Dr. Sushil Ghimire, MD
- Medicare services, 2024
- 557
- Medicare patients, 2024
- 246
- Part D claims, 2024
- 1,218
- Publications
- 38
- MIPS score, 2024
- 92
- Practice address
- 1 Cooper Plaza, Camden, NJ 08103
- Practice phone
- Call (856) 342-2000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
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. Sushil Ghimire is a hematologist and oncologist in Camden, New Jersey
Dr. Ghimire practices at Cooper University Hospital in Camden, New Jersey, part of Cooper University Health Care.
Dr. Ghimire's NPI, 1912314840, was assigned on July 11, 2014. Dr. Ghimire graduated from Tribhuvan University Inst of Medicine in 2013. Dr. Ghimire's New Jersey license number on file is 25MA11121700.
- NPI
- 1912314840NPI Registry (opens in a new tab)
- Medicare PAC ID
- 9032400114
- NPI enumeration date
- July 11, 2014
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (856) 342-2000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 40
- 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. Sushil Ghimire practices at Cooper University Hospital in Camden, New Jersey
Dr. Ghimire's primary practice is Cooper University Hospital, at 1 Cooper Plaza, Camden, NJ 08103 in Camden County. The practice phone is (856) 342-2000.
- Cooper University Hospital1 Cooper Plaza, Camden, NJ 08103 · Camden CountyPhone(856) 342-2000
Source: Dmand AI Affiliation Data
Dr. Sushil Ghimire is affiliated with 4 sites of care and 3 medical groups
Dr. Ghimire's primary practice is Cooper University Hospital in Camden, New Jersey, part of Cooper University Health Care. Dr. Ghimire is also affiliated with Virtua Mount Holly Hospital. The medical group on file is Tower Health Medical Group. Dmand AI also links Dr. Ghimire to 1 more hospital, 2 medical groups and 1 skilled nursing facility, 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. Sushil Ghimire's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Ghimire practices, 4 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Cooper University Hospital | Available with a free account |
| +3 more sites and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Cooper University Health Care and 6.2K+ hospitals, with verified contacts in the same login.
Dr. Sushil Ghimire is one of 364 hematologists and oncologists in New Jersey
Hematology and oncology is Dr. Ghimire's primary specialty in the NPI Registry, under taxonomy code 207RH0003X. Dr. Ghimire is board certified in hematology by the American Board of Internal Medicine. Dmand AI has Dr. Ghimire's licenses on file in 2 states: New Jersey and Pennsylvania.
Specialties and state licenses
- Hematology and oncology, New JerseyPrimary
- Internal medicine, Pennsylvania
Clinical focus
Dmand AI lists chronic anemia, chronic leukemia, deep vein thrombosis (DVT), immune deficiency disease, lung cancer, lymphoma, multiple myeloma and purpura and thrombocytopenia among the conditions Dr. Ghimire treats.
Hematologists and oncologists near Dr. Ghimire
Counts of hematologists and oncologists 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. Sushil Ghimire billed Medicare for 557 services in 2024
CMS data shows 557 Medicare services from Dr. Ghimire across 7 procedure codes in 2024, for 246 Medicare patients. Medicare paid $37,386 for them.
Dr. Ghimire's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 5042024: 4756%
- Other services
- 2023: 02024: 82
Where Dr. Ghimire's Medicare services took place, 2024
- In an office35063%
- In a facility20737%
Dr. Ghimire compared with the New Jersey median for hematologists and oncologists, 2024
- Dr. Ghimire
- New Jersey median
- Medicare services
- 557vs 1,51563% below
- Medicare patients
- 246vs 33727% below
- Part D claims
- 1,083vs 3782.9 times
Medians across 349 hematologists and oncologists in New Jersey 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.
Need commercial claims for Dr. Ghimire?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Ghimire and other hematologists and oncologists in New Jersey.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Sushil Ghimire treated 246 Medicare patients in 2024, average age 73
CMS counts 246 Medicare patients who saw Dr. Ghimire in 2024. The largest group is 75 to 84, with 101 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 20% are also on Medicaid. Their average risk score is 2.38, 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 67, with 52% women.
Dr. Ghimire's Medicare patients by age, 2024
Dr. Ghimire's Medicare patients by sex, 2024
- Women12752%
- Men11948%
Chronic conditions among Dr. Ghimire's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis51%
- Chronic kidney disease37%
- Ischemic heart disease37%
- Anxiety36%
- Mood disorders35%
- Diabetes34%
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 67
Patient panel by sex, all payers
- Women52%
- Men46%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Sushil Ghimire wrote 1,218 Medicare Part D claims in 2024
In 2024, Dr. Ghimire wrote 1,218 Medicare Part D claims for 154 patients. 56% of them were for generic drugs. CMS names the drug for 1,083 of them, across 36 drugs with 11 or more claims each, at $7,163,300 in total drug cost. In 2023, CMS named 896 claims across 26 drugs.
Dr. Ghimire's Part D claims by kind of drug, 2024
- Generic685 claims56%
- Brand-name533 claims44%
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.
Drug classes CMS tracks in Dr. Ghimire's Part D claims, 2024
- Opioids3%33 of 1,218 claims
- Antibiotics4%47 of 1,218 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: 8962024: 1,08321%
Drugs named by CMS: 36 in 2024, 26 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. Sushil Ghimire scored 92 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 92 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
- 92of 100Final score
- 88.8of 100Quality
- 99of 100Promoting Interoperability
- 40of 100Improvement Activities
- 74of 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. Sushil Ghimire has 38 publications on record
Dmand AI links 38 papers to Dr. Ghimire, published from 2013 to 2025. 2015 was the busiest year, with 9. The most frequent topics are Arthroplasty, Replacement, Knee, Atrial Appendage and Cardiac Surgical Procedures. Dr. Ghimire has published most often in J Community Hosp Intern Med Perspect. Dr. Ghimire's most frequent co-authors are Ranjan Pathak, MD, Dilli Ram Poudel, MBBS, MD and Rashmi Dhital, MD.
Dr. Ghimire's papers by year, 2013 to 2025
Topics Dr. Ghimire writes about most
- Arthroplasty, Replacement, Knee
- Atrial Appendage
- Cardiac Surgical Procedures
- Echocardiography
- Heart Aneurysm
- Pyrazoles
- Pyridones
- Venous Thromboembolism
Dr. Ghimire's most frequent co-authors
- Ranjan Pathak, MD19 shared papers
- Dilli Ram Poudel, MBBS, MD17 shared papers
- Rashmi Dhital, MD8 shared papers
Recent publications by Dr. Ghimire
J Community Hosp Intern Med Perspect
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 hematologists and oncologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Sushil Ghimire received $235 in industry payments from 2016 to 2024
CMS Open Payments shows 8 general payments to Dr. Ghimire from 8 drug and device companies from 2016 to 2024. Food and beverage make up the largest share, 100% of the total. Merck Sharp & Dohme Corporation paid the most, $84.
General payments to Dr. Ghimire by program year, 2016 to 2024
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
Dr. Sushil Ghimire graduated from Tribhuvan University Inst of Medicine
Dr. Ghimire graduated from Tribhuvan University Inst of Medicine in 2013.
- Medical school
- Board certified in hematology
- Board certified in internal medicine
- Board certified in medical oncology
Source: Dmand AI Professional Profile Data
Dr. Sushil Ghimire accepts plans from 17 insurance carriers
Dr. Ghimire is in network with 17 carriers, including Aetna, Elevance and United Healthcare. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.
- Aetna
- Elevance
- United Healthcare
- Cigna
- HCSC
- Horizon Blue Cross Blue Shield of New Jersey
- Aspirus Health Plan
- Blue Cross Blue Shield of Massachusetts
- +9 more carriersWith a free account
Plan types Dr. Ghimire accepts, by number of carriers
- PPO11
- Medicare10
- HMO9
- EPO4
- POS4
Source: Dmand AI Insurance Network Data
Sources for Dr. Sushil 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) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| 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. Sushil 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. Sushil Ghimire's NPI number?
Dr. Sushil Ghimire's NPI number is 1912314840. It was assigned on July 11, 2014, and it is active in the NPI Registry.
What kind of doctor is Dr. Sushil Ghimire?
Dr. Sushil Ghimire is a hematologist and oncologist in Camden, New Jersey. The primary specialty in the NPI Registry is Hematology & Oncology Physician (taxonomy code 207RH0003X).
Where does Dr. Sushil Ghimire practice?
Dr. Ghimire practices at 1 Cooper Plaza, Camden, NJ 08103. Dr. Ghimire's primary practice is Cooper University Hospital in Camden, New Jersey, part of Cooper University Health Care. Dmand AI also links Dr. Ghimire to 1 hospital, 2 medical groups and 1 skilled nursing facility.
What is Dr. Sushil Ghimire's office phone number?
The practice phone on file for Dr. Ghimire is (856) 342-2000.
What is Dr. Sushil Ghimire's medical license number?
Dr. Ghimire's New Jersey license number on file is 25MA11121700, one of the licenses on file in 2 states.
Which states has Dr. Sushil Ghimire been licensed in?
Dmand AI has state licenses on file for Dr. Ghimire in New Jersey (2021 to 2025) and Pennsylvania (2014 to 2026).
Which hospitals is Dr. Sushil Ghimire affiliated with?
Dr. Ghimire practices at Cooper University Hospital in Camden, New Jersey. Dr. Ghimire is also affiliated with Virtua Mount Holly Hospital. Dmand AI links Dr. Ghimire to 1 more hospital.
What medical group is Dr. Sushil Ghimire part of?
Dr. Ghimire is linked to Tower Health Medical Group. Dmand AI links Dr. Ghimire to 2 more medical groups.
Does Dr. Sushil Ghimire accept Medicare?
Yes. CMS data shows Dr. Ghimire billed Medicare for 557 services in 2024, and Dr. Ghimire accepts Medicare assignment.
Does Dr. Sushil Ghimire offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Ghimire as offering telehealth services.
Show 11 more questionsShow fewer questions
What is Dr. Sushil Ghimire's MIPS score?
Dr. Ghimire's MIPS final score for performance year 2024 is 92 out of 100, reported as part of a group.
How many Medicare patients does Dr. Sushil Ghimire see?
CMS counts 246 Medicare patients who saw Dr. Ghimire in 2024, with an average age of 73.
Is Dr. Sushil Ghimire board certified?
Yes. Dr. Ghimire is board certified in hematology by the American Board of Internal Medicine.
What services does Dr. Sushil Ghimire bill to Medicare?
In 2024, Dr. Ghimire's most billed Medicare services were office visit, established patient (99214), medicare service (G2211) and hospital inpatient care (99232).
Where did Dr. Sushil Ghimire go to medical school?
Dr. Ghimire graduated from Tribhuvan University Inst of Medicine in 2013.
What drugs does Dr. Sushil Ghimire prescribe most?
In 2024 Medicare Part D data, Dr. Ghimire's most prescribed drugs by claims were Acyclovir, Calquence and Revlimid.
Has Dr. Sushil Ghimire received payments from drug or device companies?
CMS Open Payments shows $235 in general payments to Dr. Ghimire from 8 companies from 2016 to 2024. The largest total came from Merck Sharp & Dohme Corporation.
How long has Dr. Sushil Ghimire been practicing?
Dr. Ghimire graduated from medical school in 2013, 13 years ago.
Does Dr. Sushil Ghimire do research?
Dmand AI links 38 publications to Dr. Ghimire, published from 2013 to 2025.
Who does Dr. Sushil Ghimire publish with?
Dr. Ghimire's most frequent co-authors are Ranjan Pathak, MD (19 shared papers), Dilli Ram Poudel, MBBS, MD (17 shared papers) and Rashmi Dhital, MD (8 shared papers).
What insurance does Dr. Sushil Ghimire accept?
Dr. Ghimire is in network with 17 carriers, including Aetna, Elevance and United Healthcare. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.
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