Madeline Jean Zea , PA
Physician Assistant • Grass Valley, CA
17968 Gamble Ln
Grass Valley, CA 959496908
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 22, 2021; this date does not establish years in practice.
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Published CMS data list 204 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99285 — Emergency department visit with high level of medical decision making: 105 service units.
- 93010 — Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only: 54 service units.
- 99284 — Emergency department visit with moderate level of medical decision making: 45 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 91 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Prednisone — 16 prescription fills, including refills.
- Cephalexin — 16 prescription fills, including refills.
- Ibuprofen — 13 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 7 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: 198. Middle half: 71 to 535.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 215 in 2022 to 204 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022–2024.
Practice Location & Contact Primary Location
17968 Gamble Ln
Grass Valley, CA 959496908
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
156 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $20,300 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $14,966 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
91 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$380 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
NPI first issued
2021
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Madeline Zea has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Madeline Zea as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Grass Valley and California
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: 198. Middle half: 71 to 535.
Too few clinicians listed under Physician Assistant in Grass Valley have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $18,173. Middle half: $6,666 to $41,587.
Too few clinicians listed under Physician Assistant in Grass Valley have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $13,209. Middle half: $4,792 to $30,879.
Too few clinicians listed under Physician Assistant in Grass Valley have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 80% of clinicians listed under Physician Assistant in Grass Valley, CA (2024, 11 clinicians with data). Median for this group: 258. Middle half: 96 to 1,314.
Fewer Part D prescriptions than 70% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: 229. Middle half: 72 to 718.
Part D drug cost
A lower Part D drug cost than 95% of clinicians listed under Physician Assistant in Grass Valley, CA (2024, 11 clinicians with data). Median for this group: $5,172. Middle half: $3,143 to $57,544.
A lower Part D drug cost than 80% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: $3,945. Middle half: $709 to $60,209.
20 active clinicians are listed under Physician Assistant with a practice address in Grass Valley, CA (14,458 in California).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Grass Valley
5% of these 20 clinicians have the CMS telehealth indicator.
50% of these 20 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services stayed about the same: 215 in 2022 and 204 in 2024.
- 2022: 215
- 2023: 248
- 2024: 204
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $20,456 in 2022 and $20,300 in 2024.
- 2022: $20,456
- 2023: $26,317
- 2024: $20,300
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Paid by Medicare
Paid by Medicare decreased 12% from $17,104 in 2022 to $14,966 in 2024.
- 2022: $17,104
- 2023: $20,215
- 2024: $14,966
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 47% from 62 in 2022 to 91 in 2024.
- 2022: 62
- 2023: 73
- 2024: 91
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30-day fills
30-day fills increased 47% from 62 in 2022 to 91 in 2024.
- 2022: 62
- 2023: 73
- 2024: 91
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Part D drug cost
Part D drug cost went from $277 in 2022 to $380 in 2024.
- 2022: $277
- 2023: $576
- 2024: $380
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2022–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99285
Emergency department visit with high level of medical decision making
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105 | 104 | $1224.59 | $146.37 |
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93010
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
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54 | 51 | $63.15 | $6.96 |
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99284
Emergency department visit with moderate level of medical decision making
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45 | 45 | $833.87 | $101.22 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 16 | 84 | $30.15 | 15 |
| Cephalexin | Cephalexin | 16 | 133 | $107.54 | 16 |
| Ibuprofen | Ibuprofen | 13 | 65 | $23.21 | 13 |
| Ondansetron Hcl | Ondansetron Hcl | 13 | 70 | $62.39 | 13 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 11 | 21 | $24.87 | 11 |
| Azithromycin | Azithromycin | 11 | 55 | $21.77 | 11 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 11 | 77 | $110.15 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-02-15NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 207PE0004X
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20220223002136
CA
8426442161
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History
NPI enumerated October 22, 2021.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from November 2021 to August 2026.
NPI Administrative Meta
Other Physician Assistants in Grass Valley
- Alexandra Bernasconi, PA-C
- Amy Barber, PA-C
- Linda Monroe, PA-C
- Amy Clement, PA-C
- Katelyn Fernandez, PA-C, RD
- Tracey Connell, PA
Mailing Address
17968 Gamble Ln
Grass Valley, CA 959496908
Phone: 5305597739