Medicare Enrolled
Dr. Alvaro Castillejo, D.O.
Family Medicine · Elkin, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Castillejo 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. Castillejo
Dr. Alvaro Castillejo is a family medicine specialist in Elkin, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Castillejo performed 1,137 Medicare services across 773 unique beneficiaries.
Between the years covered by Open Payments, Dr. Castillejo received a total of $10,890 from 53 pharmaceutical and/or device companies across 749 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Castillejo 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.
✓ 20 years in practice
▲ Top 25% volume in NC
$10,890 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,137
Medicare services
Top 25% in NC for family medicine
773
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~57 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. |
245 | $83 | $213 |
| 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. |
182 | $59 | $151 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
169 | $8 | $25 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
108 | $124 | $135 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
96 | $10 | $35 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
83 | $6 | $30 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
82 | $5 | $24 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
40 | $16 | $27 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
28 | $3 | $15 |
| 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. |
26 | $198 | $248 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
20 | $35 | $68 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
18 | $24 | $60 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
17 | $36 | $200 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
12 | $25 | $62 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
11 | $33 | $75 |
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 ↗$10,890
Total received (2018-2024)
Avg $1,556/year across 7 years
Top 4% in NC for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
53
Companies
749
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
$10,890 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,854
2023
$1,989
2022
$1,812
2021
$1,995
2020
$1,286
2019
$1,020
2018
$935
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$321
Novo Nordisk Inc
$275
Amgen Inc.
$223
Lilly USA, LLC
$142
Corium, LLC
$130
ABBVIE INC.
$104
Abbott Laboratories
$87
Sumitomo Pharma America, Inc.
$84
PFIZER INC.
$80
Novartis Pharmaceuticals Corporation
$75
GlaxoSmithKline, LLC.
$75
Otsuka America Pharmaceutical, Inc.
$61
Exact Sciences Corporation
$61
Bayer Healthcare Pharmaceuticals Inc.
$31
Takeda Pharmaceuticals U.S.A., Inc.
$29
Xeris Pharmaceuticals, Inc.
$18
Astellas Pharma US Inc
$14
Phathom Pharmaceuticals, Inc.
$14
Merck Sharp & Dohme LLC
$14
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$14
Top 3 companies account for 44.2% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,670
PFIZER INC.
$1,072
AstraZeneca Pharmaceuticals LP
$1,002
Amgen Inc.
$917
Lilly USA, LLC
$777
GlaxoSmithKline, LLC.
$587
Boehringer Ingelheim Pharmaceuticals, Inc.
$421
Astellas Pharma US Inc
$409
SANOFI-AVENTIS U.S. LLC
$318
Novartis Pharmaceuticals Corporation
$310
Mylan Specialty L.P.
$274
Otsuka America Pharmaceutical, Inc.
$259
ABBVIE INC.
$241
AbbVie Inc.
$228
Takeda Pharmaceuticals U.S.A., Inc.
$172
Biohaven Pharmaceutical Holding Company Ltd.
$166
Abbott Laboratories
$164
Corium, LLC
$154
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$137
Teva Pharmaceuticals USA, Inc.
$109
Sunovion Pharmaceuticals Inc.
$108
Exact Sciences Corporation
$106
Xeris Pharmaceuticals, Inc.
$97
Merck Sharp & Dohme Corporation
$94
Merck Sharp & Dohme LLC
$92
Janssen Pharmaceuticals, Inc
$90
Sumitomo Pharma America, Inc.
$84
PREVENTRIC DIAGNOSTICS, INC.
$77
AbbVie, Inc.
$72
Biohaven Pharmaceuticals, Inc.
$71
Kowa Pharmaceuticals America, Inc.
$58
Bayer Healthcare Pharmaceuticals Inc.
$50
Eisai Inc.
$50
SANOFI PASTEUR INC.
$46
Amarin Pharma Inc.
$42
Paratek Pharmaceuticals, Inc.
$38
IDORSIA PHARMACEUTICALS US INC
$36
Quidel Corporation
$35
Ironwood Pharmaceuticals, Inc
$30
Nestle HealthCare Nutrition Inc.
$27
Allergan Inc.
$21
Boston Scientific Corporation
$18
Avion Pharmaceuticals
$17
Kyowa Kirin, Inc.
$17
Ultragenyx Pharmaceutical Inc.
$16
Genentech USA, Inc.
$16
Neurelis, Inc.
$15
Bayer HealthCare Pharmaceuticals Inc.
$14
Phathom Pharmaceuticals, Inc.
$14
Biogen, Inc.
$13
Seqirus USA Inc
$13
EISAI INC.
$12
Aytu Bioscience, Inc
$12
Top 3 companies account for 34.4% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · Aciphex · Aimovig · Azstarys · BELSOMRA · BEXSERO · BPRO BT AMBULATORY BLOOD PRESSURE MONITORING SYSTEM · BREZTRI · Balcoltra · Belviq · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · Cologuard Collection Kit · Crysvita · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · Fluad Quadrivalent · FreeStyle Libre 2 · GARDASIL · GARDASIL 9 · GEMTESA · GENERAL PAIN MANAGEMENT · GVOKE HYPOPEN · GVOKE PFS · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LOKELMA · LONHALA MAGNAIR · LYRICA · Linzess · Livalo · MENQUADFI · MOUNJARO · MYRBETRIQ · Myrbetriq · NURTEC ODT · NUZYRA · Otezla · Ozempic · PAXLOVID · PEDIARIX · PNEUMOVAX 23 · PREMARIN · PREVNAR 13 · Prolia · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPINRAZA · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYNTHROID · Saxenda · Solana · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TRUMENBA · Tresiba · UBRELVY · VALTOCO · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · XIGDUO · Xofluza · YUPELRI · Yupelri · ZENPEP
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. Total industry engagement is in the top 4% for family medicine in NC.
Geographic Context
Family medicine physicians within 10 mi
92
Per 100K population
128.8
County median income
$56,095
Nearest hospital
HUGH CHATHAM 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Castillejo is a clinical cardiology specialist, with above-average Medicare volume (top 25% in NC), with low-engagement industry engagement in the top 4% of NC peers, with 20 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. Castillejo experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Castillejo performed 245 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. Castillejo receive payments from pharmaceutical companies?
Yes. Dr. Castillejo received a total of $10,890 from 53 companies across 749 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. Castillejo's costs compare to other family medicine physicians in Elkin?
Dr. Castillejo's average Medicare payment per service is $49. 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. Castillejo) 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. 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.
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