Cassandra Renee Gast, PAC
NPI 1457040388ActiveIndividual· Physician Assistant· High Point, NC
Physician Assistant (PAC) with Wake Forest University Health Sciences, practicing in High Point, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $100,919 for 1,247 claims, against $5,609 paid for services in 2024. Lilly USA, LLC was the largest of 3 companies reporting payments in 2025, $214.40 in all, mostly food and beverage. Lists High Point Regional Health System and 1 other hospital as hospital affiliations.
Overview
| NPI | 1457040388 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | May 5, 2023 |
| Last updated in NPPES | Oct 27, 2026 |
| Certified by provider | Oct 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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 - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 55 |
|---|---|
| Services billed | 134 across 23 procedure codes |
| Paid by Medicare | $5,609 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,247 · 2,373 30-day fills |
|---|---|
| Patients | 254 |
| Total drug cost | $100,919 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Wake Forest University Health SciencesHigh Point, NC · 2,645 clinicians
Hospital affiliations
- High Point Regional Health SystemHigh Point, NC
- North Carolina Baptist HospitalWinston-Salem, NC
Industry payments (Open Payments)
- 2025$214.40 · 3 payments from 3 companies
- 2024$763.38 · 8 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $118.51 | 1 |
| Abbott Laboratories | $81.90 | 1 |
| Bayer Healthcare Pharmaceuticals Inc. | $13.99 | 1 |
What the 2025 payments were for
- Food and Beverage$214.40 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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