2026 NPPES data Pediatric Nurse Practitioner NPI 1477077444 CNPN, RN
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NATOYA CASTON, CNPN, RN

Pediatric Nurse Practitioner in SPRING, Texas. 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
890
Medicare Part D claims · 45 beneficiaries · Pediatric Nurse Practitioner avg: 312
Generic prescribing
59%
generic claims · 41% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$506.27
22 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NATOYA CASTON, CNPN, RN filed 890 Medicare Part D claims in 2023 as a Pediatric Nurse Practitioner in SPRING, Texas, prescribing 59% generic.

890
Part D claims, 2023
59%
generic prescribing
$506.27
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.

NATOYA CASTON, CNPN, RN's Medicare Part D volume vs every U.S. prescriber

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

890 Top 27% higher than 73% 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%). This entry sits in this band. 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. 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

What does the federal data show about NATOYA CASTON, CNPN, RN?

Quality data not reported

NPI registry status

Active

Issued 08/01/2017

NPI 1477077444

Primary specialty

Pediatric Nurse Practitioner

Mid-sized

21,082 US NPIs in this specialty

Medicare Part D claims

890 185% vs specialty avg

2023 prescription claims

Specialty avg: 312

Specialty distribution in Texas

How Pediatric Nurse Practitioner compares to other specialties among Texas providers

Texas providers

Pediatric Nurse Practitioner share within Texas

1. Pediatric Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Nurse Practitioner share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Pediatric Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Nurse Practitioner) — 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).

NATOYA CASTON, CNPN, RN appears in the CMS NPPES registry as a Pediatric Nurse Practitioner provider holding CNPN, RN credentials at 440 RAYFORD RD STE 150, SPRING, TX, 77386, with a listed phone of (936) 539-4004. NPI 1477077444 was issued on 08/01/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CASTON 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 890 prescription claims written by this provider, covering 45 Medicare beneficiaries and totaling roughly $986K in drug spend, split 41% brand-name and 59% generic by claim count, with an opioid prescribing rate of 1.2%. 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.

Pediatric Nurse Practitioner is a mid-sized specialty nationwide, with 21,082 enrolled providers across 52 states and an average of 312 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

440 RAYFORD RD STE 150
SPRING, TX 77386

Provider Details

NPI 1477077444
Specialty Pediatric Nurse Practitioner
Credentials CNPN, RN
Gender Female
NPI Issued 08/01/2017

Hospital and facility affiliations

Facilities where NATOYA CASTON, CNPN, RN 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.

ST. HOPE FOUNDATION INC
SUGAR LAND, TX

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 NATOYA CASTON, CNPN, RN. Source: openpaymentsdata.cms.gov.

Total received

$506

Largest payer

Gilead Sciences, 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.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to NATOYA CASTON, CNPN, RN. To verify NATOYA CASTON, CNPN, RN's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

NATOYA CASTON, CNPN, RN — brand share 41.0%
Specialty average (est.)

41% brand-name claims vs 59% generic, on 890 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.

890
Total Claims
$986K
Total Drug Cost
45
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,132
Total Day Supply
32,844
Brand vs Generic
41% brand / 59% generic
Brand Drug Cost
$976K
Generic Drug Cost
$9K
Opioid Claims
11 (1.2% rate)

Patient Demographics

Average Patient Age
58.0 years
Avg HCC Risk Score
1.52
Gender Split
53% female / 47% male
Age Distribution
<65: 29, 65-74: 12, 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 NATOYA CASTON, CNPN, RN 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
Biktarvy
Bictegrav/Emtricit/Tenofov Ala
105
Atorvastatin Calcium
38
Rosuvastatin Calcium
29
Symtuza
Darunavir/Cob/Emtri/Tenof Alaf
28
Losartan Potassium
26
Amlodipine Besylate
24
Gabapentin
23
Lisinopril
23
Genvoya
Elviteg/Cob/Emtri/Tenof Alafen
21
Albuterol Sulfate Hfa
Albuterol Sulfate
18

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

Pediatric Nurse Practitioner Overview

How NATOYA CASTON, CNPN, RN fits within the Pediatric Nurse Practitioner landscape nationally.

21,082
Pediatric Nurse Practitioner Providers in US
52
States with Pediatric Nurse Practitioner
312
Avg Claims per Provider

NATOYA CASTON, CNPN, RN's 890 claims are above the specialty average of 312.

Nearby Pediatric Nurse Practitioner Providers in Texas

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

Compare Pediatric Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is NATOYA CASTON, CNPN, RN's specialty?
NATOYA CASTON, CNPN, RN specializes in Pediatric Nurse Practitioner and practices in SPRING, Texas. Credentials: CNPN, RN.
How much does NATOYA CASTON, CNPN, RN prescribe under Medicare Part D?
In 2023, NATOYA CASTON, CNPN, RN wrote 890 Medicare Part D claims totaling $986K in drug costs for 45 beneficiaries.
Where is NATOYA CASTON, CNPN, RN located?
NATOYA CASTON, CNPN, RN is located at 440 RAYFORD RD STE 150, SPRING, TX, 77386. Phone: (936) 539-4004.
What is NATOYA CASTON, CNPN, RN's NPI number?
NATOYA CASTON, CNPN, RN's National Provider Identifier (NPI) is 1477077444, issued on 08/01/2017.
Does NATOYA CASTON, CNPN, RN prescribe more brand-name or generic drugs?
NATOYA CASTON, CNPN, RN's prescribing is 41% brand-name and 59% generic drugs by claim count, with $976K in brand drug costs.
Does NATOYA CASTON, CNPN, RN prescribe opioids?
Yes, NATOYA CASTON, CNPN, RN had 11 opioid claims in 2023 with an opioid prescribing rate of 1.2%.
How many Pediatric Nurse Practitioner providers are there in the US?
There are 21,082 Pediatric Nurse Practitioner providers across 52 states in the US. The average Pediatric Nurse Practitioner provider writes 312 Medicare Part D claims per year.
What drugs does NATOYA CASTON, CNPN, RN prescribe most often?
Based on 2023 Medicare Part D data, NATOYA CASTON, CNPN, RN's most frequently prescribed drugs include Biktarvy, Atorvastatin Calcium, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NATOYA CASTON, CNPN, RN accept Medicare?
NATOYA CASTON, CNPN, RN appears in CMS Medicare data with 890 Part D claims and 45 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NATOYA CASTON, CNPN, RN's credentials?
NATOYA CASTON, CNPN, RN's NPI is 1477077444 with credentials CNPN, RN. 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