Brian Thomas Kalsto , PA-C
Physician Assistant β’ Apopka, FL
225 E 7th St
Apopka, FL 327035327
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 13, 2021; this date does not establish years in practice.
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Published CMS data list 198 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Quetiapine Fumarate β 37 prescription fills, including refills.
- Clonazepam β 32 prescription fills, including refills.
- Hydroxyzine Hcl β 19 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 11 records in the table Β· Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 80% of clinicians listed under Physician Assistant in Apopka, FL (2024, 18 clinicians with data). Median for this group: 782. Middle half: 247 to 1,429.
Close to the middle for Part D prescriptions among clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 34 in 2022 to 198 in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2022β2024.
Practice Location & Contact Primary Location
225 E 7th St
Apopka, FL 327035327
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Shardae Tripp Counseling Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of South Florida College Of Medicine
2021
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
277 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$5,924 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021β2025.
Years since graduation
5 years (graduated 2021)
CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2021
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Brian Kalsto has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Brian Kalsto as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Apopka and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 80% of clinicians listed under Physician Assistant in Apopka, FL (2024, 18 clinicians with data). Median for this group: 782. Middle half: 247 to 1,429.
Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.
Part D drug cost
A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Apopka, FL (2024, 18 clinicians with data). Median for this group: $9,936. Middle half: $3,650 to $193,058.
Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.
30 active clinicians are listed under Physician Assistant with a practice address in Apopka, FL (10,260 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Apopka
30% of these 30 clinicians have the CMS telehealth indicator.
70% of these 30 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 482% from 34 in 2022 to 198 in 2024.
- 2022: 34
- 2023: 143
- 2024: 198
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30-day fills
30-day fills increased 713% from 34 in 2022 to 277 in 2024.
- 2022: 34
- 2023: 181
- 2024: 277
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Part D drug cost
Part D drug cost went from $409 in 2022 to $5,924 in 2024.
- 2022: $409
- 2023: $6,297
- 2024: $5,924
Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Quetiapine Fumarate | Quetiapine Fumarate | 37 | 1,350 | $553.92 | β |
| Clonazepam | Clonazepam | 32 | 1,096 | $476.67 | β |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 19 | 891 | $471.20 | β |
| Bupropion Xl | Bupropion Hcl | 17 | 870 | $214.61 | β |
| Sertraline Hcl | Sertraline Hcl | 16 | 1,020 | $96.88 | β |
| Mirtazapine | Mirtazapine | 15 | 450 | $128.08 | β |
| Trazodone Hcl | Trazodone Hcl | 14 | 642 | $101.33 | β |
| Lurasidone Hcl | Lurasidone Hcl | 13 | 600 | $3,406.64 | β |
| Lamotrigine | Lamotrigine | 12 | 345 | $31.83 | β |
| Ziprasidone Hcl | Ziprasidone Hcl | 12 | 360 | $342.84 | β |
| Buspirone Hcl | Buspirone Hcl | 11 | 480 | $100.45 | β |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-05-12NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20230814000808
FL
5890157531
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Shardae Tripp Counseling Llc
540 Nw University Blvd, Port St Lucie, FL 349862281
Phone: 7724187797
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Optometrist
Psychiatry & Neurology - Child & Adolescent Psychiatry
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner
Advanced Registered Nurse Practitioner
Optometrist
Doctor of Optometry
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 225 E 7TH ST, APOPKA, FL 327035327 (Tel: 4079058827)
Registered at 225 E 7TH ST, APOPKA, FL 327035327 (Tel: 4079058827)
NPI status registered as active in NPPES database
Registered at 111 W MAGNOLIA AVE, LONGWOOD, FL 327504130 (Tel: 4072150095)
Registered at 10714 ABACO BEACH LN APT 202, ORLANDO, FL 328366674 (Tel: 4072478280)
Recorded as BRIAN KALSTO, PA-C
Physician Assistant (license number reported to NPPES: FL 9114973)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Apopka
- Kelly Osullivan-Stobbe, PAC MS
- Elizabeth Kolich, PA-C
- Michelle Lukasik, PA
- Rebecca O'donnell, PA-C
- Nikki Glennon, PA-C
- Joan Deriggs, PA-C
More public profiles in Florida
Directory navigation, in NPI number order.
- Nathan You, DPT Physical Therapist Β· Yulee
- Kristin Sinopoli, MSN, FNP-C Nurse Practitioner - Family Β· Stuart
- Mercedes Yanez, PA-C Physician Assistant Β· Palmetto Bay
- Janita Ward, APRN Nurse Practitioner - Family Β· Largo
- Vanessa Lickson, APRN Nurse Practitioner - Family Β· Blountstown
- Stephen Staudt, PA-C Physician Assistant Β· Atlantis
- Lauren Rowland, CRNA Nurse Anesthetist, Certified Registered Β· Tampa
- Nicole Rodriguez, NURSE PRACTITIONER Nurse Practitioner Β· Lake Mary
- Rachel Sykes, PA-C Physician Assistant Β· Jacksonville Beach
- Sharon Garcia Valencia, CRNA Nurse Anesthetist, Certified Registered Β· Hialeah
- Ailiz Bodzo, PA-C Physician Assistant Β· Tampa
- Christopher Foust Nurse Anesthetist, Certified Registered Β· Tallahassee
Mailing Address
225 E 7th St
Apopka, FL 327035327
Phone: 4079058827