2026 NPPES data Sleep Medicine (Family Medicine) Physician NPI 1568693695 M.D.
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PANKAJ TIMSINA, M.D.

Sleep Medicine (Family Medicine) Physician in WOODLAND, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
36
Medicare Part D claims · 14 beneficiaries · Sleep Medicine (Family Medicine) Physician avg: 2K
MIPS score
96.5085/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$218.6
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PANKAJ TIMSINA, M.D. reported a CMS MIPS final score of 96.5085/100 — above the 83.1 national average — and filed 36 Medicare Part D claims in 2023.

96.5085/100
MIPS score · +13 vs avg
36
Part D claims, 2023
Likely
board-certified (heuristic)

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.

PANKAJ TIMSINA, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

97 Top 17% higher than 83% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

PANKAJ TIMSINA, M.D. 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 PANKAJ TIMSINA, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 08/06/2009

NPI 1568693695

Primary specialty

Sleep Medicine (Family Medicine) Physician

Rare

190 US NPIs in this specialty

Medicare Part D claims

36 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,506

MIPS final score

96.5085/100 13.408500000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Sleep Medicine (Family Medicine) Physician compares to other specialties among California providers

California providers

Sleep Medicine (Family Medicine) Physician share within California

1. Sleep Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Family Medicine) Physician share within California

Medicare quality performance — MIPS

PANKAJ TIMSINA, M.D.'s 2023 MIPS final score plotted against the Sleep Medicine (Family Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
96.5085/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Family Medicine) Physician) — 96.5085/100 vs national avg 83.1

0%100%National avg83%96.5%
MIPS final score (Sleep Medicine (Family Medicine) Physician) — 96.5085/100 vs national avg 83.1

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).

PANKAJ TIMSINA, M.D. appears in the CMS NPPES registry as a Sleep Medicine (Family Medicine) Physician provider holding M.D. credentials at 632 W GIBSON RD, WOODLAND, CA, 95695, with a listed phone of (530) 668-2600. NPI 1568693695 was issued on 08/06/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TIMSINA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 36 prescription claims written by this provider, covering 14 Medicare beneficiaries and totaling roughly $27K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.5085/100 for the 2023 performance year (Quality 80.342), compared with the national average of 83.1.

Sleep Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 190 enrolled providers across 45 states and an average of 1,506 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

632 W GIBSON RD
WOODLAND, CA 95695

Provider Details

NPI 1568693695
Specialty Sleep Medicine (Family Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 08/06/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

96.5085
Final Score
Avg: 83.1
80.342
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where PANKAJ TIMSINA, M.D. 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.

DIGNITY HEALTH MEDICAL FOUNDATION
WOODLAND, CA

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 PANKAJ TIMSINA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$219

Largest payer

Inspire Medical Systems, Inc.

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to PANKAJ TIMSINA, M.D.. To verify PANKAJ TIMSINA, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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 2023.

36
Total Claims
$27K
Total Drug Cost
14
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
36
Total Day Supply
975
Generic Drug Cost
$275

Patient Demographics

Average Patient Age
67.7 years
Avg HCC Risk Score
1.76

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Gabapentin
17

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Sleep Medicine (Family Medicine) Physician Overview

How PANKAJ TIMSINA, M.D. fits within the Sleep Medicine (Family Medicine) Physician landscape nationally.

190
Sleep Medicine (Family Medicine) Physician Providers in US
45
States with Sleep Medicine (Family Medicine) Physician
1,506
Avg Claims per Provider

PANKAJ TIMSINA, M.D.'s 36 claims are below the specialty average of 1,506.

Nearby Sleep Medicine (Family Medicine) Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as TIMSINA.

Compare Sleep Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PANKAJ TIMSINA, M.D.'s specialty?
PANKAJ TIMSINA, M.D. specializes in Sleep Medicine (Family Medicine) Physician and practices in WOODLAND, California. Credentials: M.D..
How much does PANKAJ TIMSINA, M.D. prescribe under Medicare Part D?
In 2023, PANKAJ TIMSINA, M.D. wrote 36 Medicare Part D claims totaling $27K in drug costs for 14 beneficiaries.
What is PANKAJ TIMSINA, M.D.'s Medicare quality score?
PANKAJ TIMSINA, M.D. has a CMS MIPS Final Score of 96.5085/100 (Quality: 80.342). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PANKAJ TIMSINA, M.D. located?
PANKAJ TIMSINA, M.D. is located at 632 W GIBSON RD, WOODLAND, CA, 95695. Phone: (530) 668-2600.
What is PANKAJ TIMSINA, M.D.'s NPI number?
PANKAJ TIMSINA, M.D.'s National Provider Identifier (NPI) is 1568693695, issued on 08/06/2009.
How many Sleep Medicine (Family Medicine) Physician providers are there in the US?
There are 190 Sleep Medicine (Family Medicine) Physician providers across 45 states in the US. The average Sleep Medicine (Family Medicine) Physician provider writes 1,506 Medicare Part D claims per year.
What drugs does PANKAJ TIMSINA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PANKAJ TIMSINA, M.D.'s most frequently prescribed drugs include Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PANKAJ TIMSINA, M.D. accept Medicare?
PANKAJ TIMSINA, M.D. appears in CMS Medicare data with 36 Part D claims and 14 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PANKAJ TIMSINA, M.D.'s credentials?
PANKAJ TIMSINA, M.D.'s NPI is 1568693695 with credentials M.D.. 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

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