Medicare Enrolled
Dr. Ramon Castello, M.D.
Cardiovascular Disease · Jacksonville, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Castello 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. Castello
Dr. Ramon Castello is a cardiovascular disease specialist in Jacksonville, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Castello performed 10,127 Medicare services across 2,803 unique beneficiaries.
Between the years covered by Open Payments, Dr. Castello received a total of $24,918 from 45 pharmaceutical and/or device companies across 486 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Castello 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.
✓ 20 years in practice
▲ Top 7% volume in FL
$24,918 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 81457 | Clear | January 31, 2028 | — |
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 ↗10,127
Medicare services
Top 7% in FL for cardiovascular disease
2,803
Unique beneficiaries
$50
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~506 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 |
|---|---|---|---|
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
1,464 | $37 | $70 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
1,378 | $31 | $59 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
1,089 | $11 | $22 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
1,055 | $50 | $93 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
1,002 | $38 | $71 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
950 | $38 | $72 |
| 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. |
941 | $94 | $192 |
| Heart muscle strain imaging | 404 | $29 | $56 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
333 | $127 | $272 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
235 | $147 | $295 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
174 | $18 | $35 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
119 | $14 | $28 |
| Autonomic nervous system testing with heart rate response to deep breathing This test evaluates the function of the autonomic nervous system by measuring how the heart rate changes in response to deep breathing. |
112 | $65 | $133 |
| Follow-up ultrasound of heart blood flow, valves and chambers An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function. |
98 | $19 | $38 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
96 | $74 | $146 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
83 | $136 | $286 |
| Stress echocardiogram with ECG monitoring An ultrasound of the heart performed while monitoring heart rhythm during rest, exercise, or medication-induced stress, followed by a review and report of the findings. |
79 | $178 | $349 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
76 | $39 | $76 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
70 | $69 | $136 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
59 | $139 | $280 |
| 3D radiographic procedure A radiographic imaging technique that creates three-dimensional representations of internal structures. |
38 | $8 | $15 |
| 2-day continuous ECG with professional review A two-day continuous electrocardiogram recording that includes a review by a healthcare professional. |
38 | $13 | $28 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
38 | $84 | $163 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
37 | $184 | $361 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
29 | $106 | $205 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
28 | $112 | $253 |
| Transesophageal echocardiogram during heart surgery An ultrasound of the heart performed using a probe inserted into the esophagus while surgery on the heart or major blood vessels is taking place, including a written report. |
23 | $170 | $346 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording the heart's electrical activity continuously using an external device for a period exceeding 48 hours but not more than 7 days. |
18 | $9 | $21 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
17 | $19 | $37 |
| New patient office visit, complex (60-74 min) | 17 | $155 | $332 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
14 | $7 | $13 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
13 | $206 | $415 |
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.
4.3% high complexity
9.6% medium
86.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$24,918
Total received (2018-2024)
Avg $3,560/year across 7 years
Top 12% in FL for cardiovascular disease
45
Companies
486
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$15,062 (60.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,857 (39.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,559
2023
$1,643
2022
$1,841
2021
$2,291
2020
$890
2019
$10,657
2018
$6,038
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$15,203
Novartis Pharmaceuticals Corporation
$1,306
Janssen Pharmaceuticals, Inc
$952
AstraZeneca Pharmaceuticals LP
$815
PFIZER INC.
$664
Abbott Laboratories
$634
Amgen Inc.
$585
Boehringer Ingelheim Pharmaceuticals, Inc.
$580
Merck Sharp & Dohme LLC
$405
E.R. Squibb & Sons, L.L.C.
$398
Edwards Lifesciences Corporation
$314
Bayer HealthCare Pharmaceuticals Inc.
$303
Actelion Pharmaceuticals US, Inc.
$286
Medtronic, Inc.
$278
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$248
Impulse Dynamics (USA) Inc.
$210
Bayer Healthcare Pharmaceuticals Inc.
$204
Lundbeck LLC
$180
Philips Electronics North America Corporation
$151
Esperion Therapeutics, Inc.
$146
Gilead Sciences, Inc.
$101
Novo Nordisk Inc
$101
Lexicon Pharmaceuticals, Inc.
$97
Amarin Pharma Inc.
$86
Otsuka America Pharmaceutical, Inc.
$71
Merck Sharp & Dohme Corporation
$62
Lantheus Medical Imaging, Inc.
$55
MEDICOMP INC
$55
Braemar Manufacturing, LLC
$45
Regeneron Healthcare Solutions, Inc.
$44
iRhythm Technologies, Inc.
$42
Vifor Pharma, Inc.
$34
Baxter Healthcare
$32
Bardy Diagnostics, Inc.
$28
Bard Peripheral Vascular, Inc.
$27
Inspire Medical Systems, Inc.
$26
GENZYME CORPORATION
$24
CVRx, Inc.
$22
SCPHARMACEUTICALS INC.
$22
SANOFI-AVENTIS U.S. LLC
$18
GE HEALTHCARE
$15
G Medical Diagnostic Services, Inc.
$15
Medtronic Vascular, Inc.
$14
ARBOR PHARMACEUTICALS, INC.
$11
Shockwave Medical, Inc
$11
Top 3 companies account for 70.1% of total payments
Associated products mentioned in payments ›
(5044) MCOT · (5046) Holter · (5050) Ext Holter · (5091) Amb Mon & Diag Und · Adempas · BRILINTA · Barostim Neo System · Bidil · CAMZYOS · CARDIOMEMS · COREVALVE EVOLUT R · Cardiac Monitoring Suite · CardioMEMS HF System · Carnation Ambulatory Monitor · ClosureFast · Confirm Rx · CoreValve Evolut · Corlanor · DEFINITY · Definity · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · ENTRESTO · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FABRAZYME · FARXIGA · FREESTYLE LIBRE 3 · FUROSCIX · GENERAL THERAPIES · Hillrom - Cardiac Ambulatory Monitor · Hillrom - Carnation Ambulatory Monitor · INSPIRE · Inpefa · JARDIANCE · Kerendia · LEQVIO · LINQ II · LifeVest · MITRACLIP · MitraClip System · NEXLETOL · NORTHERA · ONGLYZA · OPSUMIT · OPTIMIZER · Optimizer · Ozempic · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Repatha · SAMSCA · TELEPATCH CARDIAC MONITOR · UPTRAVI · VERQUVO · VYNDAMAX · VYNDAQEL · Vascepa · Vascular Lithotripsy · Veltassa · Verquvo · WATCHMAN · WATCHMAN Access System · XARELTO · ZIO XT Patch
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 →
The majority of payments (60%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in cardiovascular disease and does not inherently indicate bias, but patients may wish to be aware.
Equivalent to $246 per 100 Medicare services performed
Geographic Context
Cardiologists within 10 mi
154
Per 100K population
15.3
County median income
$68,447
Nearest hospital
HCA FLORIDA MEMORIAL HOSPITAL
0.0 mi
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. Castello is a clinical cardiology specialist, with above-average Medicare volume (top 7% in FL), with speaking/promotional industry engagement in the top 12% of FL peers, with 20 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. Castello experienced with chronic care management, additional 20 min/month?
Based on Medicare claims data, Dr. Castello performed 1,464 chronic care management, additional 20 min/month 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. Castello receive payments from pharmaceutical companies?
Yes. Dr. Castello received a total of $24,918 from 45 companies across 486 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. Castello's costs compare to other cardiologists in Jacksonville?
Dr. Castello's average Medicare payment per service is $50. 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. Castello) 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 →
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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.
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