Medicare Enrolled

Dr. Ramon Castello, M.D.

Cardiovascular Disease · Jacksonville, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
3599 UNIVERSITY BLVD S, Jacksonville, FL 32216
9047245000
In practice since 2005 (20 years)
NPI: 1811984073 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. 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 →
Are you Dr. Castello? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Castello

Dr. Ramon Castello is a cardiovascular disease in Jacksonville, FL, with 20 years in practice. 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

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.

ProcedureVolumeAvg. paidAvg. submitted
Chronic care management, additional 20 min/month1,464$37$70
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes1,378$31$59
Electrocardiogram (EKG), 12-lead1,089$11$22
Chronic care management, first 20 min/month1,055$50$93
Remote patient monitoring device, 30 days1,002$38$71
Remote patient monitoring management, 20 min/month950$38$72
Office visit, established patient (30-39 min)941$94$192
Heart muscle strain imaging404$29$56
Office visit, established patient, complex (40-54 min)333$127$272
Echocardiogram, transthoracic235$147$295
Ultrasound of heart with color-depicted blood flow, rate and valve function174$18$35
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment119$14$28
Testing of autonomic nervous system function and heart rate response to deep breathing112$65$133
Ultrasound of heart blood flow, valves and chambers, follow-up98$19$38
Ultrasound of heart, follow-up96$74$146
Ultrasound of both sides of head and neck blood flow83$136$286
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report79$178$349
Ultrasound of heart blood flow, valves and chambers76$39$76
Office visit, established patient (20-29 min)70$69$136
Ultrasound study of arm or leg veins with compression and maneuvers59$139$280
3d radiographic procedure38$8$15
Electrocardiogram (ecg) 2-day continuous with review by health care professional38$13$28
Ultrasound of heart with probe in esophagus, with report38$84$163
Ultrasound of leg arteries or artery grafts37$184$361
Initial hospital admission, moderate complexity29$106$205
New patient office visit (45-59 min)28$112$253
Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report23$170$346
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days18$9$21
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days17$19$37
New patient office visit, complex (60-74 min)17$155$332
EKG interpretation and report14$7$13
Transitional care management services for problem of high complexity13$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.
6.0% high complexity
7.9% 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
Looking for a cardiovascular disease in Jacksonville?
Compare cardiovascular diseases in the Jacksonville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Cardiovascular Diseases within 10 mi
154
Per 100K population
15.3
County median income
$68,447
Nearest hospital
HCA FLORIDA MEMORIAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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), and high industry engagement (speaking/promotional, top 12%), with 20 years of practice experience.

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 cardiovascular diseases 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 →
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 →