Lily Dhungana Klug, FNP-C
NPI 1467933903ActiveIndividual· Nurse Practitioner· Fresno, CA
Nurse Practitioner (FNP-C) with Community Foundation Medical Group, practicing in Fresno, California. Their prescriptions cost Medicare Part D more than their services did: $415,356 for 4,799 claims, against $60,096 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 4 companies reporting payments in 2025, $492.22 in all, mostly food and beverage.
Overview
| NPI | 1467933903 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Aug 23, 2018 |
| Last updated in NPPES | Jul 31, 2024 |
| Certified by provider | Jul 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | NP95009596 | 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 - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 221 |
|---|---|
| Services billed | 1,174 across 44 procedure codes |
| Paid by Medicare | $60,096 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,799 · 11,126 30-day fills |
|---|---|
| Patients | 452 |
| Total drug cost | $415,356 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Community Foundation Medical GroupFresno, CA · 283 clinicians
Industry payments (Open Payments)
- 2025$492.22 · 17 payments from 4 companies
- 2024$1,025 · 32 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $394.53 | 13 |
| Boston Scientific Corporation | $52.02 | 2 |
| Pfizer Inc. | $25.63 | 1 |
| Abbott Laboratories | $20.04 | 1 |
What the 2025 payments were for
- Food and Beverage$492.22 · 17 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 214 nurse practitioners in Fresno · All nurse practitioners in California