NPIMap

Individual provider Active NPI

Michael Anthony Palmer, M.D.

  • Surgery Physician
  • Eureka, CA
National Provider Identifier
1669539862
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G65321 Issued in CA
Practice address
2321 Harrison Ave
Eureka, CA 95501-3216
Phone
(707) 445-3660
Fax
(707) 476-8431
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G65321 CA Primary

Addresses

Primary practice location

2321 Harrison Ave
Eureka, CA 95501-3216

Mailing address

2321 Harrison Ave
Eureka, CA 95501-3216
Phone (707) 445-3660

Other identifiers 1

IdentifierTypeStateIssuer
00G653210MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080614000075 CA Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 6305917642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
University of Minnesota Medical School, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Coast Surgical SpecialistsGroup PAC ID 2466435896, 2 clinicians

Practice addresses (Care Compare)

2321 Harrison Ave
Eureka, CA 95501-3216
Phone (707) 445-3674

Hospital & facility affiliations

  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • Sutter Coast Hospital Hospital, Crescent City, CA, CCN 050417
  • Mad River Community Hospital Hospital, Arcata, CA, CCN 050028
  • Jerold Phelps Community Hospital Hospital, Garberville, CA, CCN 051309

Merit-based Incentive Payment System (MIPS)

Final score
86.13 of 100Reported as individual
Quality
67.4
Promoting interoperability
85
Improvement activities
40
Cost
75.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy52
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux48
Varicose vein removal263
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)80
Removal of tissue14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65321CAMDClinical Social Worker
G65321CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Surgical Specialists Surgery CurrentSince Jan 1, 1998 Accepting new patients
Mad River Community Anesthesia Medical Group Past Accepting new patients
Sutter Coast Hospital Past Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

2321 Harrison Ave
Eureka, CA 95501
Phone (707) 445-3660

Interoperability endpoints

  • Direct secure messaging: michaelpalmer@ncss.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669539862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013216",
            "telephone_number": "707-445-3660",
            "fax_number": "707-476-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013216",
            "telephone_number": "707-445-3660",
            "fax_number": "707-476-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G65321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G653210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.