Harold Marion Galara Palma, APRN
NPI 1003367087ActiveIndividual· Nurse Practitioner, Adult Health· Honolulu, HI
Nurse Practitioner, Adult Health (APRN) with Hawaii Kidney Specialists LLP, practicing in Honolulu, Hawaii. Their prescriptions cost Medicare Part D more than their services did: $424,454 for 872 claims, against $73,922 paid for services in 2024. Ardelyx, Inc. was the largest of 5 companies reporting payments in 2025, $664.11 in all, mostly food and beverage. Lists Molokai General Hospital as a hospital affiliation.
Overview
| NPI | 1003367087 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | Yes |
| NPI issued | Oct 14, 2016 |
| Last updated in NPPES | Jun 17, 2021 |
| Certified by provider | Jun 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 2193 | HI |
| Nurse Practitioner, Gerontology | 363LG0600X | 2193 | HI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (HI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 53 |
|---|---|
| Services billed | 340 across 5 procedure codes |
| Paid by Medicare | $73,922 |
Part D prescriptions in 2024
| Prescriptions (claims) | 872 · 1,507 30-day fills |
|---|---|
| Patients | 93 |
| Total drug cost | $424,454 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Hawaii Kidney Specialists LLPHonolulu, HI · 30 clinicians
Hospital affiliation
- Molokai General HospitalKaunakakai, HI
Industry payments (Open Payments)
- 2025$664.11 · 8 payments from 5 companies
- 2024$1,364 · 21 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ardelyx, Inc. | $156.84 | 4 |
| Calliditas Therapeutics US Inc. | $142.50 | 1 |
| Nxstage Medical, Inc. | $131.24 | 1 |
| Akebia Therapeutics Inc | $121.85 | 1 |
| Sanofi-Aventis U.S. LLC | $111.68 | 1 |
What the 2025 payments were for
- Food and Beverage$664.11 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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