Sumesh Khanal, M.D.
Also practices: HOSPITALIST
Sumesh Khanal, M.D. specializes in hospitalist, serving patients in Rochester, NY in group practice. He has been in practice for 11+ years. He regularly sees Medicare patients with hypertension, high cholesterol, and anxiety (per CMS claims data). CMS MIPS quality score: 95.2/100 (2023).
At a glance
- Federal MIPS score higher than 66% of MIPS-scored doctors in New York
- Virtual visits available — no app or travel required
Older · 845dNPPES updated 2024-01-12 · verify on CMS
Contact & Location
Practice Location
1425 Portland Ave, Rochester, NY 14621-3011
How Does This Doctor Compare?
Based on Medicare data, this doctor has an average quality score compared to other doctors in New York.
MIPS Score
202395.2/100
New York avg: 87 · US avg: 83.6
✓ Higher than most doctors nationally(+11.6 pts)
Average range among MIPS-scored doctors in New YorkHow the government rates this doctor's Medicare care quality. Scores above 75 are considered good.
Medicare Patients
162
Unique beneficiaries
Standard volumePrescription Recipients
141
Patients prescribed
Prescriptions Written
412
Total claims
Total Medicare drug cost: $49k
Percentile rankings compared against 8,064 reporting peers in New York.
Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.
What This Doctor Treats Most
Based on Medicare claims data — here's what patients commonly see this doctor for
Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Anxiety Disorders.
High blood pressure — a leading risk factor for heart disease and stroke
US avg: 70.2%↑ More patients than average (+5%) — a focus area for this doctor
Elevated cholesterol or triglycerides that increase heart disease risk
US avg: 70.4%↑ More patients than average (+5%) — a focus area for this doctor
Excessive worry or fear that interferes with daily life
US avg: 34.1%↑ More patients than average (+18%) — a focus area for this doctor
A condition where the body cannot properly regulate blood sugar levels
US avg: 34.5%↑ More patients than average (+17%) — a focus area for this doctor
Joint inflammation causing pain, swelling, and stiffness
US avg: 49.3%↑ More patients than average (+2%) — a focus area for this doctor
The heart cannot pump blood efficiently enough to meet the body's needs
US avg: 22.5%↑ More patients than average (+28%) — a focus area for this doctor
Conditions affecting emotional state, including depression and bipolar disorder
Reduced blood flow to the heart muscle, commonly known as coronary artery disease
US avg: 31.7%↑ More patients than average (+16%) — a focus area for this doctor
Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.
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Background & Specialty
Education, training, and specialty classification from CMS NPPES and Medicare records.
Board certified · Jan 11, 2024
CMS-verified certification date
11 years in practice
Established
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Taxonomy: 208M00000X
Mailing address
100 Kings Hwy S, Rochester, NY 14617-5504
Differs from practice location
Virtual Hospitalist Care With Sumesh Khanal
NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.
Schedule a virtual visit with Sumesh Khanal for blood pressure monitoring, cholesterol management, anxiety counseling — no travel to Rochester required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.
Frequently Asked Questions
Common questions about Sumesh Khanal
NPI records show Dr. Khanal as active with telehealth listed in Rochester, NY. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (585) 922-5067.
Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Physician Comparator. See Data Methodology.
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Contact Sumesh Khanal
Practice Location
1425 Portland Ave, Rochester, NY 14621-3011
Mailing Address
100 Kings Hwy S, Rochester, NY 14617-5504
This is a provider directory. Contact the office directly to schedule appointments.
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