2026 NPPES data Medical Physician Assistant NPI 1497996847 P.A.
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Toby Cason, P.A.

Medical Physician Assistant in Mount Pleasant, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,580 in Medical Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
899
Medicare Part D claims · 404 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.3/100
▲ 15 pts above national avg 83.1 · Exceptional
Industry payments
$472.53
10 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Toby Cason, P.A. reported a CMS MIPS final score of 98.3/100 - above the 83.1 national average - and filed 899 Medicare Part D claims in 2023.

98.3/100
MIPS score · +15 vs avg
899
Part D claims, 2023
96%
generic prescribing
$472.53
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.

Toby Cason, P.A.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

98 Top 11% higher than 89% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Where Toby Cason, P.A. sits

This provider among medical physician assistant peers

Across the 7,339 medical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Toby Cason, P.A. writes more Part D claims than 72% of them and scores higher on MIPS quality than 91% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 57Toby Cason, P.A.-Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 91
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one medical physician assistant peer from a representative sample of 60; the gold marker is Toby Cason, P.A.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Toby Cason, P.A.?

High performer (top quartile)

NPI registry status

Active

Issued 03/16/2009

NPI 1497996847

Primary specialty

Medical Physician Assistant

Mid-sized

40,580 US NPIs in this specialty

Medicare Part D claims

899 17% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

98.3/100 15.2 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Medical Physician Assistant compares to other specialties among Texas providers

Texas providers
Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Medical Physician Assistant - 0.6%Medical Physician Assistant0.6%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Toby Cason, P.A.'s 2023 MIPS final score plotted against the Medical Physician Assistant national average

High performer (top quartile)
MIPS Final Score
98.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) - 98.3/100 vs national avg 83.1

0%100%National avg83%98.3%
MIPS final score (Medical Physician Assistant) - 98.3/100 vs national avg 83.1
How MIPS and board certification work

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).

Toby Cason, P.A. appears in the CMS NPPES registry as a Medical Physician Assistant provider holding P.A. credentials at 305 W 20TH ST, Mount Pleasant, TX, 75455, with a listed phone of (903) 577-5661. NPI 1497996847 was issued on 03/16/2009.

Medicare Part D records for calendar year 2023 show 899 prescription claims written by this provider, covering 404 Medicare beneficiaries and totaling roughly $315K in drug spend, split 4% brand-name and 96% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.3/100 for the 2023 performance year, compared with the national average of 83.1.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,580 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

305 W 20TH ST
Mount Pleasant, TX 75455

Provider Details

NPI 1497996847
Specialty Medical Physician Assistant
Credentials P.A.
Gender Male
NPI Issued 03/16/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

98.3
Final Score
Avg: 83.1
98
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where Toby Cason, P.A. 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.

Oliver Street 5.01(A) Inc
Tyler, 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 Toby Cason, P.A.. Source: openpaymentsdata.cms.gov.

Total received

$473

Largest payer

Arcutis Biotherapeutics, 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 Toby Cason, P.A.. To verify Toby Cason, P.A.'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 · Generic-heavy

Toby Cason, P.A. - brand share 4.0%
Medical Physician Assistant average

4% brand-name claims vs 96% generic, on 899 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.

899
Total Claims
$315K
Total Drug Cost
404
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
950
Total Day Supply
23,708
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$284K
Generic Drug Cost
$32K
Antibiotic Claims
64

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.24
Gender Split
56% female / 44% male
Age Distribution
<65: 49, 65-74: 175, 75-84: 137, 85+: 43

Top Prescribed Drugs (Medicare Part D)

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

What Toby Cason, P.A. 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
Clobetasol Propionate
164
Triamcinolone Acetonide
156
Ketoconazole
123
Hydrocortisone
99
Doxycycline Hyclate
46
Mupirocin
41
Clindamycin Phosphate
30
Hydroxyzine Hcl
23
Metronidazole
19
Betamethasone Dipropionate
18

* 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 Toby Cason, P.A. fits within the Medical Physician Assistant landscape nationally.

40,580
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

Toby Cason, P.A.'s 899 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in Texas

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Medical Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Toby Cason, P.A.'s specialty?
Toby Cason, P.A. specializes in Medical Physician Assistant and practices in Mount Pleasant, Texas. Credentials: P.A..
How much does Toby Cason, P.A. prescribe under Medicare Part D?
In 2023, Toby Cason, P.A. wrote 899 Medicare Part D claims totaling $315K in drug costs for 404 beneficiaries.
What is Toby Cason, P.A.'s Medicare quality score?
Toby Cason, P.A. has a CMS MIPS Final Score of 98.3/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Toby Cason, P.A. located?
Toby Cason, P.A. is located at 305 W 20TH ST, Mount Pleasant, TX, 75455. Phone: (903) 577-5661.
What is Toby Cason, P.A.'s NPI number?
Toby Cason, P.A.'s National Provider Identifier (NPI) is 1497996847, issued on 03/16/2009.
Does Toby Cason, P.A. prescribe more brand-name or generic drugs?
Toby Cason, P.A.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $284K in brand drug costs.
How many Medical Physician Assistant providers are there in the US?
There are 40,580 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 Toby Cason, P.A. prescribe most often?
Based on 2023 Medicare Part D data, Toby Cason, P.A.'s most frequently prescribed drugs include Clobetasol Propionate, Triamcinolone Acetonide, Ketoconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Toby Cason, P.A. accept Medicare?
Toby Cason, P.A. appears in CMS Medicare data with 899 Part D claims and 404 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Toby Cason, P.A.'s credentials?
Toby Cason, P.A.'s NPI is 1497996847 with credentials P.A.. 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

View source datasets and methodology notes
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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
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

Compiled from official public sources by the PlainDoctor editorial team.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.