Josh D. Gast, D.O.
NPI 1437404761ActiveIndividual· Internal Medicine· Poplar Bluff, MO
Internal Medicine (D.O.) with Big Springs Medical Association and 1 other group, practicing in Poplar Bluff, Missouri. Their prescriptions cost Medicare Part D more than their services did: $713,637 for 8,827 claims, against $7,729 paid for services in 2024. Alkermes, Inc. was the largest of 9 companies reporting payments in 2025, $354.55 in all, mostly food and beverage. Lists Missouri Delta Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1437404761 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jul 24, 2012 |
| Last updated in NPPES | Oct 15, 2026 |
| Certified by provider | Oct 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 2016043822 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 150 |
|---|---|
| Services billed | 637 across 49 procedure codes |
| Paid by Medicare | $7,729 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,827 · 13,068 30-day fills |
|---|---|
| Patients | 444 |
| Total drug cost | $713,637 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical groups
- Big Springs Medical AssociationEminence, MO · 53 clinicians
- Alliance Health and Dermatology, LLCCape Girardeau, MO · 5 clinicians
Hospital affiliations
- Missouri Delta Medical CenterSikeston, MO
- Poplar Bluff Regional Medical CenterPoplar Bluff, MO
Other facilities
- Comfort Care Home Health Agency, IncHome health agency · Doniphan, MO
- Ozark Home HealthcareHome health agency · Poplar Bluff, MO
Industry payments (Open Payments)
- 2025$354.55 · 17 payments from 9 companies
- 2024$238.72 · 13 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alkermes, Inc. | $92.21 | 4 |
| Otsuka America Pharmaceutical, Inc. | $69.45 | 3 |
| Janssen Pharmaceuticals, Inc | $57.65 | 3 |
| Braeburn Inc. | $41.68 | 2 |
| Sumitomo Pharma America, Inc. | $23.89 | 1 |
What the 2025 payments were for
- Food and Beverage$354.55 · 17 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 44 internal medicine physicians in Poplar Bluff · All internal medicine physicians in Missouri