NPPES file of Aug 9, 2026

Cynthia M. Pals, M.D.

Family Medicine Physician · Orange City, IA

Cynthia M. Pals, M.D. is a family medicine physician with a practice address in Orange City, Iowa, and NPI 1043297245, issued on Dec 28, 2005. Check the license (Iowa 26174, as entered in NPPES) on the Iowa Board of Medicine; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1043297245
Name
Cynthia M. Pals
Credential
M.D.
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
26174 IA
Self-reported in NPPES; status is on the state search
Practice location
1000 Lincoln Cir SE, Orange City, IA 51041
Phone
(712) 737-2000
Enumerated
Dec 28, 2005
Record last updated
May 18, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(712) 737-2115
Medicaid IDs
1037820 IA
0037820 IA
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 1000 Lincoln Cir SE

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Nicholas Adams, DPTPhysical Therapist1922454297
  2. Glenda Altena, ARNPFamily Nurse Practitioner1013995919
  3. Lori Anderson, PAMedical Physician Assistant1083932834
  4. Susan BlankersPhysical Therapist1073773255
  5. Olivia Chapman, FNPFamily Nurse Practitioner1952853343
  6. James Clemens, M.D.Family Medicine Physician1427043744

Verify Cynthia M. Pals in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIowa Board of Medicine
    Search for license 26174
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Iowa license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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93% fewer Medicare Part D claims than the average family medicine physician in 2024

264 Medicare Part D claims for 74 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D.

  1. Cynthia Pals264
  2. Specialty average3,544

Most prescribed

  1. Atorvastatin Calcium22 claims
  2. Levothyroxine Sodium20 claims
  3. Losartan Potassium14 claims
  4. Lisinopril11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 83.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score96.1
  2. Costout of 100 · 30%50.8
  3. Promoting interoperabilityout of 100 · 25%98.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Cynthia M. Pals among 2,336 family medicine physician records in Iowa

Cynthia M. Pals, M.D. is one of 2,336 family medicine physician records with a practice address in Iowa. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 84% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileNo · 59% of these records are
  • Record last updated2021 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Iowa practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

16 family medicine physician records list a practice address in Orange City

They are 16 of the 186 NPPES records with a practice address in Orange City, and 2,336 family medicine physician records in Iowa.

The 8 family medicine physician records with the nearest ZIP codes

  1. James Clemens, M.D.Orange City, IA 510411427043744
  2. Taylor Dreise, DOOrange City, IA 510411700444932
  3. Jonathan Grossmann, M.D.Orange City, IA 510411730166935
  4. Harrison Hanson, MDOrange City, IA 510411043419682
  5. Michael Jurgens, MDOrange City, IA 510411295724052
  6. Lee Kamstra, M.D.Orange City, IA 510411164409215
  7. Alan Laird, M.D.Orange City, IA 510411104803303
  8. Nigel Millard, DOOrange City, IA 510411194924886

Common questions

What is Cynthia M. Pals, M.D.'s NPI number?

Cynthia M. Pals, M.D.'s National Provider Identifier (NPI) is 1043297245, issued on Dec 28, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Cynthia M. Pals, M.D. located?

The NPPES record lists a practice address at 1000 Lincoln Cir SE, Orange City, IA, 51041. Phone: (712) 737-2000. Providers update this record themselves, so call before visiting.

How can I verify Cynthia M. Pals, M.D.'s license?

NPPES lists Iowa license number 26174, as entered by the provider. Search the Iowa Board of Medicine at https://dial.iowa.gov/about-dial/boards-and-commissions/medicine. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Cynthia M. Pals, M.D. prescribe under Medicare Part D?

In 2024, Cynthia M. Pals, M.D. had 264 Medicare Part D claims for 74 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is Cynthia M. Pals, M.D.'s MIPS final score?

The 2023 MIPS final score is 83.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.