ASHLEY CASTO, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 509 2ND AVE, SOUTH CHARLESTON, WV, 25303, with a listed phone of (304) 720-3555. NPI 1922435544 was issued on 09/27/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CASTO 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 654 prescription claims written by this provider, covering 88 Medicare beneficiaries and totaling roughly $100K in drug spend, with an opioid prescribing rate of 4.4%. 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.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,527 enrolled providers across 55 states and an average of 1,077 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.