Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Manuel Fernandez Palmer, MD

Individual provider Internal Medicine Physician · NPI 1407136310

Dr. Manuel Fernandez Palmer, MD practises Internal Medicine in Waco, Texas. Graduated from University of Puerto Rico School of Medicine in 2009, 17 years ago. Practices with Central Texas Nephrology Associates, PA, a 14-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
17
Trained at
University of Puerto Rico School of Medicine
Licensed in
TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5940 Crosslake Pkwy
Waco, TX 76712-6986 Not confirmed with CMS for 10 years — call before visiting
Phone: (254) 666-2999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence Q4949 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence Q4949 (TX)

Record details

NPI number1407136310
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 23, 2011
Last updated in NPPESJune 9, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Central Texas Nephrology Associates, P.A. — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients447
Services billed 1,403 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $66 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Central Texas Nephrology Associates, PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 14 clinicians in the practice; 12 are shown here.

Other providers in Waco