Dr. Raj Kumar Ghimire, MD
- Medicare services, 2024
- 588
- Medicare patients, 2024
- 229
- Part D claims, 2024
- 323
- Hospital affiliations
- 3
- Industry payments
- $84
- Practice address
- 169 Martin Avenue, Ephrata, PA 17522
- Practice phone
- Call (717) 733-0311
- 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
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Dr. Raj Kumar Ghimire is a hospitalist in Ephrata, Pennsylvania
Dr. Ghimire practices at WellSpan Ephrata Community Hospital in Ephrata, Pennsylvania, part of WellSpan Health.
Dr. Ghimire's NPI, 1669605416, was assigned on August 27, 2009. Dr. Ghimire holds Pennsylvania license MD440482.
- NPI
- 1669605416NPI Registry (opens in a new tab)
- Medicare PAC ID
- 3779779194
- NPI enumeration date
- August 27, 2009
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (717) 733-0311
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 49
- Medical school graduation
- 2003
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Raj Kumar Ghimire practices at WellSpan Ephrata Community Hospital in Ephrata, Pennsylvania
Dr. Ghimire's primary practice is WellSpan Ephrata Community Hospital, at 169 Martin Avenue, Ephrata, PA 17522 in Lancaster County. The practice phone is (717) 733-0311.
- WellSpan Ephrata Community Hospital169 Martin Avenue, Ephrata, PA 17522 · Lancaster CountyPhone(717) 733-0311
Source: Dmand AI Affiliation Data
Dr. Raj Kumar Ghimire is affiliated with 4 sites of care and 6 medical groups
Dr. Ghimire's primary practice is WellSpan Ephrata Community Hospital in Ephrata, Pennsylvania, part of WellSpan Health. Dr. Ghimire is also affiliated with WellSpan York Hospital. The medical group on file is WellSpan Digestive Health. Dmand AI also links Dr. Ghimire to 1 more hospital, 5 medical groups and 1 therapy and rehab 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. Raj Kumar 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 |
|---|---|
| WellSpan Ephrata Community Hospital | Available with a free account |
| +3 more sites and 5 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Raj Kumar Ghimire is one of 1,233 hospitalists in Pennsylvania
Hospitalist is Dr. Ghimire's primary specialty in the NPI Registry, under taxonomy code 208M00000X. Dmand AI has Dr. Ghimire's licenses on file in 2 states: Pennsylvania and Virginia.
Specialties and state licenses
- Hospitalist, PennsylvaniaPrimary
- Virginia license
Hospitalists near Dr. Ghimire
Counts of hospitalists 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. Raj Kumar Ghimire billed Medicare for 588 services in 2024
CMS data shows 588 Medicare services from Dr. Ghimire across 6 procedure codes in 2024, for 229 Medicare patients. Medicare paid $42,806 for them. Every service was in a facility, such as a hospital, rather than an office.
Dr. Ghimire's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 9112024: 58835%
Dr. Ghimire compared with the Pennsylvania median for hospitalists, 2024
- Dr. Ghimire
- Pennsylvania median
- Medicare services
- 588vs 41342% above
- Medicare patients
- 229vs 20611% above
- Part D claims
- 135vs 6899% above
Medians across 1,187 hospitalists in Pennsylvania 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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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Raj Kumar Ghimire treated 229 Medicare patients in 2024, average age 79
CMS counts 229 Medicare patients who saw Dr. Ghimire in 2024. The largest group is 85 and over, with 77 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 14% are also on Medicaid. Their average risk score is 2.46, 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 77, with 58% women.
Dr. Ghimire's Medicare patients by age, 2024
Dr. Ghimire's Medicare patients by sex, 2024
- Women12956%
- Men10044%
Chronic conditions among Dr. Ghimire's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis71%
- Chronic kidney disease61%
- Ischemic heart disease57%
- Heart failure52%
- Atrial fibrillation47%
- Mood disorders47%
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 77
Patient panel by sex, all payers
- Women58%
- Men42%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Raj Kumar Ghimire wrote 323 Medicare Part D claims in 2024
In 2024, Dr. Ghimire wrote 323 Medicare Part D claims for 142 patients. 87% of them were for generic drugs. CMS names the drug for 135 of them, across 10 drugs with 11 or more claims each, at $11,742 in total drug cost. In 2023, CMS named 14 claims across 1 drug.
Dr. Ghimire's Part D claims by kind of drug, 2024
- Generic282 claims87%
- Brand-name41 claims13%
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
- Antibiotics26%83 of 323 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: 142024: 135864%
Drugs named by CMS: 10 in 2024, 1 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
How Dr. Raj Kumar Ghimire takes part in Medicare
Dr. Ghimire 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. Raj Kumar Ghimire received $84 in industry payments from 2016 to 2020
CMS Open Payments shows 5 general payments to Dr. Ghimire from 3 drug and device companies from 2016 to 2020. Food and beverage make up the largest share, 100% of the total. Pfizer Inc. paid the most, $31.
General payments to Dr. Ghimire by program year, 2016 to 2020
Companies that paid Dr. Ghimire the most, 2016 to 2020
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Dr. Raj Kumar 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) |
| 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. Raj Kumar 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. Raj Kumar Ghimire's NPI number?
Dr. Raj Kumar Ghimire's NPI number is 1669605416. It was assigned on August 27, 2009, and it is active in the NPI Registry.
What kind of doctor is Dr. Raj Kumar Ghimire?
Dr. Raj Kumar Ghimire is a hospitalist in Ephrata, Pennsylvania. The primary specialty in the NPI Registry is Hospitalist Physician (taxonomy code 208M00000X).
Where does Dr. Raj Kumar Ghimire practice?
Dr. Ghimire practices at 169 Martin Avenue, Ephrata, PA 17522. Dr. Ghimire's primary practice is WellSpan Ephrata Community Hospital in Ephrata, Pennsylvania, part of WellSpan Health. Dmand AI also links Dr. Ghimire to 1 hospital, 5 medical groups and 1 therapy and rehab clinic.
What is Dr. Raj Kumar Ghimire's office phone number?
The practice phone on file for Dr. Ghimire is (717) 733-0311.
What is Dr. Raj Kumar Ghimire's medical license number?
Dr. Ghimire holds Pennsylvania license MD440482, one of the licenses on file in 2 states.
Which states has Dr. Raj Kumar Ghimire been licensed in?
Dmand AI has state licenses on file for Dr. Ghimire in Pennsylvania and Virginia.
Which hospitals is Dr. Raj Kumar Ghimire affiliated with?
Dr. Ghimire practices at WellSpan Ephrata Community Hospital in Ephrata, Pennsylvania. Dr. Ghimire is also affiliated with WellSpan York Hospital. Dmand AI links Dr. Ghimire to 1 more hospital.
What medical group is Dr. Raj Kumar Ghimire part of?
Dr. Ghimire is linked to WellSpan Digestive Health. Dmand AI links Dr. Ghimire to 5 more medical groups.
Does Dr. Raj Kumar Ghimire accept Medicare?
Yes. CMS data shows Dr. Ghimire billed Medicare for 588 services in 2024, and Dr. Ghimire accepts Medicare assignment.
How many Medicare patients does Dr. Raj Kumar Ghimire see?
CMS counts 229 Medicare patients who saw Dr. Ghimire in 2024, with an average age of 79.
Show 4 more questionsShow fewer questions
What services does Dr. Raj Kumar Ghimire bill to Medicare?
In 2024, Dr. Ghimire's most billed Medicare services were hospital inpatient care (99232), hospital inpatient care (99233) and hospital inpatient care (99239).
What drugs does Dr. Raj Kumar Ghimire prescribe most?
In 2024 Medicare Part D data, Dr. Ghimire's most prescribed drugs by claims were Clopidogrel, Amoxicillin-Clavulanate Potass and Eliquis.
Has Dr. Raj Kumar Ghimire received payments from drug or device companies?
CMS Open Payments shows $84 in general payments to Dr. Ghimire from 3 companies from 2016 to 2020. The largest total came from Pfizer Inc.
How long has Dr. Raj Kumar Ghimire been practicing?
Dr. Ghimire graduated from medical school in 2003, 23 years ago.
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