Active NPI 1972662260 Individual Practitioner Male Practitioner

Dr. Avinash Ghimire , MD

Internal Medicine - Nephrology • Bastrop, TX

✓ Accepts Medicare Assignment Telehealth Available

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Avinash Ghimire, MD is a registered Internal Medicine - Nephrology practitioner in Bastrop, TX. With approximately 25 years of clinical practice since completing medical education in 2001, Dr. Ghimire provides healthcare services at the registered practice location at 3101 HIGHWAY 71 E STE 201.

Dr. Ghimire is affiliated with The Austin Diagnostic Clinic Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include dialysis services, 2-3 physician visits per month (20 years or older), established patient outpatient office visit, subsequent hospital care with moderate levelof 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

3101 Highway 71 E Ste 201

Bastrop, TX 786025157

Telephone 5129014010

Fax 5129013910

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Bastrop, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs Matches City Avg

City Avg: 25.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Bastrop, TX (1192 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

54.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ghimire (25 Years) 25 Yrs

Bastrop Specialty Average (25.0 Years) 25.0 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
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	250	44	$795.63	$294.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	69	$236.14	$130.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	30	$149.56	$80.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$331.57	$170.00
90962 Dialysis services, 1 physician visit per month (20 years or older)	44	24	$557.57	$202.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	17	$208.00	$119.66
99213 Established patient office or other outpatient visit, typically 15 minutes	15	11	$143.87	$92.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	13	$286.67	$132.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	232	35	$781.00	$338.39
90935 Hemodialysis procedure with physician evaluation	105	36	$222.00	$68.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	68	$218.00	$121.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	23	$147.00	$76.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	41	$298.00	$124.83
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	19	13	$630.00	$281.09
81000 Manual urinalysis test with examination using microscope, non-automated	11	11	$25.00	$3.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	347	44	$781.00	$346.11
90935 Hemodialysis procedure with physician evaluation	106	52	$222.00	$70.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	102	41	$209.00	$98.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	66	$218.00	$122.61
90945 Dialysis procedure including 1 evaluation	49	15	$253.00	$82.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	47	$298.00	$129.20
99443 Telephone medical discussion with physician, 21-30 minutes	42	39	$135.00	$122.75
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	25	19	$630.00	$286.99
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$139.00	$86.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$362.00	$159.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	12	$147.00	$68.33
81000 Manual urinalysis test with examination using microscope, non-automated	11	11	$25.00	$3.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	403	56	$781.00	$350.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	103	$218.00	$123.82
90935 Hemodialysis procedure with physician evaluation	143	54	$222.00	$71.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	113	52	$209.00	$99.79
99443 Telephone medical discussion with physician, 21-30 minutes	89	73	$135.00	$124.86
90966 Home dialysis services per month, patient 20 years of age or older	62	12	$623.00	$289.21
90945 Dialysis procedure including 1 evaluation	56	22	$253.00	$83.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	46	$298.00	$131.19
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	39	22	$630.00	$289.61
81000 Manual urinalysis test with examination using microscope, non-automated	24	24	$25.00	$4.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$362.00	$161.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	15	$147.00	$69.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	407	76	$781.00	$281.13
90935 Hemodialysis procedure with physician evaluation	162	50	$222.00	$73.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	95	$218.00	$104.53
99443 Telephone medical discussion with physician, 21-30 minutes	113	90	$120.35	$97.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	71	39	$209.00	$102.65
90966 Home dialysis services per month, patient 20 years of age or older	65	26	$623.00	$233.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	54	$298.00	$135.48
90945 Dialysis procedure including 1 evaluation	43	11	$253.00	$85.33
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	42	30	$630.00	$235.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	17	$147.00	$71.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$359.63	$158.27
81000 Manual urinalysis test with examination using microscope, non-automated	17	17	$25.00	$4.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	308	122	$781.00	$276.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	161	$218.00	$103.45
90935 Hemodialysis procedure with physician evaluation	116	54	$222.00	$71.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	101	48	$147.00	$70.91
90966 Home dialysis services per month, patient 20 years of age or older	76	23	$623.00	$230.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	42	$298.00	$133.32
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	45	38	$630.00	$232.66
99213 Established patient office or other outpatient visit, typically 15 minutes	40	33	$139.00	$71.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	17	$209.00	$101.42
81000 Manual urinalysis test with examination using microscope, non-automated	24	24	$25.00	$3.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$362.00	$158.38
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	11	$57.00	$21.63
90945 Dialysis procedure including 1 evaluation	14	11	$253.00	$83.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	602	25	$14.00	$12.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	349	180	$218.41	$102.09
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	214	32	$781.00	$273.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	171	75	$209.00	$100.62
90935 Hemodialysis procedure with physician evaluation	131	60	$222.00	$70.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	88	69	$298.00	$130.43
85018 Blood count, hemoglobin	75	25	$10.00	$2.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	25	$35.00	$19.36
90966 Home dialysis services per month, patient 20 years of age or older	68	18	$623.00	$229.10
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	47	25	$630.00	$229.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$362.00	$156.98
81000 Manual urinalysis test with examination using microscope, non-automated	27	26	$25.00	$3.94
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$139.00	$69.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	11	$147.00	$70.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	770	22	$14.00	$12.99
99213 Established patient office or other outpatient visit, typically 15 minutes	382	195	$139.00	$68.57
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	211	28	$781.00	$271.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	165	77	$147.00	$69.36
90935 Hemodialysis procedure with physician evaluation	133	62	$222.00	$69.72
85018 Blood count, hemoglobin	114	22	$10.00	$3.18
90970 Dialysis services, per day, less than full month service (20 years or older)	114	12	$23.00	$7.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	106	22	$35.00	$23.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	73	67	$298.00	$131.18
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	54	22	$630.00	$228.08
81000 Manual urinalysis test with examination using microscope, non-automated	40	39	$25.00	$4.05
90945 Dialysis procedure including 1 evaluation	39	18	$253.00	$82.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$362.00	$155.24

Medical Specialties & State Licenses

CMS Verified: 2024-01-11

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License TX T8408

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License ME MD19410

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.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

State License ME MD19410

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare-Unspecified

1972662260 (ME)

Hospital & Practice Group Affiliations

The Austin Diagnostic Clinic Pllc

3101 Hwy 71 E, Bastrop, TX 786025157

Phone: 5129014010

Practice Associates & Co-Workers

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

8 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 January 11, 2024

Registered at 3101 HIGHWAY 71 E STE 201, BASTROP, TX 786025157 (Tel: 5129014010)

📍

Updated Business Mailing Address January 11, 2024

Registered at 3101 HIGHWAY 71 E STE 201, BASTROP, TX 786025157 (Tel: 5129014010)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2024

Internal Medicine (License #T8408 in TX)

✅

NPI Profile Active February 26, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 26, 2013

Registered at 710 MAIN ST, LEWISTON, ME 042405801 (Tel: 2077831449)

📍

Updated Business Mailing Address February 26, 2013

Registered at 710 MAIN ST, LEWISTON, ME 042405801 (Tel: 2077831449)

👤

Provider Name / Credentials Updated February 26, 2013

Recorded as AVINASH GHIMIRE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2013

Internal Medicine (License #MD19410 in ME)

🟢

Initial NPI Registration & Enumeration December 06, 2006

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: 1972662260

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 06, 2006

Last Update: January 11, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3101 Highway 71 E Ste 201

Bastrop, TX 786025157

Phone: 5129014010

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.