Medicare Enrolled

Dr. Rosalinda Nogales, MD

Family Medicine · Fresno, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
7355 N PALM AVE, Fresno, CA 93711
5592716300
In practice since 2006 (19 years)
NPI: 1912911249 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Nogales from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Nogales

Dr. Rosalinda Nogales is a family medicine specialist in Fresno, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Nogales performed 761 Medicare services across 437 unique beneficiaries.

Between the years covered by Open Payments, Dr. Nogales received a total of $9,962 from 65 pharmaceutical and/or device companies across 609 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Nogales is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 30% volume in CA $9,962 industry payments

Medicare Practice Summary

Medicare Utilization ↗
761
Medicare services
Top 30% in CA for family medicine
437
Unique beneficiaries
$72
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~40 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
431 $88 $405
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
139 $64 $285
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
64 $32 $69
Flu vaccine, high-dose
High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe.
62 $71 $183
Bone density scan (DEXA)
A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures.
28 $41 $230
Automated urinalysis
An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine.
20 $2 $9
Pneumonia vaccine administration
This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider.
17 $32 $45
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$9,962
Total received (2018-2024)
Avg $1,423/year across 7 years
Top 4% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
65
Companies
609
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,962 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,001
2023
$1,303
2022
$990
2021
$1,866
2020
$1,456
2019
$1,521
2018
$1,825

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$217
Astellas Pharma US Inc
$79
IRONWOOD PHARMACEUTICALS, INC
$68
Lilly USA, LLC
$66
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$51
PFIZER INC.
$48
ABIOMED
$45
Novo Nordisk Inc
$38
Amgen Inc.
$37
ABBVIE INC.
$36
Hologic Sales and Service, LLC
$35
Merck Sharp & Dohme LLC
$34
Axsome Therapeutics, Inc.
$32
Janssen Pharmaceuticals, Inc
$29
Exact Sciences Corporation
$24
Otsuka America Pharmaceutical, Inc.
$23
Ultragenyx Pharmaceutical Inc.
$22
GlaxoSmithKline, LLC.
$22
Boehringer Ingelheim Pharmaceuticals, Inc.
$20
Bayer Healthcare Pharmaceuticals Inc.
$20
VERTEX PHARMACEUTICALS INCORPORATED
$20
Abbott Laboratories
$19
Phathom Pharmaceuticals, Inc.
$15
Top 3 companies account for 36.4% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$1,210
Amgen Inc.
$967
Lilly USA, LLC
$611
AbbVie Inc.
$572
PFIZER INC.
$516
Novo Nordisk Inc
$461
Amarin Pharma Inc.
$394
Takeda Pharmaceuticals U.S.A., Inc.
$371
ABBVIE INC.
$365
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$344
Boehringer Ingelheim Pharmaceuticals, Inc.
$324
Kowa Pharmaceuticals America, Inc.
$273
Merck Sharp & Dohme Corporation
$245
Allergan, Inc.
$222
Astellas Pharma US Inc
$219
Ironwood Pharmaceuticals, Inc
$175
GlaxoSmithKline, LLC.
$175
Corcept Therapeutics
$156
Regeneron Healthcare Solutions, Inc.
$155
Biohaven Pharmaceuticals, Inc.
$139
Dynavax Technologies Corporation
$134
IRONWOOD PHARMACEUTICALS, INC
$130
Abbott Laboratories
$113
Axsome Therapeutics, Inc.
$100
Bayer HealthCare Pharmaceuticals Inc.
$99
Esperion Therapeutics, Inc.
$92
Janssen Pharmaceuticals, Inc
$84
Eisai Inc.
$76
Bayer Healthcare Pharmaceuticals Inc.
$68
Merck Sharp & Dohme LLC
$62
Gilead Sciences, Inc.
$62
Ultragenyx Pharmaceutical Inc.
$58
Allergan Inc.
$57
SANOFI-AVENTIS U.S. LLC
$52
ARBOR PHARMACEUTICALS, INC.
$52
Baxter Healthcare
$49
Exact Sciences Corporation
$46
Lupin Inc.
$46
ABIOMED
$45
Mannkind Corporation
$44
Otsuka America Pharmaceutical, Inc.
$43
JAZZ PHARMACEUTICALS INC.
$40
BOSTON SCIENTIFIC CORPORATION
$37
Hologic Sales and Service, LLC
$35
Hologic, LLC
$34
Nevro Corp.
$32
Teva Pharmaceuticals USA, Inc.
$30
Upsher-Smith Laboratories LLC
$29
Medtronic USA, Inc.
$28
MannKind Corporation
$27
Daiichi Sankyo Inc.
$25
Shionogi Inc
$24
AbbVie, Inc.
$23
Nabriva Therapeutics, plc
$20
VERTEX PHARMACEUTICALS INCORPORATED
$20
Novartis Pharmaceuticals Corporation
$17
Sanofi Pasteur Inc.
$16
Vertiflex, Inc.
$16
Lundbeck LLC
$16
SANOFI PASTEUR INC.
$16
Phathom Pharmaceuticals, Inc.
$15
Mylan Specialty L.P.
$15
TherapeuticsMD, Inc.
$15
Ethicon US, LLC
$14
Philips Electronics North America Corporation
$13
Top 3 companies account for 28.0% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · AFREZZA · AIRSUPRA · AJOVY · ANTARA · APTIMA · AREXVY · Aimovig · AirDuo Digihaler · Amitiza · Aptima HPV · Auvelity · BASAGLAR · BREZTRI · CHANTIX · CYCLOSET · Cologuard Collection Kit · Crysvita · DUPIXENT · DUZALLO · Dayvigo · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edarbi · FARXIGA · FASENRA · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · GARDASIL · HUMIRA · Heplisav-B · Hillrom - Life 2000 Ventilation System · IMVEXXY · INJECTAFER · Impella · JANUVIA · JARDIANCE · KYPHON Balloon Kyphoplasty · Kerendia · Korlym · LINZESS · LYRICA · Linzess · Livalo · MOUNJARO · MYRBETRIQ · Mavyret · Myrbetriq · NEXLETOL · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRALUENT ALIROCUMAB INJECTION · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Proclaim Family of SCS IPGs · Prolia · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · REXULTI · RINVOQ · ROTATEQ · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SKYRIZI · SOLIQUA · SOLOSEC · SOLOSEC-CEEK · SPIRIVA RESPIMAT · SPRAVATO · STEGLATRO · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · SYNCHROMED · Saxenda · Seglentis · Senza · Superion · Superion ISS · Symproic · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Tosymra Sumatriptan Nasal Spray · Tresiba · Trintellix · UBRELVY · VIBERZI · VIIBRYD · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Victoza · WAVEWRITER ALPHA · Wegovy · XARELTO · XIFAXAN · Xenleta · Yupelri · ZENPEP · inCourage
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for family medicine in CA.

Looking for a family medicine specialist in Fresno?
Compare family medicine physicians in the Fresno area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
337
Per 100K population
33.3
County median income
$71,434
Nearest hospital
FRESNO SURGICAL HOSPITAL
4.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Nogales is a clinical cardiology specialist, with above-average Medicare volume (top 30% in CA), with low-engagement industry engagement in the top 4% of CA peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Nogales experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Nogales performed 431 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Nogales receive payments from pharmaceutical companies?
Yes. Dr. Nogales received a total of $9,962 from 65 companies across 609 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Nogales's costs compare to other family medicine physicians in Fresno?
Dr. Nogales's average Medicare payment per service is $72. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Nogales) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →