Roshan Ghimire, MD
NPI 1184936072ActiveIndividual· Family Medicine· Fayetteville, NY
Family Medicine (MD) with St Josephs Medical PC and 1 other group, practicing in Fayetteville, New York. Their prescriptions cost Medicare Part D more than their services did: $562,191 for 4,864 claims, against $47,724 paid for services in 2024. Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) was the largest of 13 companies reporting payments in 2025, $394.46 in all, mostly food and beverage. Lists Crouse Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1184936072 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 8, 2010 |
| Last updated in NPPES | Jun 20, 2023 |
| Certified by provider | Jun 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 317104 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MN); Practitioner - Family Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 215 |
|---|---|
| Services billed | 1,181 across 60 procedure codes |
| Paid by Medicare | $47,724 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,864 · 9,888 30-day fills |
|---|---|
| Patients | 453 |
| Total drug cost | $562,191 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical groups
- St Josephs Medical PCSyracuse, NY · 382 clinicians
- St Josephs Hospital Health CenterSyracuse, NY · 111 clinicians
Hospital affiliations
- Crouse HospitalSyracuse, NY
- St Joseph's Hospital Health CenterSyracuse, NY
Industry payments (Open Payments)
- 2025$394.46 · 20 payments from 13 companies
- 2024$396.97 · 23 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $75.83 | 4 |
| Lilly USA, LLC | $46.44 | 2 |
| Exact Sciences Corporation | $37.26 | 2 |
| Madrigal Pharmaceuticals | $34.22 | 1 |
| Insulet Corporation | $32.87 | 1 |
What the 2025 payments were for
- Food and Beverage$394.46 · 20 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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