Gary James Gostnell, PA-C
NPI 1326389438ActiveIndividual· Physician Assistant, Surgical· Marble Falls, TX
Physician Assistant, Surgical (PA-C) with Scott and White Clinic, practicing in Marble Falls, Texas. 339 Medicare patients in 2024, $39,537 paid; nearly all of their 164 Part D prescriptions were generic (99%). Core Surgical Group was the largest of 4 companies reporting payments in 2025, $1,564 in all, mostly travel and lodging. Lists Baylor Scott & White Medical Center - Marble Falls and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1326389438 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 14, 2013 |
| Last updated in NPPES | Aug 16, 2021 |
| Certified by provider | Aug 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA10676 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 339 |
|---|---|
| Services billed | 755 across 42 procedure codes |
| Paid by Medicare | $39,537 |
Part D prescriptions in 2024
| Prescriptions (claims) | 164 · 184 30-day fills |
|---|---|
| Patients | 82 |
| Total drug cost | $4,380 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Scott and White ClinicCollege Station, TX · 2,461 clinicians
Hospital affiliations
- Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX
- Baylor Scott & White Medical Center - Round RockRound Rock, TX
- Hamilton General HospitalHamilton, TX
Other facilities
- Accentcare Home Health of Marble FallsHome health agency · Marble Falls, TX
- Baylor Scott & White Institute for RehabilitationInpatient rehabilitation facility · Lakeway, TX
Industry payments (Open Payments)
- 2025$1,564 · 13 payments from 4 companies
- 2024$149.01 · 7 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Core Surgical Group | $697.73 | 3 |
| Arthrex, Inc. | $676.40 | 7 |
| Heron Therapeutics, Inc. | $99.05 | 1 |
| Stryker Corporation | $90.42 | 2 |
What the 2025 payments were for
- Travel and Lodging$962.51 · 3 payments
- Food and Beverage$601.09 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records