NPI registry status
Active
2026 NPPES data General Practice Registered Nurse NPI 1336739739 FNP-BC
Verify on CMS → Michael Palms, FNP-BC
General Practice Registered Nurse in Fresno, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 5,532 in General Practice Registered Nurse, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 263 beneficiaries · General Practice Registered Nurse avg: 1K
Generic prescribing
85%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
31.5/100
▼ 52 pts below national avg 83.1 · Below average
Industry payments
$603.64
17 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Michael Palms, FNP-BC reported a CMS MIPS final score of 31.5/100 - below the 83.1 national average - and filed 2,027 Medicare Part D claims in 2023.
- 31.5/100
- MIPS score · -52 vs avg
- 2K
- Part D claims, 2023
- 85%
- generic prescribing
- $603.64
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Michael Palms, FNP-BC's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
32 3rd percentile higher than 3% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Michael Palms, FNP-BC sits
This provider among general practice registered nurse peers
Across the 134 general practice registered nurse providers who report both Medicare Part D prescribing and a MIPS quality score, Michael Palms, FNP-BC writes more Part D claims than 78% of them and scores higher on MIPS quality than 3% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one general practice registered nurse peer from a representative sample of 60; the gold marker is Michael Palms, FNP-BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Michael Palms, FNP-BC?
Below national averagePrimary specialty
General Practice Registered Nurse
Medicare Part D claims
2,027 71% vs specialty avg
MIPS final score
31.5/100 51.6 pts vs avg
Specialty distribution in California
How General Practice Registered Nurse compares to other specialties among California providers
Medicare quality performance, MIPS
Michael Palms, FNP-BC's 2023 MIPS final score plotted against the General Practice Registered Nurse national average
- MIPS Final Score
- 31.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (General Practice Registered Nurse) - 31.5/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Michael Palms, FNP-BC appears in the CMS NPPES registry as a General Practice Registered Nurse provider holding FNP-BC credentials at 199 W SHIELDS AVE, Fresno, CA, 93705, with a listed phone of (559) 225-4706. NPI 1336739739 was issued on 01/20/2021.
Medicare Part D records for calendar year 2023 show 2,027 prescription claims written by this provider, covering 263 Medicare beneficiaries and totaling roughly $259K in drug spend, split 14% brand-name and 85% generic by claim count, with an opioid prescribing rate of 12.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 31.5/100 for the 2023 performance year (Quality 0, Cost 88.4), compared with the national average of 83.1.
General Practice Registered Nurse is a mid-sized specialty nationwide, with 5,532 enrolled providers across 55 states and an average of 1,187 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1336739739 |
|---|---|
| Specialty | General Practice Registered Nurse |
| Credentials | FNP-BC |
| Gender | Male |
| NPI Issued | 01/20/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
31.51
Final Score
Avg: 83.1
0
Quality
88.3665
Cost
0
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Michael Palms, FNP-BC bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Central Valley Urgent Care Medical Group Inc
Fresno, CA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Michael Palms, FNP-BC. Source: openpaymentsdata.cms.gov.
Total received
$604
Largest payer
AstraZeneca Pharmaceuticals LP
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - California MBC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Michael Palms, FNP-BC. To verify Michael Palms, FNP-BC's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Michael Palms, FNP-BC - brand share 14.0%
General Practice Registered Nurse average
14% brand-name claims vs 85% generic, on 2,027 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
2,027
Total Claims
$259K
Total Drug Cost
263
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,316
- Total Day Supply
- 91,338
- Brand vs Generic
- 14% brand / 85% generic
- Brand Drug Cost
- $204K
- Generic Drug Cost
- $54K
- Opioid Claims
- 262 (12.9% rate)
- Antibiotic Claims
- 124
Patient Demographics
- Average Patient Age
- 69.5 years
- Avg HCC Risk Score
- 1.38
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 47, 65-74: 139, 75-84: 63, 85+: 14
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Michael Palms, FNP-BC prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
137 claims
- Atorvastatin Calcium
Atorvastatin Calcium
73 claims
- Gabapentin
Gabapentin
63 claims
- Metformin Hcl
Metformin Hcl
61 claims
- Levothyroxine Sodium 46
Levothyroxine Sodium
46 claims
- Metoprolol Succinate 44
Metoprolol Succinate
44 claims
- Azithromycin 34
Azithromycin
34 claims
- Pantoprazole Sodium 33
Pantoprazole Sodium
33 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 137 |
| Atorvastatin Calcium | 73 |
| Gabapentin | 63 |
| Metformin Hcl | 61 |
| Levothyroxine Sodium | 46 |
| Metoprolol Succinate | 44 |
| Azithromycin | 34 |
| Pantoprazole Sodium | 33 |
| Ventolin Hfa Albuterol Sulfate | 33 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 32 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
General Practice Registered Nurse Overview
How Michael Palms, FNP-BC fits within the General Practice Registered Nurse landscape nationally.
5,532
General Practice Registered Nurse Providers in US
55
States with General Practice Registered Nurse
1,187
Avg Claims per Provider
Michael Palms, FNP-BC's 2,027 claims are above the specialty average of 1,187.
Nearby General Practice Registered Nurse Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Palms.
Dr. Christine Acapulco
RN
Fresno, CA
Charles Agustin
Ventura, CA
Dr. Shaheen Akram
RN
Covina, CA
Dr. Betssy Alanya
NP
Northridge, CA
Dr. Marlena Alazzam
RN
Fresno, CA
Compare General Practice Registered Nurse nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby General Practice Registered Nurse peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Michael Palms, FNP-BC's specialty? ▼
Michael Palms, FNP-BC specializes in General Practice Registered Nurse and practices in Fresno, California. Credentials: FNP-BC.
How much does Michael Palms, FNP-BC prescribe under Medicare Part D? ▼
In 2023, Michael Palms, FNP-BC wrote 2,027 Medicare Part D claims totaling $259K in drug costs for 263 beneficiaries.
What is Michael Palms, FNP-BC's Medicare quality score? ▼
Michael Palms, FNP-BC has a CMS MIPS Final Score of 31.5/100 (Quality: 0, Cost: 88.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michael Palms, FNP-BC located? ▼
Michael Palms, FNP-BC is located at 199 W SHIELDS AVE, Fresno, CA, 93705. Phone: (559) 225-4706.
What is Michael Palms, FNP-BC's NPI number? ▼
Michael Palms, FNP-BC's National Provider Identifier (NPI) is 1336739739, issued on 01/20/2021.
Does Michael Palms, FNP-BC prescribe more brand-name or generic drugs? ▼
Michael Palms, FNP-BC's prescribing is 14% brand-name and 85% generic drugs by claim count, with $204K in brand drug costs.
Does Michael Palms, FNP-BC prescribe opioids? ▼
Yes, Michael Palms, FNP-BC had 262 opioid claims in 2023 with an opioid prescribing rate of 12.9%.
How many General Practice Registered Nurse providers are there in the US? ▼
There are 5,532 General Practice Registered Nurse providers across 55 states in the US. The average General Practice Registered Nurse provider writes 1,187 Medicare Part D claims per year.
What drugs does Michael Palms, FNP-BC prescribe most often? ▼
Based on 2023 Medicare Part D data, Michael Palms, FNP-BC's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Atorvastatin Calcium, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Palms, FNP-BC accept Medicare? ▼
Michael Palms, FNP-BC appears in CMS Medicare data with 2,027 Part D claims and 263 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Palms, FNP-BC's credentials? ▼
Michael Palms, FNP-BC's NPI is 1336739739 with credentials FNP-BC. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.