

Dr. Timilsina's NPI, 1043731011, was assigned on June 29, 2017. Dr. Timilsina holds Massachusetts license 284153.

NPI and contact details
Medicare PAC ID
5597019109
NPI enumeration date
June 29, 2017
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(413) 794-0000
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
39
Medical school graduation
2013

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Sanjay Timilsina practices at Baystate Medical Center in Springfield, Massachusetts

Dr. Timilsina's primary practice is Baystate Medical Center, at 759 Chestnut Street, Springfield, MA 01199 in Hampden County. The practice phone is (413) 794-0000.

Source: Dmand AI Affiliation Data

Dr. Sanjay Timilsina is affiliated with 2 sites of care and 1 medical group

Dr. Timilsina's primary practice is Baystate Medical Center in Springfield, Massachusetts, part of Baystate Health. The medical group on file is Baystate Medical Practices. Dmand AI also links Dr. Timilsina to 1 more group practice or clinic, named with a free account.

See all 3 affiliations for Dr. Timilsina

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Sanjay Timilsina's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Timilsina practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Baystate Medical CenterAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Sanjay Timilsina is one of 5,528 internists in Massachusetts

Internal medicine is Dr. Timilsina's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Timilsina is licensed in Massachusetts.

Specialties and state licenses

  • Internal medicine, MassachusettsPrimaryLicense 284153 · taxonomy 207R00000X

Internists near Dr. Timilsina

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Sanjay Timilsina billed Medicare for 843 services in 2024

CMS data shows 843 Medicare services from Dr. Timilsina across 4 procedure codes in 2024, for 340 Medicare patients. Medicare paid $66,917 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024843
Medicare patients340
Paid by Medicare$66,917
Procedure codes4

Dr. Timilsina's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 8842024: 8435%

Dr. Timilsina compared with the Massachusetts median for internists, 2024

  • Dr. Timilsina
  • Massachusetts median
Medicare services
843vs 43196% above
Medicare patients
340vs 19475% above
Part D claims
401vs 402Close to median

Medians across 5,369 internists in Massachusetts with Dmand AI profiles that report each measure.

Dr. Timilsina's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Timilsina

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Sanjay Timilsina treated 340 Medicare patients in 2024, average age 74

CMS counts 340 Medicare patients who saw Dr. Timilsina in 2024. The largest group is 65 to 74, with 110 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 45% are also on Medicaid. Their average risk score is 3.04, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Timilsina's median patient age at 78, with 49% women.

Medicare patients, 2024340
Average age74
Average risk score3.04
Also on Medicaid45%

Dr. Timilsina's Medicare patients by age, 2024

Dr. Timilsina's Medicare patients by sex, 2024

  • Women16950%
  • Men17150%

Chronic conditions among Dr. Timilsina's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Heart failure71%
  4. Chronic kidney disease62%
  5. Ischemic heart disease62%
  6. Arthritis59%
  7. Atrial fibrillation54%
  8. Mood disorders51%

Share of Medicare patients with each condition. A patient can have several.

Dr. Timilsina's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 78

Patient panel by sex, all payers

  • Women49%
  • Men51%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Sanjay Timilsina wrote 698 Medicare Part D claims in 2024

In 2024, Dr. Timilsina wrote 698 Medicare Part D claims for 216 patients. 79% of them were for generic drugs. CMS names the drug for 401 of them, across 15 drugs with 11 or more claims each, at $87,068 in total drug cost. In 2023, CMS named 582 claims across 20 drugs.

Part D claims, 2024698
Drugs named by CMS15
Total drug cost$87,068
Part D patients216

Dr. Timilsina's Part D claims by kind of drug, 2024

  • Generic550 claims79%
  • Brand-name and other148 claims21%

Dr. Timilsina's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Timilsina's Part D claims, 2024

  • Opioids3%22 of 698 claims
  • Antibiotics8%53 of 698 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 5822024: 40131%

Drugs named by CMS: 15 in 2024, 20 in 2023.

See all prescribing by Dr. Timilsina

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

How Dr. Sanjay Timilsina takes part in Medicare

Dr. Timilsina accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Dr. Sanjay Timilsina has 9 publications on record

Dmand AI links 9 papers to Dr. Timilsina, published from 2019 to 2024. 2022 was the busiest year, with 3. The most frequent topics are Lab-On-A-Chip Devices, Biosensing Techniques and Microfluidic Analytical Techniques. Dr. Timilsina has published most often in Cureus. Dr. Timilsina's most frequent co-authors are Sambida Timilsina, MD, Syed Azharuddin and Thomas D. Bauman, MD.

Papers9
Years published2019 to 2024

Dr. Timilsina's papers by year, 2019 to 2024

Topics Dr. Timilsina writes about most

  • Lab-On-A-Chip Devices
  • Biosensing Techniques
  • Microfluidic Analytical Techniques
  • Polymers

Dr. Timilsina's most frequent co-authors

Recent publications by Dr. Timilsina

See all 9 publications and co-authors

See who Dr. Timilsina researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Timilsina works with, so you can find a warm path to the right internists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Sources for Dr. Sanjay Timilsina's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Sanjay Timilsina

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Sanjay Timilsina's NPI number?

Dr. Sanjay Timilsina's NPI number is 1043731011. It was assigned on June 29, 2017, and it is active in the NPI Registry.

What kind of doctor is Dr. Sanjay Timilsina?

Dr. Sanjay Timilsina is an internist in Springfield, Massachusetts. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Dr. Sanjay Timilsina practice?

Dr. Timilsina practices at 759 Chestnut Street, Springfield, MA 01199. Dr. Timilsina's primary practice is Baystate Medical Center in Springfield, Massachusetts, part of Baystate Health. Dmand AI also links Dr. Timilsina to 1 group practice or clinic.

What is Dr. Sanjay Timilsina's office phone number?

The practice phone on file for Dr. Timilsina is (413) 794-0000.

What is Dr. Sanjay Timilsina's medical license number?

Dr. Timilsina holds Massachusetts license 284153.

Which hospitals is Dr. Sanjay Timilsina affiliated with?

Dr. Timilsina practices at Baystate Medical Center in Springfield, Massachusetts.

What medical group is Dr. Sanjay Timilsina part of?

Dr. Timilsina is linked to Baystate Medical Practices.

Does Dr. Sanjay Timilsina accept Medicare?

Yes. CMS data shows Dr. Timilsina billed Medicare for 843 services in 2024, and Dr. Timilsina accepts Medicare assignment.

How many Medicare patients does Dr. Sanjay Timilsina see?

CMS counts 340 Medicare patients who saw Dr. Timilsina in 2024, with an average age of 74.

What services does Dr. Sanjay Timilsina bill to Medicare?

In 2024, Dr. Timilsina's most billed Medicare services were hospital inpatient care (99232), hospital inpatient care (99233) and hospital inpatient care (99239).

Show 4 more questionsShow fewer questions

What drugs does Dr. Sanjay Timilsina prescribe most?

In 2024 Medicare Part D data, Dr. Timilsina's most prescribed drugs by claims were Atorvastatin Calcium, Metoprolol Succinate and Furosemide.

How long has Dr. Sanjay Timilsina been practicing?

Dr. Timilsina graduated from medical school in 2013, 13 years ago.

Does Dr. Sanjay Timilsina do research?

Dmand AI links 9 publications to Dr. Timilsina, published from 2019 to 2024.

Who does Dr. Sanjay Timilsina publish with?

Dr. Timilsina's most frequent co-authors are Sambida Timilsina, MD (2 shared papers), Syed Azharuddin (1 shared paper) and Thomas D. Bauman, MD (1 shared paper).

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