Brooke A Cast , PA-C
Physician Assistant โข Kearney, NE
3219 Central Ave
Kearney, NE 688472949
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on July 18, 2006; this date does not establish years in practice.
-
Published CMS data list 243 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99232 โ Subsequent hospital care with moderate levelof medical decision making: 78 service units.
- 99214 โ Established patient outpatient office visit: 54 service units.
- 36415 โ Insertion of needle into vein for collection of blood sample: 43 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 186 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Pantoprazole Sodium โ 44 prescription fills, including refills.
- Colestipol Hcl โ 32 prescription fills, including refills.
- Famotidine โ 27 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 9 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Kearney, NE (2024, 36 clinicians with data). Median for this group: 277. Middle half: 62 to 563.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Nebraska (2024, 715 clinicians with data). Median for this group: 233. Middle half: 71 to 636.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 58 in 2017 to 243 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2017โ2024.
Practice Location & Contact Primary Location
3219 Central Ave
Kearney, NE 688472949
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 2 distinct group names: Chi Health Clinic Specialty Llc; Curana Health Of Iowa Pllc. 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
2004
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
174 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $15,522 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $11,947 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
217 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
$86,689 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,381.10 across 88 records.
By nature of payment
- Food and Beverage: $1,361.38 across 86 records.
- Education: $19.72 across 2 records.
Reporting-company totals (3 largest of 17)
- ABBVIE INC.: $333.98 across 23 records.
- Takeda Pharmaceuticals U.S.A., Inc.: $219.28 across 14 records.
- Madrigal Pharmaceuticals: $154.01 across 12 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
22 years (graduated 2004)
CMS Doctors and Clinicians data list 2004 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
2006
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, โDoes your provider accept Medicare as full payment?โ
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)
Brooke Cast 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 Brooke Cast 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 Kearney and Nebraska
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant in Kearney, NE (2024, 36 clinicians with data). Median for this group: 277. Middle half: 62 to 563.
Close to the middle for clinicians listed under Physician Assistant in Nebraska (2024, 715 clinicians with data). Median for this group: 233. Middle half: 71 to 636.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Kearney, NE (2024, 36 clinicians with data). Median for this group: $16,024. Middle half: $3,719 to $28,865.
Close to the middle for clinicians listed under Physician Assistant in Nebraska (2024, 715 clinicians with data). Median for this group: $13,478. Middle half: $4,832 to $31,655.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Kearney, NE (2024, 36 clinicians with data). Median for this group: $12,112. Middle half: $2,843 to $21,237.
Close to the middle for clinicians listed under Physician Assistant in Nebraska (2024, 715 clinicians with data). Median for this group: $9,711. Middle half: $3,460 to $23,724.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Kearney, NE (2024, 34 clinicians with data). Median for this group: 194. Middle half: 51 to 712.
Close to the middle for clinicians listed under Physician Assistant in Nebraska (2024, 782 clinicians with data). Median for this group: 299. Middle half: 82 to 1,064.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Kearney, NE (2024, 34 clinicians with data). Median for this group: $3,877. Middle half: $675 to $91,252.
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Nebraska (2024, 782 clinicians with data). Median for this group: $7,125. Middle half: $758 to $101,074.
57 active clinicians are listed under Physician Assistant with a practice address in Kearney, NE (1,352 in Nebraska).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Kearney
15.8% of these 57 clinicians have the CMS telehealth indicator.
80.7% of these 57 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.
-
Medicare Part B services
Medicare Part B services increased 319% from 58 in 2017 to 243 in 2024.
- 2017: 58
- 2018: 17
- 2019: 33
- 2022: 16
- 2024: 243
-
Medicare-allowed amount
Medicare-allowed amount increased 424% from $2,961 in 2017 to $15,522 in 2024.
- 2017: $2,961
- 2018: $993
- 2019: $1,948
- 2022: $1,355
- 2024: $15,522
-
Paid by Medicare
Paid by Medicare increased 406% from $2,359 in 2017 to $11,947 in 2024.
- 2017: $2,359
- 2018: $791
- 2019: $1,558
- 2022: $1,086
- 2024: $11,947
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 66% from 112 in 2019 to 186 in 2024.
- 2019: 112
- 2020: 84
- 2021: 24
- 2023: 63
- 2024: 186
-
30-day fills
30-day fills increased 94% from 112 in 2019 to 217 in 2024.
- 2019: 112
- 2020: 84
- 2021: 24
- 2023: 63
- 2024: 217
-
Part D drug cost
Part D drug cost increased 781% from $9,841 in 2019 to $86,689 in 2024.
- 2019: $9,841
- 2020: $8,492
- 2021: $4,607
- 2023: $8,967
- 2024: $86,689
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $5.73 in 2022 to $1,381.10 in 2025.
- 2022: $5.73
- 2023: $179.11
- 2024: $1,486.50
- 2025: $1,381.10
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 88 records totaling $1,381.10.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
|
EOHILIA | General | $32.74 |
| ARGENX US, INC. |
Food and Beverage
In-kind items and services
|
โ | General | $31.87 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
|
EOHILIA | General | $30.84 |
| Gilead Sciences, Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $29.73 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
OMVOH | General | $29.66 |
| Gilead Sciences, Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $28.52 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
RINVOQ | General | $27.86 |
| Ipsen Biopharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
IQIRVO | General | $27.37 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $26.88 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
OFEV | General | $26.74 |
| Ipsen Biopharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
IQIRVO | General | $26.14 |
| Ipsen Biopharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
IQIRVO | General | $25.14 |
| Madrigal Pharmaceuticals |
Food and Beverage
In-kind items and services
|
REZDIFFRA | General | $25.08 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $24.80 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
CREON | General | $24.35 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
OMVOH | General | $23.73 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $22.12 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
|
ENTYVIO | General | $21.97 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $20.59 |
| Gilead Sciences, Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $20.56 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $20.53 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
RINVOQ | General | $20.42 |
| Madrigal Pharmaceuticals |
Food and Beverage
In-kind items and services
|
REZDIFFRA | General | $19.75 |
| Madrigal Pharmaceuticals |
Food and Beverage
In-kind items and services
|
REZDIFFRA | General | $19.74 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
RINVOQ | General | $19.56 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
78 | 61 | $223.00 | $61.27 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
54 | 37 | $360.00 | $99.70 |
|
36415
Insertion of needle into vein for collection of blood sample
|
43 | 41 | $7.00 | $6.86 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
39 | 35 | $254.00 | $70.89 |
|
99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
|
16 | 15 | $139.00 | $38.03 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
13 | 13 | $466.00 | $130.07 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
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 |
|---|---|---|---|---|---|
| Pantoprazole Sodium | Pantoprazole Sodium | 44 | 1,637 | $548.57 | 25 |
| Colestipol Hcl | Colestipol Hcl | 32 | 1,027 | $1,578.46 | 17 |
| Famotidine | Famotidine | 27 | 952 | $198.43 | 11 |
| Amitriptyline Hcl | Amitriptyline Hcl | 18 | 660 | $82.79 | โ |
| Dicyclomine Hcl | Dicyclomine Hcl | 18 | 338 | $348.90 | โ |
| Linzess | Linaclotide | 13 | 480 | $8,483.58 | โ |
| Ursodiol | Ursodiol | 12 | 360 | $948.03 | โ |
| Mesalamine | Mesalamine | 11 | 330 | $5,341.26 | โ |
| Rinvoq | Upadacitinib | 11 | 330 | $69,158.63 | โ |
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
NUCC 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
I20041116000973
NE
1052375334
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
Chi Health Clinic Specialty Llc
8207 Northwoods Dr, Lincoln, NE 685052093
Phone: 4024843440
Chi Health Clinic Specialty Llc
3219 Central Ave, Kearney, NE 688472958
Phone: 3088652370
Curana Health Of Iowa Pllc
1203 E Hynes Ave, Oneill, NE 687631451
Phone: 3379919276
Chi Health Clinic Specialty Llc
705 Orleans Dr, Grand Island, NE 688033409
Phone: 3083989393
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Doctor of Medicine (M.D.)
Podiatrist
Doctor of Podiatric Medicine
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant
Nurse Practitioner - Family
Advanced Practice Registered Nurse, Nurse Practitioner
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated July 18, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Physician Assistants in Kearney
- Brooke Huxoll, PA
- Olivia Olson
- Jensyn Beranek, PA
- Ellen Barnes, PA-C
- Sarah Guthard, PA-C, ATC
- Connor Bliss, PA-C
Mailing Address
3219 Central Ave
Kearney, NE 688472949
Phone: 3088652808