Michael J. Nelms, PA-C
NPI 1235113580ActiveIndividual· Physician Assistant· San Diego, CA
Physician Assistant (PA-C) with J Robert West MD Inc, practicing in San Diego, California. 436 Medicare patients in 2024, $230,287 paid; nearly all of their 411 Part D prescriptions were generic (95%). Galderma Laboratories, L.P. was the largest of 17 companies reporting payments in 2025, $1,451 in all, mostly food and beverage.
Overview
| NPI | 1235113580 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Nov 30, 2005 |
| Last updated in NPPES | Mar 15, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA14379 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 436 |
|---|---|
| Services billed | 12,355 across 59 procedure codes |
| Paid by Medicare | $230,287 |
Part D prescriptions in 2024
| Prescriptions (claims) | 411 · 469 30-day fills |
|---|---|
| Patients | 186 |
| Total drug cost | $238,483 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- J Robert West MD IncLas Vegas, NV · 138 clinicians
Industry payments (Open Payments)
- 2025$1,451 · 63 payments from 17 companies
- 2024$1,601 · 76 payments from 16 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Galderma Laboratories, L.P. | $343.17 | 7 |
| Abbvie Inc. | $175.32 | 19 |
| Novartis Pharmaceuticals Corporation | $139.41 | 5 |
| Genzyme Corporation | $120.96 | 4 |
| Regeneron Healthcare Solutions, Inc. | $112.28 | 4 |
What the 2025 payments were for
- Food and Beverage$1,451 · 63 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 757 physician assistants in San Diego · All physician assistants in California