Michelle Palmiero, MD
Sports Medicine · Grand Forks, NDNPI 1376047936
Payments from drug & device makers
What this record shows
This record is dominated by grants: $22,500 of the $33,692 with a category attached, or 66.8%. Arthrex accounts for 70.8% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2023 at $24,395 and has fallen 89.1% since, to $2,670 in 2025.
Across 80 payments — averaging $421.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$24K
- Smith+Nephew$8K
- Sioux Surgical Inc$2K
- Vericel Corporation$124
- Stryker$73
What the payments were for
- Grants$22,50067%
- Travel & lodging$5,55816%
- Food & beverage$2,9789%
- Education$2,6578%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Arthrex | 41 | $23,862 |
| Smith+Nephew | 23 | $7,909 |
| Sioux Surgical Inc | 13 | $1,724 |
| Vericel Corporation | 1 | $124 |
| Stryker | 2 | $73 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Q-FIX$2,139
- SPATIAL FRAME$1,604
- CAP-FIX$388
- N/A$147
- Healicoil$147
- Bioinductive Implant with Arthroscopic Delivery System - Medium$147
- Speedlock$145
- Bone Anchors with Arthroscopic Delivery System$136
- MACI$124
How this compares
Too few sports medicine providers in North Dakotato place this figure against a meaningful peer group, so we don't.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other sports medicine in Grand Forks
- Heath GouldGrand Forks$41K
- Darin LeetunGrand Forks$12K
- Adam QuinnGrand Forks$21
- Patrick WalshGrand Forks$15
- Matthew FriederichsWest Fargo$23K
- Jon KolbergBismarck$583
- Jolynn AzureMinot$208
- Andrew GlogozaFargo$129
- Tyrone BerentsonBottineau$19
- Jeffrey LystadFargo$17
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.