Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043731011 Individual Practitioner Male Practitioner

Dr. Sanjay Timilsina , MD

Internal Medicine • Springfield, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sanjay Timilsina, MD is a certified Internal Medicine practicing in Springfield, MA. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Timilsina delivers high-quality medical care to the local community at 759 CHESTNUT STREET.

Dr. Timilsina is affiliated with Baystate Medical Practices Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

759 Chestnut Street

Springfield, MA 011071619

Telephone 4137946297
Fax 4137941767

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, MA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -7.3 yrs vs City Avg
City Avg: 20.3 Yrs
State Avg: 29.3 Yrs
Regional Practice Density
289 Specialists

Practicing in Springfield, MA (7127 Statewide)

Telehealth Adoption Rate
16.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Timilsina (13 Years) 13 Yrs
Springfield Specialty Average (20.3 Years) 20.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
363 176 $177.49 $77.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
267 134 $254.16 $116.56
99239 Hospital discharge day management, more than 30 minutes
182 181 $263.07 $113.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
31 31 $477.74 $166.84

Medical Specialties & State Licenses

CMS Verified: 2020-09-08
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 284153

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Baystate Medical Practices Inc

759 Chestnut St, Springfield, MA 011071619

Phone: 4137948121

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
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Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 08, 2020

Registered at 759 CHESTNUT STREET, SPRINGFIELD, MA 011071619 (Tel: 4137946297)

📍
Updated Business Mailing Address September 08, 2020

Registered at 280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2020

Internal Medicine (License #284153 in MA)

NPI Profile Active June 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2017

Registered at 1545 ATLANTIC AVE, BROOKLYN, NY 112131122 (Tel: 9717270085)

📍
Updated Business Mailing Address June 29, 2017

Registered at 10534 77TH ST FL 2, OZONE PARK, NY 114171011 (Tel: 9717270085)

👤
Provider Name / Credentials Updated June 29, 2017

Recorded as SANJAY TIMILSINA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 29, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043731011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2017
Last Update: September 08, 2020
Sole Proprietor: No

Mailing Address

280 Chestnut Street, 2nd Floor

Springfield, MA 011991001

Phone: 4137945700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.