2026 NPPES data Medical Physician Assistant NPI 1124204896 PA-C
Verify on CMS →

TERENIA CUSTER, PA-C

Medical Physician Assistant in STERLING HEIGHTS, Michigan. 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
388
Medicare Part D claims · 185 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$449.75
23 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TERENIA CUSTER, PA-C filed 388 Medicare Part D claims in 2023 as a Medical Physician Assistant in STERLING HEIGHTS, Michigan, prescribing 85% generic.

388
Part D claims, 2023
85%
generic prescribing
$449.75
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.

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

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

388 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 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 TERENIA CUSTER, PA-C?

Quality data not reported

NPI registry status

Active

Issued 01/12/2008

NPI 1124204896

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

388 64% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

Specialty distribution in Michigan

How Medical Physician Assistant compares to other specialties among Michigan providers

Michigan providers

Medical Physician Assistant share within Michigan

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Medical 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).

TERENIA CUSTER, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 14460 LAKESIDE CIR STE 100, STERLING HEIGHTS, MI, 48313, with a listed phone of (586) 685-3285. NPI 1124204896 was issued on 01/12/2008. 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 388 prescription claims written by this provider, covering 185 Medicare beneficiaries and totaling roughly $232K in drug spend, split 15% brand-name and 85% 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.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,527 enrolled providers across 55 states and an average of 1,077 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

14460 LAKESIDE CIR STE 100
STERLING HEIGHTS, MI 48313

Provider Details

NPI 1124204896
Specialty Medical Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 01/12/2008

Hospital and facility affiliations

Facilities where TERENIA 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.

RICHARD A STONE MD PLLC
STERLING HEIGHTS, MI

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

Total received

$450

Largest payer

Novartis Pharmaceuticals Corporation

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 — Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 — they are NOT specific to TERENIA CUSTER, PA-C. To verify TERENIA CUSTER, PA-C's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

TERENIA CUSTER, PA-C — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 388 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.

388
Total Claims
$232K
Total Drug Cost
185
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
424
Total Day Supply
10,442
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$222K
Generic Drug Cost
$10K
Antibiotic Claims
19

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.20
Gender Split
51% female / 49% male

Top Prescribed Drugs (Medicare Part D)

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

What TERENIA 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
Triamcinolone Acetonide
79
Ketoconazole
53
Fluorouracil
31
Metronidazole
20
Mometasone Furoate
20
Cosentyx Sensoready (2 Pens)
Secukinumab
16
Mupirocin
15
Clobetasol Propionate
13
Valacyclovir
Valacyclovir Hcl
13
Hydrocortisone
12

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

Medical Physician Assistant Overview

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

40,527
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

TERENIA CUSTER, PA-C's 388 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in Michigan

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

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

Frequently Asked Questions

What is TERENIA CUSTER, PA-C's specialty?
TERENIA CUSTER, PA-C specializes in Medical Physician Assistant and practices in STERLING HEIGHTS, Michigan. Credentials: PA-C.
How much does TERENIA CUSTER, PA-C prescribe under Medicare Part D?
In 2023, TERENIA CUSTER, PA-C wrote 388 Medicare Part D claims totaling $232K in drug costs for 185 beneficiaries.
Where is TERENIA CUSTER, PA-C located?
TERENIA CUSTER, PA-C is located at 14460 LAKESIDE CIR STE 100, STERLING HEIGHTS, MI, 48313. Phone: (586) 685-3285.
What is TERENIA CUSTER, PA-C's NPI number?
TERENIA CUSTER, PA-C's National Provider Identifier (NPI) is 1124204896, issued on 01/12/2008.
Does TERENIA CUSTER, PA-C prescribe more brand-name or generic drugs?
TERENIA CUSTER, PA-C's prescribing is 15% brand-name and 85% generic drugs by claim count, with $222K in brand drug costs.
How many Medical Physician Assistant providers are there in the US?
There are 40,527 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does TERENIA CUSTER, PA-C prescribe most often?
Based on 2023 Medicare Part D data, TERENIA CUSTER, PA-C's most frequently prescribed drugs include Triamcinolone Acetonide, Ketoconazole, Fluorouracil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TERENIA CUSTER, PA-C accept Medicare?
TERENIA CUSTER, PA-C appears in CMS Medicare data with 388 Part D claims and 185 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TERENIA CUSTER, PA-C's credentials?
TERENIA CUSTER, PA-C's NPI is 1124204896 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