Dr. Pratima Ghimire, MD
- Medicare services, 2024
- 2,111
- Medicare patients, 2024
- 308
- Part D claims, 2024
- 786
- Publications
- 4
- MIPS score, 2024
- 100
- Practice address
- 124 Broadway, Saugus, MA 01906
- Practice phone
- Call (781) 233-2877
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Fresenius Kidney Care Essex County
Dialysis Center - Independent · Saugus, Massachusetts
Find Dr. Ghimire's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Pratima Ghimire is a nephrologist in Saugus, Massachusetts
Dr. Ghimire practices at Fresenius Kidney Care Essex County in Saugus, Massachusetts.
Dr. Ghimire's NPI, 1548490014, was assigned on July 19, 2009. Dr. Ghimire holds Massachusetts license 258098.
- NPI
- 1548490014NPI Registry (opens in a new tab)
- Medicare PAC ID
- 9739308982
- NPI enumeration date
- July 19, 2009
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (781) 233-2877
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 43
- Medical school graduation
- 2009
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Pratima Ghimire practices at Fresenius Kidney Care Essex County in Saugus, Massachusetts
Dr. Ghimire's primary practice is Fresenius Kidney Care Essex County, at 124 Broadway, Saugus, MA 01906 in Essex County. The practice phone is (781) 233-2877.
- Fresenius Kidney Care Essex County124 Broadway, Saugus, MA 01906 · Essex CountyPhone(781) 233-2877
Source: Dmand AI Affiliation Data
Dr. Pratima Ghimire is affiliated with 7 sites of care and 1 medical group
Dr. Ghimire's primary practice is Fresenius Kidney Care Essex County in Saugus, Massachusetts. Dr. Ghimire is also affiliated with Massachusetts General Hospital. The medical group on file is Renin Associates. Dmand AI also links Dr. Ghimire to 2 more hospitals, 2 dialysis centers and 1 group practice or clinic, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Pratima Ghimire's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Ghimire practices, 7 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Fresenius Kidney Care Essex County | Available with a free account |
| +6 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Pratima Ghimire is one of 351 nephrologists in Massachusetts
Nephrology is Dr. Ghimire's primary specialty in the NPI Registry, under taxonomy code 207RN0300X. Dr. Ghimire is licensed in Massachusetts.
Specialties and state licenses
- Nephrology, MassachusettsPrimary
Nephrologists near Dr. Ghimire
Counts of nephrologists 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. Pratima Ghimire billed Medicare for 2,111 services in 2024
CMS data shows 2,111 Medicare services from Dr. Ghimire across 6 procedure codes in 2024, for 308 Medicare patients. Medicare paid $125,556 for them.
Dr. Ghimire's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Tests and treatments
- 2023: 6292024: 1,17787%
- Office and hospital visits
- 2023: 9222024: 9341%
Where Dr. Ghimire's Medicare services took place, 2024
- In an office1,07651%
- In a facility1,03549%
Dr. Ghimire compared with the Massachusetts median for nephrologists, 2024
- Dr. Ghimire
- Massachusetts median
- Medicare services
- 2,111vs 7013.0 times
- Medicare patients
- 308vs 2829% above
- Part D claims
- 673vs 47143% above
Medians across 333 nephrologists in Massachusetts with Dmand AI profiles that report each measure.
Dr. Ghimire'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.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Ghimire and other nephrologists in Massachusetts.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Pratima Ghimire treated 308 Medicare patients in 2024, average age 75
CMS counts 308 Medicare patients who saw Dr. Ghimire in 2024. The largest group is 75 to 84, with 107 patients. 75% of them have chronic kidney disease, and 75% have high blood pressure. 36% are also on Medicaid. Their average risk score is 4.46, 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. Ghimire's median patient age at 72, with 44% women.
Dr. Ghimire's Medicare patients by age, 2024
Dr. Ghimire's Medicare patients by sex, 2024
- Women11838%
- Men19062%
Chronic conditions among Dr. Ghimire's Medicare patients, 2024
- Chronic kidney disease75%
- High blood pressure75%
- High cholesterol75%
- Diabetes63%
- Heart failure58%
- Ischemic heart disease58%
- Arthritis52%
- Atrial fibrillation43%
Share of Medicare patients with each condition. A patient can have several.
Dr. Ghimire's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 72
Patient panel by sex, all payers
- Women44%
- Men56%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Pratima Ghimire wrote 786 Medicare Part D claims in 2024
In 2024, Dr. Ghimire wrote 786 Medicare Part D claims for 141 patients. 84% of them were for generic drugs. CMS names the drug for 673 of them, across 19 drugs with 11 or more claims each, at $120,112 in total drug cost. In 2023, CMS named 608 claims across 17 drugs.
Dr. Ghimire's Part D claims by kind of drug, 2024
- Generic663 claims84%
- Brand-name123 claims16%
Dr. Ghimire'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.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 6082024: 67311%
Drugs named by CMS: 19 in 2024, 17 in 2023.
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
Dr. Pratima Ghimire scored 100 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Dr. Ghimire for performance year 2024, reported as part of a group. Dr. Ghimire accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Ghimire as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Dr. Ghimire's MIPS scores, performance year 2024
- 100of 100Final score
- 100of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 88of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Pratima Ghimire has 4 publications on record
Dmand AI links 4 papers to Dr. Ghimire, published from 2011 to 2022. Dr. Ghimire's most frequent co-authors are Nadine Azzi, MD, Marie Abdallah, MD and Basem Nady Azab, MD.
Dr. Ghimire's papers by year, 2011 to 2022
Dr. Ghimire's most frequent co-authors
- Nadine Azzi, MD2 shared papers
- Marie Abdallah, MD1 shared paper
- Basem Nady Azab, MD1 shared paper
Recent publications by Dr. Ghimire
Am J Cardiol
See who Dr. Ghimire researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Ghimire works with, so you can find a warm path to the right nephrologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Pratima Ghimire received $194 in industry payments from 2016 to 2024
CMS Open Payments shows 11 general payments to Dr. Ghimire from 6 drug and device companies from 2016 to 2024. Food and beverage make up the largest share, 94% of the total. Pfizer Inc. paid the most, $47.
General payments to Dr. Ghimire by program year, 2016 to 2024
General payments to Dr. Ghimire by kind, 2016 to 2024
- Food and beverage$18294%
- Education$126%
Companies that paid Dr. Ghimire the most, 2016 to 2024
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Dr. Pratima Ghimire's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Pratima Ghimire
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. Pratima Ghimire's NPI number?
Dr. Pratima Ghimire's NPI number is 1548490014. It was assigned on July 19, 2009, and it is active in the NPI Registry.
What kind of doctor is Dr. Pratima Ghimire?
Dr. Pratima Ghimire is a nephrologist in Saugus, Massachusetts. The primary specialty in the NPI Registry is Nephrology Physician (taxonomy code 207RN0300X).
Where does Dr. Pratima Ghimire practice?
Dr. Ghimire practices at 124 Broadway, Saugus, MA 01906. Dr. Ghimire's primary practice is Fresenius Kidney Care Essex County in Saugus, Massachusetts. Dmand AI also links Dr. Ghimire to 2 hospitals, 2 dialysis centers and 1 group practice or clinic.
What is Dr. Pratima Ghimire's office phone number?
The practice phone on file for Dr. Ghimire is (781) 233-2877.
What is Dr. Pratima Ghimire's medical license number?
Dr. Ghimire holds Massachusetts license 258098.
Which hospitals is Dr. Pratima Ghimire affiliated with?
Dr. Ghimire is affiliated with Massachusetts General Hospital. Dmand AI links Dr. Ghimire to 2 more hospitals.
What medical group is Dr. Pratima Ghimire part of?
Dr. Ghimire is linked to Renin Associates.
Does Dr. Pratima Ghimire accept Medicare?
Yes. CMS data shows Dr. Ghimire billed Medicare for 2,111 services in 2024, and Dr. Ghimire accepts Medicare assignment.
Does Dr. Pratima Ghimire offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Ghimire as offering telehealth services.
What is Dr. Pratima Ghimire's MIPS score?
Dr. Ghimire's MIPS final score for performance year 2024 is 100 out of 100, reported as part of a group.
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How many Medicare patients does Dr. Pratima Ghimire see?
CMS counts 308 Medicare patients who saw Dr. Ghimire in 2024, with an average age of 75.
What services does Dr. Pratima Ghimire bill to Medicare?
In 2024, Dr. Ghimire's most billed Medicare services were dialysis (90970), hospital inpatient care (99232) and office visit, established patient (99214).
What drugs does Dr. Pratima Ghimire prescribe most?
In 2024 Medicare Part D data, Dr. Ghimire's most prescribed drugs by claims were Furosemide, Amlodipine Besylate and Losartan Potassium.
Has Dr. Pratima Ghimire received payments from drug or device companies?
CMS Open Payments shows $194 in general payments to Dr. Ghimire from 6 companies from 2016 to 2024. The largest total came from Pfizer Inc.
How long has Dr. Pratima Ghimire been practicing?
Dr. Ghimire graduated from medical school in 2009, 17 years ago.
Does Dr. Pratima Ghimire do research?
Dmand AI links 4 publications to Dr. Ghimire, published from 2011 to 2022.
Who does Dr. Pratima Ghimire publish with?
Dr. Ghimire's most frequent co-authors are Nadine Azzi, MD (2 shared papers), Marie Abdallah, MD (1 shared paper) and Basem Nady Azab, MD (1 shared paper).
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