Medicare Enrolled

Dr. Tony Kastoon, M.D.

Internal Medicine · San Bernardino, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
399 E HIGHLAND AVE STE 227, San Bernardino, CA 92404
9098821210
In practice since 2006 (19 years)
NPI: 1184636235 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Kastoon from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Kastoon? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Kastoon

Dr. Tony Kastoon is an internal medicine specialist in San Bernardino, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Kastoon performed 1,214 Medicare services across 501 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kastoon received a total of $29,768 from 59 pharmaceutical and/or device companies across 1465 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Kastoon is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 26% volume in CA $29,768 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,214
Medicare services
Top 26% in CA for internal medicine
501
Unique beneficiaries
$90
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~64 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
962 $98 $190
Continuous glucose monitoring with interpretation
This procedure involves monitoring blood sugar levels in tissue fluid using a sensor placed under the skin, along with the interpretation and reporting of the results.
166 $27 $83
Ultrasound of head and neck soft tissue
This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation.
53 $93 $320
New patient office visit, complex (60-74 min) 33 $175 $364
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$29,768
Total received (2018-2024)
Avg $4,253/year across 7 years
Top 4% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
59
Companies
1,465
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$22,442 (75.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$7,326 (24.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$4,584
2023
$5,168
2022
$3,778
2021
$2,723
2020
$4,437
2019
$7,312
2018
$1,767

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Dexcom, Inc.
$695
Lilly USA, LLC
$467
Amgen Inc.
$452
Novo Nordisk Inc
$385
Mannkind Corporation
$336
Abbott Laboratories
$301
Boehringer Ingelheim Pharmaceuticals, Inc.
$272
Xeris Pharmaceuticals, Inc.
$201
Novartis Pharmaceuticals Corporation
$162
Lexicon Pharmaceuticals, Inc.
$132
RECORDATI_RARE_DISEASES_INC.
$113
SANOFI-AVENTIS U.S. LLC
$111
Radius Health, Inc.
$101
BETA BIONICS, INC.
$100
Insulet Corporation
$96
ABBVIE INC.
$93
Tandem Diabetes Care, Inc.
$81
Esperion Therapeutics, Inc.
$66
Madrigal Pharmaceuticals
$63
Ascendis Pharma Inc
$55
Bayer Healthcare Pharmaceuticals Inc.
$53
Acella Pharmaceuticals, LLC
$52
Tolmar, Inc.
$32
Embecta Corp.
$27
PFIZER INC.
$26
Alexion Pharmaceuticals, Inc.
$24
Corcept Therapeutics
$24
Antares Pharma, Inc.
$22
CeQur Corporation
$17
Ascensia Diabetes Care Us Inc.
$14
Amphastar Pharmaceuticals, Inc.
$13
Top 3 companies account for 35.2% of 2024 payments
All-time payments by company (2018-2024) ›
Merck Sharp & Dohme Corporation
$7,455
Novo Nordisk Inc
$3,068
Abbott Laboratories
$1,934
Lilly USA, LLC
$1,871
Dexcom, Inc.
$1,711
Amgen Inc.
$1,703
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,472
AstraZeneca Pharmaceuticals LP
$1,262
SANOFI-AVENTIS U.S. LLC
$1,039
Mannkind Corporation
$942
Novartis Pharmaceuticals Corporation
$720
MannKind Corporation
$665
Insulet Corporation
$604
Xeris Pharmaceuticals, Inc.
$526
Medtronic, Inc.
$387
Corcept Therapeutics
$336
Antares Pharma, Inc.
$280
Tandem Diabetes Care, Inc.
$269
Radius Health, Inc.
$243
Horizon Therapeutics plc
$240
Janssen Pharmaceuticals, Inc
$239
ABBVIE INC.
$196
Esperion Therapeutics, Inc.
$189
VistaPharm, Inc.
$178
Embecta Corp.
$174
DEXCOM, INC.
$170
RECORDATI_RARE_DISEASES_INC.
$164
Acella Pharmaceuticals, LLC
$134
Lexicon Pharmaceuticals, Inc.
$132
Becton, Dickinson and Company
$131
BETA BIONICS, INC.
$100
CeQur Corporation
$99
Medtronic MiniMed, Inc.
$98
Regeneron Healthcare Solutions, Inc.
$97
Alexion Pharmaceuticals, Inc.
$83
Bayer HealthCare Pharmaceuticals Inc.
$79
Madrigal Pharmaceuticals
$63
Amarin Pharma Inc.
$62
Amryt Pharma Holdings Ltd
$57
Ascensia Diabetes Care Us Inc.
$55
Ascendis Pharma Inc
$55
Bayer Healthcare Pharmaceuticals Inc.
$53
IBSA Pharma Inc.
$52
Supernus Pharmaceuticals, Inc.
$51
PFIZER INC.
$47
AbbVie Inc.
$43
Takeda Pharmaceuticals U.S.A., Inc.
$39
Tolmar, Inc.
$32
Currax Pharmaceuticals LLC
$25
AbbVie, Inc.
$22
LifeScan, Inc.
$18
Acerus Pharmaceuticals Corporation
$18
Allergan Inc.
$15
Kyowa Kirin, Inc.
$15
Ascensia Diabetes Care US Inc.
$15
Nevro Corp.
$15
Echosens North America, Inc.
$14
Amphastar Pharmaceuticals, Inc.
$13
Retrophin, Inc.
$1
Top 3 companies account for 41.8% of all-time payments
Associated products mentioned in payments ›
(820) Cholbam · ACCURIAN · AFREZZA · Aimovig · Androgel · BAQSIMI · BD Nano 2nd Gen Pen Needle · BYDUREON · CeQur Simplicity · DEXCOM CGM · DEXCOM G6 CGM SYSTEM · DEXCOM G6 TRANSMITTER · Dexcom CGM · Dexcom G6 Transmitter · ENTRESTO · EVENITY · EVERSENSE E3 SENSOR KIT - RETAIL · EVKEEZA · FARXIGA · FORTEO · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FibroScan · FreeStyle Libre · FreeStyle Libre 2 · FreeStyle Libre blood glucose Flash Monitoring System · FreeStyle Lite system · GVOKE HYPOPEN · GVOKE PFS · HUMULIN · HUMULIN R 500 · INPEN SMART INSULIN DELIVERY SYSTEM · INVOKANA · InPen · JANUVIA · JARDIANCE · JATENZO · Kerendia · Korlym · LEQVIO · LINZESS · LYUMJEV · Levemir · MINIMED 770G · MINIMED 780G · MOUNJARO · MYCAPSSA · Minimed 630G · Minimed 670G System · Minimed 770G System · NEXLETOL · NOCDURNA · NP Thyroid 60 · Natesto · OT Verio Flex Starter Kit · OTREXUP · Omnipod · Otezla · Ozempic · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Prolia · RECORLEV · RESMETIROM · RYBELSUS · Repatha · Rybelsus · SIGNIFOR LAR · SOLIQUA · SOLIQUA 100/33 · SOMAVERT · STEGLATRO · STEGLUJAN · STRENSIQ · SYNJARDY · SYNTHROID · Saxenda · Senza · Strensiq · TEPEZZA · TLANDO · TOUJEO · TRADJENTA · TRULICITY · TZIELD · Thyquidity · Tirosint · Tymlos · UBRELVY · Vascepa · Victoza · Wegovy · XARELTO · XYOSTED · ZEPBOUND · iLet Bionic Pancreas · t-slim insulin pump · t:slim X2 Insulin Pump with Control-IQ
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (75%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for internal medicine in CA.

Looking for an internal medicine specialist in San Bernardino?
Compare internal medicine physicians in the San Bernardino area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
905
Per 100K population
41.4
County median income
$82,184
Nearest hospital
ST BERNARDINE MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Kastoon is a clinical cardiology specialist, with above-average Medicare volume (top 26% in CA), with low-engagement industry engagement in the top 4% of CA peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Kastoon experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Kastoon performed 962 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Kastoon receive payments from pharmaceutical companies?
Yes. Dr. Kastoon received a total of $29,768 from 59 companies across 1,465 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Kastoon's costs compare to other internal medicine physicians in San Bernardino?
Dr. Kastoon's average Medicare payment per service is $90. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Kastoon) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →