Medicare Enrolled

Dr. Juan Fernandez De Castro, MD

Ophthalmology · Coral Gables, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
2550 S DOUGLAS RD, Coral Gables, FL 33134
2399857171
In practice since 2008 (17 years)
NPI: 1902062649 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. Fernandez De Castro 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 →
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What this data tells you about Dr. Fernandez De Castro

Dr. Juan Fernandez De Castro is an ophthalmology specialist in Coral Gables, FL, with 17 years of NPI registration. Based on federal Medicare data, Dr. Fernandez De Castro performed 1,148 Medicare services across 749 unique beneficiaries.

Between the years covered by Open Payments, Dr. Fernandez De Castro received a total of $10,671 from 24 pharmaceutical and/or device companies across 175 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. 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. Fernandez De Castro is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 17 years in practice ▲ 1,148 Medicare services $10,671 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Medical Doctor 130787 Clear January 31, 2027
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary

Medicare Utilization ↗
1,148
Medicare services
Bottom 31% in FL for ophthalmology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
749
Unique beneficiaries
$85
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~68 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) 206 $99 $301
Office visit, established patient (20-29 min) 156 $68 $212
Retinal imaging (OCT scan) 154 $29 $95
Closure of tear duct opening using plug 120 $87 $347
Comprehensive eye exam, established patient 115 $80 $307
Eye injection for retinal disease 90 $74 $210
Visual field test, extended 55 $48 $144
Optic nerve imaging (OCT scan) 48 $28 $85
Removal of recurring cataract in lens capsule using a laser 32 $258 $731
Laser repair to improve eye fluid flow 31 $170 $481
Cataract surgery with lens implant 30 $423 $1,272
Corneal topography and eye depth measurement 24 $30 $102
Office visit, established patient (10-19 min) 23 $39 $143
Retinal photography (fundus photo) 21 $26 $94
Comprehensive eye exam, new patient 17 $87 $319
Eye exam, established patient, focused 14 $74 $222
New patient office visit (45-59 min) 12 $120 $378
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.
2.6% high complexity
25.4% medium
72.0% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$10,671
Total received (2018-2024)
Avg $1,524/year across 7 years
Top 14% in FL for ophthalmology
24
Companies
175
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
$10,568 (99.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$103 (1.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$3,411
2023
$935
2022
$3,420
2021
$481
2020
$285
2019
$1,598
2018
$541

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Alcon Vision LLC
$3,061
BioTissue Holdings, Inc.
$2,619
Johnson & Johnson Surgical Vision, Inc.
$1,144
ABBVIE INC.
$860
BIOTISSUE HOLDINGS INC.
$547
Bausch & Lomb, a division of Bausch Health US, LLC
$500
Allergan, Inc.
$402
Sun Pharmaceutical Industries Inc.
$288
Carl Zeiss Meditec, Inc.
$243
Oyster Point Pharma, Inc.
$159
Omeros Corporation
$154
Tarsus Pharmaceuticals, Inc.
$140
SUN PHARMACEUTICAL INDUSTRIES INC.
$130
Bausch & Lomb Americas Inc.
$125
Alcon Laboratories Inc
$105
Aerie Pharmaceuticals, Inc.
$43
BIOTISSUE HOLDINGS, INC.
$36
Allergan Inc.
$24
Apellis Pharmaceuticals, Inc.
$22
Sight Sciences, Inc.
$18
Ocular Therapeutix, Inc.
$17
Glaukos Corporation
$15
Shire North American Group Inc
$11
Alimera Sciences, Inc.
$11
Top 3 companies account for 63.9% of total payments
Associated products mentioned in payments ›
AIR OPTIX · ARGOS · BESIVANCE · BROMSITE · CEQUA · COMBIGAN · Catalys Laser System · Centurion · Cequa · Clareon · DURYSTA · ENVISTA · HYDRUS Microstent · ILUVIEN · ISTENT TRABECULAR MICRO-BYPASS STENT SYSTEM · LUMIGAN · LenSx · MIEBO · NGENUITY · OMNI · OPMI Lumera · Omidria · PROKERA · RESTASIS · ReSure Sealant · Rhopressa · Rocklatan · STELLARIS · Syfovre · TECNIS IOL · TYRVAYA · Tecnis 1-piece IOL · Tecnis Multifocal Family of 1-piece IOLS · VUITY · VYZULTA · VisuMax · XDEMVY · XEN GLAUCOMA TREATMENT SYSTEM · XIIDRA · rhopressa
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $930 per 100 Medicare services performed
Looking for an ophthalmology specialist in Coral Gables?
Compare ophthalmologists in the Coral Gables area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Ophthalmologists within 10 mi
323
Per 100K population
12.0
County median income
$68,694
Nearest hospital
CORAL GABLES HOSPITAL
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 measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Fernandez De Castro is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 14% of FL peers, with 17 years of NPI registration.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Fernandez De Castro experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Fernandez De Castro performed 206 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. Fernandez De Castro receive payments from pharmaceutical companies?
Yes. Dr. Fernandez De Castro received a total of $10,671 from 24 companies across 175 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. Fernandez De Castro's costs compare to other ophthalmologists in Coral Gables?
Dr. Fernandez De Castro's average Medicare payment per service is $85. 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. Fernandez De Castro) 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. The Transparency Score measures 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 →