2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1528471448 M.D.
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PAUL KRISTAN VALESTRA, M.D.

Critical Care Medicine (Internal Medicine) Physician in RIDGEWOOD, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 252 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
MIPS score
98.6738/100
▲ 16 pts above national avg 83.1 · [object Object]
Industry payments
$611.16
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PAUL KRISTAN VALESTRA, M.D. reported a CMS MIPS final score of 98.6738/100 — above the 83.1 national average — and filed 1,579 Medicare Part D claims in 2023.

98.6738/100
MIPS score · +16 vs avg
2K
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

PAUL KRISTAN VALESTRA, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

99 Top 11% higher than 89% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

PAUL KRISTAN VALESTRA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about PAUL KRISTAN VALESTRA, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/09/2014

NPI 1528471448

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

1,579 48% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

98.6738/100 15.573800000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among New Jersey providers

New Jersey providers

Critical Care Medicine (Internal Medicine) Physician share within New Jersey

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within New Jersey

Medicare quality performance — MIPS

PAUL KRISTAN VALESTRA, M.D.'s 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
98.6738/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 98.6738/100 vs national avg 83.1

0%100%National avg83%98.7%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 98.6738/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

PAUL KRISTAN VALESTRA, M.D. appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D. credentials at 1200 E RIDGEWOOD AVE STE 303, RIDGEWOOD, NJ, 07450, with a listed phone of (201) 689-7755. NPI 1528471448 was issued on 06/09/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VALESTRA 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 1,579 prescription claims written by this provider, covering 252 Medicare beneficiaries and totaling roughly $712K 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 98.6738/100 for the 2023 performance year (Quality 93.5705), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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.

Practice Address

1200 E RIDGEWOOD AVE STE 303
RIDGEWOOD, NJ 07450

Provider Details

NPI 1528471448
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 06/09/2014

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

98.6738
Final Score
Avg: 83.1
93.5705
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where PAUL KRISTAN VALESTRA, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

VALLEY PHYSICIAN SERVICES PC
HOBOKEN, NJ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for PAUL KRISTAN VALESTRA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$611

Largest payer

AstraZeneca Pharmaceuticals LP

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,579
Total Claims
$712K
Total Drug Cost
252
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,079
Total Day Supply
56,967
Generic Drug Cost
$64K
Antibiotic Claims
101

Patient Demographics

Average Patient Age
75.4 years
Avg HCC Risk Score
1.89
Gender Split
62% female / 38% male
Age Distribution
<65: 19, 65-74: 93, 75-84: 100, 85+: 40

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What PAUL KRISTAN VALESTRA, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
247
Prednisone
172
Albuterol Sulfate Hfa
Albuterol Sulfate
140
Montelukast Sodium
116
Azelastine Hcl
106
Symbicort
Budesonide/Formoterol Fumarate
103
Breo Ellipta
Fluticasone/Vilanterol
81
Fluticasone Propionate
79
Azithromycin
67
Incruse Ellipta
Umeclidinium Bromide
45

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Critical Care Medicine (Internal Medicine) Physician Overview

How PAUL KRISTAN VALESTRA, M.D. fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

PAUL KRISTAN VALESTRA, M.D.'s 1,579 claims are above the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as VALESTRA.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAUL KRISTAN VALESTRA, M.D.'s specialty?
PAUL KRISTAN VALESTRA, M.D. specializes in Critical Care Medicine (Internal Medicine) Physician and practices in RIDGEWOOD, New Jersey. Credentials: M.D..
How much does PAUL KRISTAN VALESTRA, M.D. prescribe under Medicare Part D?
In 2023, PAUL KRISTAN VALESTRA, M.D. wrote 1,579 Medicare Part D claims totaling $712K in drug costs for 252 beneficiaries.
What is PAUL KRISTAN VALESTRA, M.D.'s Medicare quality score?
PAUL KRISTAN VALESTRA, M.D. has a CMS MIPS Final Score of 98.6738/100 (Quality: 93.5705). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL KRISTAN VALESTRA, M.D. located?
PAUL KRISTAN VALESTRA, M.D. is located at 1200 E RIDGEWOOD AVE STE 303, RIDGEWOOD, NJ, 07450. Phone: (201) 689-7755.
What is PAUL KRISTAN VALESTRA, M.D.'s NPI number?
PAUL KRISTAN VALESTRA, M.D.'s National Provider Identifier (NPI) is 1528471448, issued on 06/09/2014.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does PAUL KRISTAN VALESTRA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PAUL KRISTAN VALESTRA, M.D.'s most frequently prescribed drugs include Trelegy Ellipta, Prednisone, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL KRISTAN VALESTRA, M.D. accept Medicare?
PAUL KRISTAN VALESTRA, M.D. appears in CMS Medicare data with 1,579 Part D claims and 252 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL KRISTAN VALESTRA, M.D.'s credentials?
PAUL KRISTAN VALESTRA, M.D.'s NPI is 1528471448 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology