Physician

Gopal Ghimire, MD, PHD, MRCP

According to 2025 Medicare claims, Gopal Ghimire, MD, PHD, MRCP (NPI: 1811225923) practices interventional cardiology in the Olympia-Lacey-Tumwater, WA market, with the plurality of this provider's patient population coming from Thurston, WA. This provider's primary affiliated billing organization is PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI: 1174744304; TIN: 020748253) and primary practice location at 98506-5133. Ghimire is affiliated with the Health Connect Partners, LLC (ACO ID: A2342) and PSW ACO (ACO ID: A5323), participating under the MSSP model.

Ghimire's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,454 traditional Medicare patients, billed 3,209 HCPCS/CPT codes, and received $308,765 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 5,102 prescription claims across 669 beneficiaries totaling $848,630 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 46 records totaling $822. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $21,482 to $308,765. Similarly, Part D prescription costs have moved sharply higher in recent years, from $3,482 to $848,630. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	87	232	$21,482
2016	404	1,241	$125,355
2017	733	2,385	$254,901
2018	1,402	3,212	$298,339
2019	959	2,588	$299,319
2020	1,393	3,151	$283,798
2021	949	2,514	$294,231
2022	1,130	2,565	$286,781
2023	1,360	2,929	$299,428
2024	1,454	3,209	$308,765

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	35	120	$3,482
2016	124	841	$59,955
2017	232	1,649	$98,457
2018	296	2,186	$179,995
2019	379	2,955	$281,959
2020	407	3,175	$310,739
2021	452	3,491	$371,961
2022	498	3,716	$429,977
2023	548	4,201	$671,277
2024	669	5,102	$848,630

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	403	544	$91
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	267	$61
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	120	124	$10
99152	Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes	179	218	$9
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	882	993	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	271	17,843	$343,975
Jardiance	Empagliflozin	98	6,886	$116,400
Xarelto	Rivaroxaban	61	4,740	$89,530
Entresto	Sacubitril/Valsartan	70	4,245	$89,476
Brilinta	Ticagrelor	83	4,256	$62,734

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	46	$822	Medtronic, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Gopal Ghimire, MD, PHD, MRCP?

Tedicare shows public-source Medicare data for Gopal Ghimire, MD, PHD, MRCP (NPI 1811225923), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Gopal Ghimire, MD, PHD, MRCP have ACO affiliation data?

Gopal Ghimire, MD, PHD, MRCP is shown with ACO affiliation data for Health Connect Partners, LLC (MSSP, ACO ID A2342) and PSW ACO (MSSP, ACO ID A5323).

What billing organization is linked to Gopal Ghimire, MD, PHD, MRCP?

Gopal Ghimire, MD, PHD, MRCP is linked to PROVIDENCE HEALTH & SERVICES WASHINGTON (billing NPI 1174744304) in the available physician profile data.

Does Gopal Ghimire, MD, PHD, MRCP have Open Payments data?

Gopal Ghimire, MD, PHD, MRCP has 46 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.