2026 NPPES data Physician Assistant NPI 1972262368 PA-C
Verify on CMS →

JUSTIN MCGONIGAL, PA-C

Physician Assistant in CHARLESTON, South 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
3K
Medicare Part D claims · 281 beneficiaries · Physician Assistant avg: 790
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$155.96
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JUSTIN MCGONIGAL, PA-C filed 3,386 Medicare Part D claims in 2023 as a Physician Assistant in CHARLESTON, South Carolina, prescribing 83% generic.

3K
Part D claims, 2023
83%
generic prescribing
$155.96
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.

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

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

3,386 Top 10% higher than 90% 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 JUSTIN MCGONIGAL, PA-C?

Quality data not reported

NPI registry status

Active

Issued 12/13/2021

NPI 1972262368

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

3,386 329% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in South Carolina

How Physician Assistant compares to other specialties among South Carolina providers

South Carolina providers

Physician Assistant share within South Carolina

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

JUSTIN MCGONIGAL, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 171 ASHLEY AVE, CHARLESTON, SC, 29425, with a listed phone of (843) 792-1414. NPI 1972262368 was issued on 12/13/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCGONIGAL 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 3,386 prescription claims written by this provider, covering 281 Medicare beneficiaries and totaling roughly $405K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 3.7%. 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

171 ASHLEY AVE
CHARLESTON, SC 29425

Provider Details

NPI 1972262368
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 12/13/2021

Hospital and facility affiliations

Facilities where JUSTIN MCGONIGAL, 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.

UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL
CHARLESTON, SC

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 JUSTIN MCGONIGAL, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$156

Largest payer

AstraZeneca Pharmaceuticals LP

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

JUSTIN MCGONIGAL, PA-C — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 3,386 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.

3,386
Total Claims
$405K
Total Drug Cost
281
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,335
Total Day Supply
153,071
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$348K
Generic Drug Cost
$56K
Opioid Claims
126 (3.7% rate)
Antibiotic Claims
104

Patient Demographics

Average Patient Age
66.8 years
Avg HCC Risk Score
1.34
Gender Split
56% female / 44% male
Age Distribution
<65: 92, 65-74: 105, 75-84: 69, 85+: 15

Top Prescribed Drugs (Medicare Part D)

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

What JUSTIN MCGONIGAL, 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
Gabapentin
152
Levothyroxine Sodium
147
Omeprazole
122
Lisinopril
106
Albuterol Sulfate Hfa
Albuterol Sulfate
102
Levocetirizine Dihydrochloride
82
Lisinopril-Hydrochlorothiazide
Lisinopril/Hydrochlorothiazide
82
Rosuvastatin Calcium
79
Trazodone Hcl
78
Atorvastatin Calcium
76

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

Physician Assistant Overview

How JUSTIN MCGONIGAL, 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

JUSTIN MCGONIGAL, PA-C's 3,386 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in South Carolina

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

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

Frequently Asked Questions

What is JUSTIN MCGONIGAL, PA-C's specialty?
JUSTIN MCGONIGAL, PA-C specializes in Physician Assistant and practices in CHARLESTON, South Carolina. Credentials: PA-C.
How much does JUSTIN MCGONIGAL, PA-C prescribe under Medicare Part D?
In 2023, JUSTIN MCGONIGAL, PA-C wrote 3,386 Medicare Part D claims totaling $405K in drug costs for 281 beneficiaries.
Where is JUSTIN MCGONIGAL, PA-C located?
JUSTIN MCGONIGAL, PA-C is located at 171 ASHLEY AVE, CHARLESTON, SC, 29425. Phone: (843) 792-1414.
What is JUSTIN MCGONIGAL, PA-C's NPI number?
JUSTIN MCGONIGAL, PA-C's National Provider Identifier (NPI) is 1972262368, issued on 12/13/2021.
Does JUSTIN MCGONIGAL, PA-C prescribe more brand-name or generic drugs?
JUSTIN MCGONIGAL, PA-C's prescribing is 17% brand-name and 83% generic drugs by claim count, with $348K in brand drug costs.
Does JUSTIN MCGONIGAL, PA-C prescribe opioids?
Yes, JUSTIN MCGONIGAL, PA-C had 126 opioid claims in 2023 with an opioid prescribing rate of 3.7%.
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 JUSTIN MCGONIGAL, PA-C prescribe most often?
Based on 2023 Medicare Part D data, JUSTIN MCGONIGAL, PA-C's most frequently prescribed drugs include Gabapentin, Levothyroxine Sodium, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUSTIN MCGONIGAL, PA-C accept Medicare?
JUSTIN MCGONIGAL, PA-C appears in CMS Medicare data with 3,386 Part D claims and 281 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUSTIN MCGONIGAL, PA-C's credentials?
JUSTIN MCGONIGAL, PA-C's NPI is 1972262368 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