CHRISTINE PALEY, N.P. appears in the CMS NPPES registry as a Personal Emergency Response Attendant provider holding N.P. credentials at 1250 E ALMOND AVE, MADERA, CA, 93637, with a listed phone of (559) 675-5520. NPI 1336139708 was issued on 10/26/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PALEY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 92 prescription claims written by this provider, covering 68 Medicare beneficiaries and totaling roughly $4K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.6267/100 for the 2023 performance year (Quality 76.6789, Cost 97.1443), compared with the national average of 83.1.

Personal Emergency Response Attendant is a narrow specialty nationwide, with 830 enrolled providers across 48 states and an average of 996 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.