NPI registry status
Active
2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1992380158
Verify on CMS → Binita Ghimire
Psychiatric/Mental Health Nurse Practitioner in Oklahoma City, Oklahoma.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,776 in Psychiatric/Mental Health Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
173
Medicare Part D claims · 50 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
MIPS score
85.7/100
▲ 3 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Binita Ghimire reported a CMS MIPS final score of 85.7/100 - above the 83.1 national average - and filed 173 Medicare Part D claims in 2023.
- 85.7/100
- MIPS score · +3 vs avg
- 173
- Part D claims, 2023
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Binita Ghimire's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
86 49th percentile higher than 49% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Binita Ghimire sits
This provider among psychiatric/mental health nurse practitioner peers
Across the 1,917 psychiatric/mental health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Binita Ghimire writes more Part D claims than 27% of them and scores higher on MIPS quality than 47% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one psychiatric/mental health nurse practitioner peer from a representative sample of 60; the gold marker is Binita Ghimire. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Binita Ghimire?
High performer (top quartile)Primary specialty
Psychiatric/Mental Health Nurse Practitioner
Medicare Part D claims
173 81% vs specialty avg
MIPS final score
85.7/100 2.6 pts vs avg
Specialty distribution in Oklahoma
How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Oklahoma providers
Medicare quality performance, MIPS
Binita Ghimire's 2023 MIPS final score plotted against the Psychiatric/Mental Health Nurse Practitioner national average
- MIPS Final Score
- 85.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Psychiatric/Mental Health Nurse Practitioner) - 85.7/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Binita Ghimire appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider at 2525 NW EXPRESSWAY STE 312, Oklahoma City, OK, 73112, with a listed phone of (405) 840-9999. NPI 1992380158 was issued on 03/09/2021.
Medicare Part D records for calendar year 2023 show 173 prescription claims written by this provider, covering 50 Medicare beneficiaries and totaling roughly $6K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.7/100 for the 2023 performance year (Quality 90.3, Cost 62), compared with the national average of 83.1.
Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 40,776 enrolled providers across 54 states and an average of 927 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1992380158 |
|---|---|
| Specialty | Psychiatric/Mental Health Nurse Practitioner |
| Gender | Female |
| NPI Issued | 03/09/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.7051
Final Score
Avg: 83.1
90.3347
Quality
62.0157
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Binita Ghimire bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Optimum Primary Care PLLC
Edmond, OK
Saints Medical Group, LLC
Midwest City, OK
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
173
Total Claims
$6K
Total Drug Cost
50
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 179
- Total Day Supply
- 5,052
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 63.1 years
- Avg HCC Risk Score
- 1.59
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 23, 65-74: 16, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Psychiatric/Mental Health Nurse Practitioner in OK →
All providers in Oklahoma →
Compare specialties →
Psychiatric/Mental Health Nurse Practitioner Overview
How Binita Ghimire fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.
40,776
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider
Binita Ghimire's 173 claims are below the specialty average of 927.
Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Oklahoma
Other clinicians with the same primary specialty enrolled in Oklahoma, drawn from the same CMS NPPES roster as Ghimire.
Dr. Crystal Abbott
APRN, PMHNP-BC
Lawton, OK
Dr. Melissa Abercrombie
DNP, APRN, PMHNP-BC
Norman, OK
Renita Abraham
Oklahoma City, OK
Dr. Ngwe Achidi
PMHNP
Yukon, OK
Dr. Adejoke Adeoba
PMHNP-BC
Oklahoma City, OK
Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Oklahoma medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Psychiatric/Mental Health Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Binita Ghimire's specialty? ▼
Binita Ghimire specializes in Psychiatric/Mental Health Nurse Practitioner and practices in Oklahoma City, Oklahoma.
How much does Binita Ghimire prescribe under Medicare Part D? ▼
In 2023, Binita Ghimire wrote 173 Medicare Part D claims totaling $6K in drug costs for 50 beneficiaries.
What is Binita Ghimire's Medicare quality score? ▼
Binita Ghimire has a CMS MIPS Final Score of 85.7/100 (Quality: 90.3, Cost: 62). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Binita Ghimire located? ▼
Binita Ghimire is located at 2525 NW EXPRESSWAY STE 312, Oklahoma City, OK, 73112. Phone: (405) 840-9999.
What is Binita Ghimire's NPI number? ▼
Binita Ghimire's National Provider Identifier (NPI) is 1992380158, issued on 03/09/2021.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US? ▼
There are 40,776 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does Binita Ghimire prescribe most often? ▼
Based on 2023 Medicare Part D data, Binita Ghimire's most frequently prescribed drugs include Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Binita Ghimire accept Medicare? ▼
Binita Ghimire appears in CMS Medicare data with 173 Part D claims and 50 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Binita Ghimire's credentials? ▼
Binita Ghimire's NPI is 1992380158. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.