2026 NPPES data Physician Assistant NPI 1265953699
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GINA CARROLL

Physician Assistant in LYNCHBURG, Virginia. 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 · 165 beneficiaries · Physician Assistant avg: 790
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$17.28
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GINA CARROLL filed 2,019 Medicare Part D claims in 2023 as a Physician Assistant in LYNCHBURG, Virginia, prescribing 86% generic.

2K
Part D claims, 2023
86%
generic prescribing
$17.28
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.

GINA CARROLL's Medicare Part D volume vs every U.S. prescriber

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

2,019 Top 16% higher than 84% 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 GINA CARROLL?

Quality data not reported

NPI registry status

Active

Issued 07/06/2017

NPI 1265953699

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

2,019 156% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in Virginia

How Physician Assistant compares to other specialties among Virginia providers

Virginia providers

Physician Assistant share within Virginia

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

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).

GINA CARROLL appears in the CMS NPPES registry as a Physician Assistant provider at 800 5TH ST, LYNCHBURG, VA, 24504, with a listed phone of (434) 439-2154. NPI 1265953699 was issued on 07/06/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARROLL 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 2,019 prescription claims written by this provider, covering 165 Medicare beneficiaries and totaling roughly $248K in drug spend, split 14% brand-name and 86% generic by claim count. 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

800 5TH ST
LYNCHBURG, VA 24504

Provider Details

NPI 1265953699
Specialty Physician Assistant
Gender Female
NPI Issued 07/06/2017

Hospital and facility affiliations

Facilities where GINA CARROLL 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.

COMMUNITY ACCESS NETWORK
LYNCHBURG, VA

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 GINA CARROLL. Source: openpaymentsdata.cms.gov.

Total received

$17

Largest payer

Janssen Pharmaceuticals, 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

GINA CARROLL — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 2,019 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.

2,019
Total Claims
$248K
Total Drug Cost
165
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,200
Total Day Supply
123,477
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$216K
Generic Drug Cost
$31K
Antibiotic Claims
46

Patient Demographics

Average Patient Age
62.4 years
Avg HCC Risk Score
1.36
Gender Split
62% female / 38% male
Age Distribution
<65: 75, 65-74: 73, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What GINA CARROLL 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
143
Atorvastatin Calcium
110
Lisinopril
95
Losartan Potassium
87
Metformin Hcl
61
Hydrochlorothiazide
50
Levothyroxine Sodium
50
Allopurinol
45
Lovastatin
44
Furosemide
42

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

Physician Assistant Overview

How GINA CARROLL fits within the Physician Assistant landscape nationally.

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

GINA CARROLL's 2,019 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Virginia

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

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

Frequently Asked Questions

What is GINA CARROLL's specialty?
GINA CARROLL specializes in Physician Assistant and practices in LYNCHBURG, Virginia.
How much does GINA CARROLL prescribe under Medicare Part D?
In 2023, GINA CARROLL wrote 2,019 Medicare Part D claims totaling $248K in drug costs for 165 beneficiaries.
Where is GINA CARROLL located?
GINA CARROLL is located at 800 5TH ST, LYNCHBURG, VA, 24504. Phone: (434) 439-2154.
What is GINA CARROLL's NPI number?
GINA CARROLL's National Provider Identifier (NPI) is 1265953699, issued on 07/06/2017.
Does GINA CARROLL prescribe more brand-name or generic drugs?
GINA CARROLL's prescribing is 14% brand-name and 86% generic drugs by claim count, with $216K in brand drug costs.
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 GINA CARROLL prescribe most often?
Based on 2023 Medicare Part D data, GINA CARROLL's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GINA CARROLL accept Medicare?
GINA CARROLL appears in CMS Medicare data with 2,019 Part D claims and 165 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GINA CARROLL's credentials?
GINA CARROLL's NPI is 1265953699. 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