2026 NPPES data Hospitalist Physician NPI 1437404761 D.O.
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JOSH GAST, D.O.

Hospitalist Physician in CAPE GIRARDEAU, Missouri. 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
1K
Medicare Part D claims · 166 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$238.72
13 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOSH GAST, D.O. filed 1,113 Medicare Part D claims in 2023 as a Hospitalist Physician in CAPE GIRARDEAU, Missouri, prescribing 88% generic.

1K
Part D claims, 2023
88%
generic prescribing
Likely
board-certified (heuristic)

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.

JOSH GAST, D.O.'s Medicare Part D volume vs every U.S. prescriber

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

1,113 Top 23% higher than 77% 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%). This entry sits in this band. 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. 2,000–2,200: 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

Board certification likely (heuristic — not verified)

JOSH GAST, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JOSH GAST, D.O.?

Quality data not reported

NPI registry status

Active

Issued 07/24/2012

NPI 1437404761

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

1,113 25% vs specialty avg

2023 prescription claims

Specialty avg: 888

Specialty distribution in Missouri

How Hospitalist Physician compares to other specialties among Missouri providers

Missouri providers

Hospitalist Physician share within Missouri

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Missouri

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Hospitalist Physician) — 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).

JOSH GAST, D.O. appears in the CMS NPPES registry as a Hospitalist Physician provider holding D.O. credentials at 304 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO, 63703, with a listed phone of (573) 803-2941. NPI 1437404761 was issued on 07/24/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAST 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 1,113 prescription claims written by this provider, covering 166 Medicare beneficiaries and totaling roughly $85K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 2.2%. 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.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

304 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703

Provider Details

NPI 1437404761
Specialty Hospitalist Physician
Credentials D.O.
Gender Male
NPI Issued 07/24/2012

Hospital and facility affiliations

Facilities where JOSH GAST, D.O. 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.

ALLIANCE HEALTH AND DERMATOLOGY, LLC
CAPE GIRARDEAU, MO
BIG SPRINGS MEDICAL ASSOCIATION
DONIPHAN, MO

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 JOSH GAST, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$239

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

JOSH GAST, D.O. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 1,113 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.

1,113
Total Claims
$85K
Total Drug Cost
166
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,544
Total Day Supply
43,346
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$68K
Generic Drug Cost
$17K
Opioid Claims
25 (2.2% rate)
Antibiotic Claims
45

Patient Demographics

Average Patient Age
66.1 years
Avg HCC Risk Score
1.92
Gender Split
61% female / 39% male
Age Distribution
<65: 57, 65-74: 72, 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 JOSH GAST, D.O. 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
Atorvastatin Calcium
90
Losartan Potassium
53
Pantoprazole Sodium
52
Carvedilol
46
Gabapentin
42
Lisinopril
40
Levothyroxine Sodium
25
Furosemide
24
Nifedipine Er
Nifedipine
24
Cefdinir
18

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

Hospitalist Physician Overview

How JOSH GAST, D.O. fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

JOSH GAST, D.O.'s 1,113 claims are above the specialty average of 888.

Nearby Hospitalist Physician Providers in Missouri

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

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

Frequently Asked Questions

What is JOSH GAST, D.O.'s specialty?
JOSH GAST, D.O. specializes in Hospitalist Physician and practices in CAPE GIRARDEAU, Missouri. Credentials: D.O..
How much does JOSH GAST, D.O. prescribe under Medicare Part D?
In 2023, JOSH GAST, D.O. wrote 1,113 Medicare Part D claims totaling $85K in drug costs for 166 beneficiaries.
Where is JOSH GAST, D.O. located?
JOSH GAST, D.O. is located at 304 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO, 63703. Phone: (573) 803-2941.
What is JOSH GAST, D.O.'s NPI number?
JOSH GAST, D.O.'s National Provider Identifier (NPI) is 1437404761, issued on 07/24/2012.
Does JOSH GAST, D.O. prescribe more brand-name or generic drugs?
JOSH GAST, D.O.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $68K in brand drug costs.
Does JOSH GAST, D.O. prescribe opioids?
Yes, JOSH GAST, D.O. had 25 opioid claims in 2023 with an opioid prescribing rate of 2.2%.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does JOSH GAST, D.O. prescribe most often?
Based on 2023 Medicare Part D data, JOSH GAST, D.O.'s most frequently prescribed drugs include Atorvastatin Calcium, Losartan Potassium, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSH GAST, D.O. accept Medicare?
JOSH GAST, D.O. appears in CMS Medicare data with 1,113 Part D claims and 166 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSH GAST, D.O.'s credentials?
JOSH GAST, D.O.'s NPI is 1437404761 with credentials D.O.. 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