2026 NPPES data Physician Assistant NPI 1184706806 PA-C
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DALENA CUSTER, PA-C

Physician Assistant in CHARLOTTE, North Carolina. 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
4K
Medicare Part D claims · 463 beneficiaries · Physician Assistant avg: 790
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$3.2K
145 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DALENA CUSTER, PA-C filed 3,891 Medicare Part D claims in 2023 as a Physician Assistant in CHARLOTTE, North Carolina, prescribing 87% generic.

4K
Part D claims, 2023
87%
generic prescribing
$3.2K
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.

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

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

3,891 Top 9% higher than 91% 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%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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 DALENA CUSTER, PA-C?

Quality data not reported

NPI registry status

Active

Issued 10/20/2006

NPI 1184706806

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

3,891 393% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in North Carolina

How Physician Assistant compares to other specialties among North Carolina providers

North Carolina providers

Physician Assistant share within North Carolina

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Physician Assistant (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Physician Assistant ABMS/AOA estimate

Est. board-certified rate (Physician Assistant) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Physician Assistant) — ABMS / AOA estimate

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).

DALENA CUSTER, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 10635 PARK RD STE I, CHARLOTTE, NC, 28210, with a listed phone of (704) 495-6334. NPI 1184706806 was issued on 10/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CUSTER 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 3,891 prescription claims written by this provider, covering 463 Medicare beneficiaries and totaling roughly $369K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 2.0%. 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.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

10635 PARK RD STE I
CHARLOTTE, NC 28210

Provider Details

NPI 1184706806
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 10/20/2006

Hospital and facility affiliations

Facilities where DALENA CUSTER, 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.

TRYON MEDICAL PARTNERS, PLLC
CHARLOTTE, NC

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 DALENA CUSTER, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$3.2K

Largest payer

Saluda Medical Americas, 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.

Brand vs generic prescribing mix · Typical

DALENA CUSTER, PA-C — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 3,891 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

3,891
Total Claims
$369K
Total Drug Cost
463
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,358
Total Day Supply
274,965
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$315K
Generic Drug Cost
$53K
Opioid Claims
77 (2.0% rate)
Antibiotic Claims
107

Patient Demographics

Average Patient Age
75.0 years
Avg HCC Risk Score
1.15
Gender Split
57% female / 43% male
Age Distribution
<65: 25, 65-74: 194, 75-84: 192, 85+: 52

Top Prescribed Drugs (Medicare Part D)

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

What DALENA CUSTER, 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
Amlodipine Besylate
211
Levothyroxine Sodium
194
Atorvastatin Calcium
191
Lisinopril
191
Rosuvastatin Calcium
135
Omeprazole
103
Losartan Potassium
100
Gabapentin
81
Metformin Hcl Er
Metformin Hcl
72
Simvastatin
72

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

Physician Assistant Overview

How DALENA CUSTER, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

DALENA CUSTER, PA-C's 3,891 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as CUSTER.

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

Frequently Asked Questions

What is DALENA CUSTER, PA-C's specialty?
DALENA CUSTER, PA-C specializes in Physician Assistant and practices in CHARLOTTE, North Carolina. Credentials: PA-C.
How much does DALENA CUSTER, PA-C prescribe under Medicare Part D?
In 2023, DALENA CUSTER, PA-C wrote 3,891 Medicare Part D claims totaling $369K in drug costs for 463 beneficiaries.
Where is DALENA CUSTER, PA-C located?
DALENA CUSTER, PA-C is located at 10635 PARK RD STE I, CHARLOTTE, NC, 28210. Phone: (704) 495-6334.
What is DALENA CUSTER, PA-C's NPI number?
DALENA CUSTER, PA-C's National Provider Identifier (NPI) is 1184706806, issued on 10/20/2006.
Does DALENA CUSTER, PA-C prescribe more brand-name or generic drugs?
DALENA CUSTER, PA-C's prescribing is 13% brand-name and 87% generic drugs by claim count, with $315K in brand drug costs.
Does DALENA CUSTER, PA-C prescribe opioids?
Yes, DALENA CUSTER, PA-C had 77 opioid claims in 2023 with an opioid prescribing rate of 2.0%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does DALENA CUSTER, PA-C prescribe most often?
Based on 2023 Medicare Part D data, DALENA CUSTER, PA-C's most frequently prescribed drugs include Amlodipine Besylate, Levothyroxine Sodium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DALENA CUSTER, PA-C accept Medicare?
DALENA CUSTER, PA-C appears in CMS Medicare data with 3,891 Part D claims and 463 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DALENA CUSTER, PA-C's credentials?
DALENA CUSTER, PA-C's NPI is 1184706806 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

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