Tyler Gast, PA-C
NPI 1689380727ActiveIndividual· Physician Assistant· Ranson, WV
Physician Assistant (PA-C) with Wake Forest University Health Sciences, practicing in Ranson, West Virginia. Their prescriptions cost Medicare Part D more than their services did: $266,181 for 4,142 claims, against $17,418 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 North Carolina Baptist Hospital as a hospital affiliation.
Overview
| NPI | 1689380727 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 23, 2023 |
| Last updated in NPPES | Oct 23, 2026 |
| Certified by provider | Oct 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 3291 | WV |
| Physician Assistant | 363A00000X | 0110011513 | VA |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 74 |
|---|---|
| Services billed | 268 across 30 procedure codes |
| Paid by Medicare | $17,418 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,142 · 9,675 30-day fills |
|---|---|
| Patients | 353 |
| Total drug cost | $266,181 |
| Generic share | 88% 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 affiliation
- North Carolina Baptist HospitalWinston-Salem, NC
Industry payments (Open Payments)
- 2025$214.40 · 3 payments from 3 companies
- 2024$641.54 · 7 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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