NPI registry status
Active
2026 NPPES data Hematology & Oncology Physician NPI 1225340359 MD
Verify on CMS → Krishna Ghimire, MD
Hematology & Oncology Physician in Syracuse, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,530 in Hematology & Oncology Physician, 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
284
Medicare Part D claims · 80 beneficiaries · Hematology & Oncology Physician avg: 885
MIPS score
81.6/100
▼ 2 pts below national avg 83.5 · Above neutral
Industry payments
$178.75
2 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Krishna Ghimire, MD reported a CMS MIPS final score of 81.6/100 - below the 83.5 national average - and filed 284 Medicare Part D claims in 2024.
- 81.6/100
- MIPS score · -2 vs avg
- 284
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥32nd
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Krishna Ghimire, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1225340359), first enumerated 07/06/2010.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 284 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 81.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$178.75 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Krishna Ghimire, MD's individual license status. Verify directly with the state medical board.
Source: NYSBPMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1225340359 · Hematology & Oncology Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-INLINE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1225340359
- ENUM-MID 2010
- TAX-MID 12K Hematology &
- MIPS-INLINE 81.6/100
- RX-LIGHT 284
- BOOK-LIGHT 999 in New York
- PHOTO-FINISH Minxiang Gu · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Ghimire · this p…
Ghimire · this provider
81.6 MIPS pts
- Saboor Randhawa …
Saboor Randhawa
81.6 MIPS pts
- Tricia Kalwar · …
Tricia Kalwar
81.6 MIPS pts
- Minxiang Gu · near
Minxiang Gu
81.6 MIPS pts
- Steven Pincus · …
Steven Pincus
81.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Krishna Ghimire, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
82 ≥ 32nd percentile 32% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Krishna Ghimire, MD sits
This provider among hematology & oncology physician peers
Across the 4,019 hematology & oncology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Krishna Ghimire, MD writes more Part D claims than 23% of them and scores higher on MIPS quality than 33% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one hematology & oncology physician peer from a representative sample of 60; the gold marker is Krishna Ghimire, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Krishna Ghimire, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Krishna Ghimire, MD?
Near national averagePrimary specialty
Hematology & Oncology Physician
Medicare Part D claims
284 68% vs specialty avg
MIPS final score
81.6/100 1.9 pts vs avg
Specialty distribution in New York
How Hematology & Oncology Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Krishna Ghimire, MD's 2023 MIPS final score plotted against the Hematology & Oncology Physician national average
- MIPS Final Score
- 81.6/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1225340359 |
|---|---|
| Specialty | Hematology & Oncology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/06/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
81.6325
Final Score
Measured-score avg: 83.5
73.8681
Quality
52.7956
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Krishna Ghimire, MD 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.
Department OF Medicine Medical Serv Grp AT Suny Hlth Sci Ctr Syr IN
Syracuse, NY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Krishna Ghimire, MD. Source: openpaymentsdata.cms.gov.
Total received
$179
Largest payer
E.R. Squibb & Sons, L.L.C.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - New York NYSBPMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Krishna Ghimire, MD. To verify Krishna Ghimire, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
284
Total Claims
$479K
Total Drug Cost
80
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 309.9
- Total Day Supply
- 6,899
- Generic Drug Cost
- $21K
- Opioid Claims
- 12 (4.2% rate)
- Antibiotic Claims
- 28
Patient Demographics
- Average Patient Age
- 68.6 years
- Avg HCC Risk Score
- 2.43
- Gender Split
- 43% female / 58% male
- Age Distribution
- <65: 16, 65-74: 41, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Krishna Ghimire, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Prednisone
Prednisone
20 claims
- Acyclovir
Acyclovir
18 claims
- Prochlorperazine M…
Prochlorperazine Maleate
16 claims
- Levofloxacin
Levofloxacin
14 claims
- Ondansetron Hcl
Ondansetron Hcl
14 claims
- Allopurinol
Allopurinol
13 claims
- Hydroxyurea
Hydroxyurea
13 claims
- Eliquis
Eliquis
11 claims
| Drug | Claims |
|---|---|
| Prednisone | 20 |
| Acyclovir | 18 |
| Prochlorperazine Maleate | 16 |
| Levofloxacin | 14 |
| Ondansetron Hcl | 14 |
| Allopurinol | 13 |
| Hydroxyurea | 13 |
| Eliquis Apixaban | 11 |
| Oxycodone Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hematology & Oncology Physician Overview
How Krishna Ghimire, MD fits within the Hematology & Oncology Physician landscape nationally.
11,530
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
885
Avg Claims per Provider
Krishna Ghimire, MD's 284 claims are below the specialty average of 885.
Nationwide Hematology & Oncology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Ghimire, both outside New York so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (81.6 here).
Same NPPES enumeration year (2010)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Hematology & Oncology Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Ghimire.
One of 999 Hematology & Oncology Physician providers enrolled in New York, 5 are shown here.
Dr. Anum Aamir
M.D
Astoria, NY
Dr. Robert Abderhalden
MD
Painted Post, NY
Dr. Mohammad Maher Abdul Hay
MD
New York, NY
Dr. George Abraham
MD
Rochester, NY
Dr. Avram Abramowitz
M.D.
Fresh Meadows, NY
Compare Hematology & Oncology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Krishna Ghimire, MD's specialty? ▼
Krishna Ghimire, MD specializes in Hematology & Oncology Physician and practices in Syracuse, New York. Credentials: MD.
How much does Krishna Ghimire, MD prescribe under Medicare Part D? ▼
In 2024, Krishna Ghimire, MD wrote 284 Medicare Part D claims totaling $479K in drug costs for 80 beneficiaries.
What is Krishna Ghimire, MD's Medicare quality score? ▼
Krishna Ghimire, MD has a CMS MIPS Final Score of 81.6/100 (Quality: 73.9, Cost: 52.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Krishna Ghimire, MD located? ▼
Krishna Ghimire, MD is located at 750 E ADAMS ST, Syracuse, NY, 13210. Phone: (315) 464-8200.
What is Krishna Ghimire, MD's NPI number? ▼
Krishna Ghimire, MD's National Provider Identifier (NPI) is 1225340359, issued on 07/06/2010.
Does Krishna Ghimire, MD prescribe opioids? ▼
Yes, Krishna Ghimire, MD had 12 opioid claims in 2024 with an opioid prescribing rate of 4.2%.
How many Hematology & Oncology Physician providers are there in the US? ▼
There are 11,530 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 885 Medicare Part D claims per year.
What drugs does Krishna Ghimire, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Krishna Ghimire, MD's most frequently prescribed drugs include Prednisone, Acyclovir, Prochlorperazine Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Krishna Ghimire, MD accept Medicare? ▼
Krishna Ghimire, MD appears in CMS Medicare data with 284 Part D claims and 80 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Krishna Ghimire, MD's credentials? ▼
Krishna Ghimire, MD's NPI is 1225340359 with credentials MD. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.