Medicare Enrolled

Dr. Nicholas Castner, MD

MOHS-Micrographic Surgery Physician · Largo, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
8787 BRYAN DAIRY RD STE 360, Largo, FL 33777
8133211786
In practice since 2018 (8 years)
NPI: 1992201875 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. Castner 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. Castner? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Castner

Dr. Nicholas Castner is a mohs-micrographic surgery physician in Largo, FL, with 8 years in practice. Based on federal Medicare data, Dr. Castner performed 628 Medicare services across 575 unique beneficiaries.

Between the years covered by Open Payments, Dr. Castner received a total of $1,989 from 15 pharmaceutical and/or device companies across 28 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in mohs-micrographic surgery physician. 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. Castner 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.

✓ 8 years in practice▲ 628 Medicare services$ $1,989 industry payments

Medicare Practice Summary

Medicare Utilization ↗
628
Medicare services
Bottom 8% in FL for mohs-micrographic surgery physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
575
Unique beneficiaries
$304
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~78 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
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks177$468$1,342
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks104$318$812
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm56$188$941
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks43$487$1,258
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm40$112$557
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm39$276$846
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm29$202$602
Office visit, established patient (20-29 min)28$70$179
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm24$95$486
Complicated repair of wound of trunk, 2.6-7.5 cm23$302$790
Office visit, established patient (10-19 min)19$44$112
Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm12$151$615
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less12$604$1,540
Skin biopsy, tangential11$57$199
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm11$67$341
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 ↗
$1,989
Total received (2020-2024)
Avg $398/year across 5 years
Bottom 47% in FL for mohs-micrographic surgery physician
15
Companies
28
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
$1,989 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$502
2023
$700
2022
$441
2021
$125
2020
$221

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Kerecis Limited
$541
ABBVIE INC.
$324
Novartis Pharmaceuticals Corporation
$184
Regeneron Healthcare Solutions, Inc.
$165
Arcutis Biotherapeutics, Inc.
$140
E.R. Squibb & Sons, L.L.C.
$125
Kyowa Kirin, Inc.
$125
GENZYME CORPORATION
$117
AbbVie Inc.
$103
Organogenesis Inc.
$47
Incyte Corporation
$37
Amgen Inc.
$25
Almirall LLC
$23
NOVARTIS PHARMACEUTICALS CORPORATION
$17
Journey Medical Corporation
$16
Top 3 companies account for 52.8% of total payments
Associated products mentioned in payments ›
COSENTYX · DUPIXENT · HUMIRA · Kerecis Omega3 SurgiClose · LIBTAYO · OPZELURA · Otezla · POTELIGEO · Puraply · SKYRIZI · Seysara · Sotyktu
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $317 per 100 Medicare services performed
Looking for a mohs-micrographic surgery physician in Largo?
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Geographic Context

MOHS-Micrographic Surgery Physicians within 10 mi
21
Per 100K population
2.2
County median income
$70,293
Nearest hospital
HCA FLORIDA NORTHSIDE HOSPITAL
3.1 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. Castner is a mixed practice specialist, with moderate Medicare volume, and low-engagement industry engagement.

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. Castner experienced with removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks?
Based on Medicare claims data, Dr. Castner performed 177 removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 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. Castner receive payments from pharmaceutical companies?
Yes. Dr. Castner received a total of $1,989 from 15 companies across 28 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. Castner's costs compare to other mohs-micrographic surgery physicians in Largo?
Dr. Castner's average Medicare payment per service is $304. 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. Castner) 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 →