2026 NPPES data Medical Physician Assistant NPI 1922435544 PA-C
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Ashley Casto, PA-C

Medical Physician Assistant in South Charleston, West Virginia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,580 in Medical Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
654
Medicare Part D claims · 88 beneficiaries · Medical Physician Assistant avg: 1K
Industry payments
$341.3
18 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Ashley Casto, PA-C filed 654 Medicare Part D claims in 2023 as a Medical Physician Assistant in South Charleston, West Virginia.

654
Part D claims, 2023
$341.3
industry payments (Sunshine Act)

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.

Ashley Casto, PA-C's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

654 Top 31% higher than 69% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Ashley Casto, PA-C?

Quality data not reported

NPI registry status

Active

Issued 09/27/2013

NPI 1922435544

Primary specialty

Medical Physician Assistant

Mid-sized

40,580 US NPIs in this specialty

Medicare Part D claims

654 39% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

Specialty distribution in West Virginia

How Medical Physician Assistant compares to other specialties among West Virginia providers

West Virginia providers
Personal Care Attendant - 38.4%Personal Care Attendant38.4%Home Health Aide - 8.2%Home Health Aide8.2%Community Health Worker - 5.2%Community Health Worker5.2%Homemaker - 3.1%Homemaker3.1%Pharmacist - 3%Pharmacist3%Student in an Organized Health Care Education/Training Program - 2.9%Student in an Organized Health Care Education/Training Program2.9%Medical Physician Assistant - 0.4%Medical Physician Assistant0.4%
Largest specialties in West Virginia (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Medical Physician Assistant. Verify directly:

How MIPS and board certification work

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).

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.

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%.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,580 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.

Practice Address

509 2ND AVE
South Charleston, WV 25303

Provider Details

NPI 1922435544
Specialty Medical Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 09/27/2013

Hospital and facility affiliations

Facilities where Ashley Casto, PA-C 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.

Family Health Associates OF The Kanawha Valley PLLC
South Charleston, WV
Glenns Ferry Health Center Inc
Mountain Home, ID

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 Ashley Casto, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$341

Largest payer

ABBVIE INC.

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.

654
Total Claims
$100K
Total Drug Cost
88
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,131
Total Day Supply
32,180
Generic Drug Cost
$10K
Opioid Claims
29 (4.4% rate)
Antibiotic Claims
40

Patient Demographics

Average Patient Age
68.4 years
Avg HCC Risk Score
1.08
Gender Split
66% female / 34% male

Top Prescribed Drugs (Medicare Part D)

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

What Ashley Casto, PA-C 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
Levothyroxine Sodium
32
Atorvastatin Calcium
22
Lisinopril
22
Metformin Hcl
22
Pravastatin Sodium
21
Amlodipine Besylate
20
Albuterol Sulfate Hfa
Albuterol Sulfate
19
Zolpidem Tartrate
19
Tamsulosin Hcl
18
Omeprazole
16

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

Medical Physician Assistant Overview

How Ashley Casto, PA-C fits within the Medical Physician Assistant landscape nationally.

40,580
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

Ashley Casto, PA-C's 654 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as Casto.

Compare Medical Physician Assistant nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the West Virginia medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Medical Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Ashley Casto, PA-C's specialty?
Ashley Casto, PA-C specializes in Medical Physician Assistant and practices in South Charleston, West Virginia. Credentials: PA-C.
How much does Ashley Casto, PA-C prescribe under Medicare Part D?
In 2023, Ashley Casto, PA-C wrote 654 Medicare Part D claims totaling $100K in drug costs for 88 beneficiaries.
Where is Ashley Casto, PA-C located?
Ashley Casto, PA-C is located at 509 2ND AVE, South Charleston, WV, 25303. Phone: (304) 720-3555.
What is Ashley Casto, PA-C's NPI number?
Ashley Casto, PA-C's National Provider Identifier (NPI) is 1922435544, issued on 09/27/2013.
Does Ashley Casto, PA-C prescribe opioids?
Yes, Ashley Casto, PA-C had 29 opioid claims in 2023 with an opioid prescribing rate of 4.4%.
How many Medical Physician Assistant providers are there in the US?
There are 40,580 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does Ashley Casto, PA-C prescribe most often?
Based on 2023 Medicare Part D data, Ashley Casto, PA-C's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ashley Casto, PA-C accept Medicare?
Ashley Casto, PA-C appears in CMS Medicare data with 654 Part D claims and 88 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ashley Casto, PA-C's credentials?
Ashley Casto, PA-C's NPI is 1922435544 with credentials PA-C. 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

View source datasets and methodology notes
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.
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

Compiled from official public sources by the PlainDoctor editorial team.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.