Doctor profile · Federal record

Dr. Michael Palms, FNP-BC

Family Nurse Practitioner (CMS: Nurse Practitioner) · General Practice Registered Nurse · Fresno, CA

  • NPI 1336739739
  • Accepts Medicare
  • MIPS 26.5 / 100 · 2023
  • 6 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
199 W Shields Ave
Fresno, CA 937054102
(559) 225-4706
Additional location
4177 W Shaw Ave Ste 107
Fresno, CA 937226221

Credentials & registration

NPPES · NUCC
NPI registered
January 2021 — 5 yrs on file
Profile last updated
July 21, 2022
Year of graduation
2020 — 6 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State licenses (2)
California #95016447 · California #95058165

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1336739739. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
977
Distinct HCPCS
10
Medicare allowed
$63,358
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 472 177 $100
J1885 Injection, ketorolac tromethamine, per 15 mg 148 20 $1
99213 Established patient office or other outpatient visit, 20-29 minutes 74 61 $67
96372 Injection of drug or substance under skin or into muscle 46 25 $12
80305 Testing for presence of drug, read by direct observation 45 22 $12
87804 Detection test by immunoassay with direct visual observation for influenza virus 40 20 $15
99215 Established patient office or other outpatient visit, 40-54 minutes 31 26 $153
83037 Hemoglobin a1c level, by device for home use 27 26 $9
80061 Blood test, lipids (cholesterol and triglycerides) 24 23 $13
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 23 23 $48

In context: peer comparison

Among 35 peers in Fresno Family Nurse Practitioner, average services per provider: 136. This provider delivers 7.2× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$604
Transactions
17
Manufacturers
5
Payer (manufacturer) Industry Txns Amount
AstraZeneca Pharmaceuticals Lp 13 $533.08
Pfizer INC. 1 $20.88
Novo Nordisk INC 1 $20.05
Otsuka America Pharmaceutical, INC. 1 $16.12
Exact Sciences Corporation 1 $13.51

By nature of payment

Food and Beverage
$604

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
709
Patients
259
Total drug cost
$17,809
Drug Type Claims Patients Total cost
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 137 37 $5,236
Atorvastatin Calcium Generic 73 24 $1,366
Gabapentin Generic 63 19 $2,380
Metformin Hcl Generic 61 18 $1,135
Levothyroxine Sodium Generic 46 18 $746
Metoprolol Succinate Generic 44 15 $850
Azithromycin Generic 34 31 $222
Pantoprazole Sodium Generic 33 0 $505
Ventolin Hfa (Albuterol Sulfate) Brand 33 15 $2,448
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 32 13 $1,119

Frequently asked questions

Auto-generated from federal data
What is Dr. Michael Palms's medical specialty?
Dr. Michael Palms practices Family Nurse Practitioner in Fresno, CA.
Where does Dr. Michael Palms practice?
Dr. Michael Palms practices at 199 W Shields Ave, Fresno, CA 937054102. Office phone: 5592254706.
What is Dr. Michael Palms's NPI?
Dr. Michael Palms's National Provider Identifier (NPI) is 1336739739, issued by NPPES.
Does Dr. Michael Palms accept Medicare assignment?
Yes. Dr. Michael Palms accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Palms commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Injection, ketorolac tromethamine, per 15 mg (HCPCS J1885); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.