Medicare Enrolled
Dr. Michael Casciello, M.D.
Cardiovascular Disease · New Bern, NC
Practice pattern: Remote & Electrophysiology
— Practice combining remote and electrophysiology services
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. Casciello 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. Casciello
Dr. Michael Casciello is a cardiovascular disease specialist in New Bern, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Casciello performed 10,048 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Casciello received a total of $11,619 from 55 pharmaceutical and/or device companies across 710 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Casciello 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 of NPI registration
▲ Top 2% volume in NC
$11,619 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗10,048
Medicare services
Top 2% in NC for cardiovascular disease
Not available
Unique patients (not deduplicated)
$45
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
1,728 | $38 | $71 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
965 | $20 | $75 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
931 | $16 | $90 |
| 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. |
837 | $94 | $248 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
801 | $22 | $70 |
| Remote monitoring of implantable heart device, up to 30 days Remote evaluation of an implanted heart or blood vessel monitoring system over a period of up to 30 days. |
774 | $19 | $50 |
| 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. |
737 | $10 | $60 |
| 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. |
653 | $6 | $25 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
497 | $58 | $120 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
460 | $115 | $879 |
| 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. |
309 | $120 | $335 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
239 | $90 | $185 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
135 | $27 | $135 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
113 | $9 | $40 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
107 | $131 | $360 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
79 | $52 | $315 |
| 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. |
53 | $115 | $314 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
49 | $78 | $190 |
| Cardiac catheterization | 43 | $216 | $1,050 |
| Aortography with contrast and radiologist review An imaging procedure using contrast dye to visualize the aorta above the heart valve, including professional review by a radiologist. |
43 | $28 | $250 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
41 | $63 | $275 |
| 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. |
38 | $9 | $35 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
37 | $384 | $1,200 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 37 | $275 | $1,300 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
36 | $81 | $458 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
33 | $20 | $65 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
31 | $50 | $100 |
| Pacemaker system programming Adjustment and testing of a multi-lead pacemaker to ensure proper function and settings. |
28 | $64 | $140 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
27 | $73 | $160 |
| Continuous external EKG monitoring, 8-15 days This procedure involves recording heart rhythm continuously using an external EKG device over a period of 8 to 15 days. |
26 | $9 | $35 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
26 | $15 | $80 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
21 | $19 | $93 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
21 | $87 | $190 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
21 | $68 | $155 |
| 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. |
20 | $61 | $172 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
20 | $38 | $95 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
16 | $16 | $80 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
16 | $10 | $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. These counts do not measure clinical quality or years of experience.
30.5% high complexity
1.3% medium
68.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$11,619
Total received (2018-2024)
Avg $1,660/year across 7 years
Top 23% in NC for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
55
Companies
710
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,753
2023
$1,810
2022
$1,753
2021
$1,863
2020
$1,330
2019
$1,814
2018
$1,296
Payments by company (2024)
Novartis Pharmaceuticals Corporation
$195
Abbott Laboratories
$189
Merck Sharp & Dohme LLC
$154
CVRx, Inc.
$146
E.R. Squibb & Sons, L.L.C.
$132
Actelion Pharmaceuticals US, Inc.
$126
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$112
SANOFI-AVENTIS U.S. LLC
$88
iRhythm Technologies, Inc.
$85
Lexicon Pharmaceuticals, Inc.
$69
Baxter Healthcare
$65
United Therapeutics Corporation
$64
SCPHARMACEUTICALS INC.
$45
Amgen Inc.
$38
Bayer Healthcare Pharmaceuticals Inc.
$37
AstraZeneca Pharmaceuticals LP
$35
PFIZER INC.
$32
MEDICOMP INC
$27
EAGLE PHARMACEUTICALS, INC.
$25
Boehringer Ingelheim Pharmaceuticals, Inc.
$23
Pacira Pharmaceuticals Incorporated
$18
Janssen Pharmaceuticals, Inc
$18
Medtronic, Inc.
$16
Novo Nordisk Inc
$15
Top 3 companies account for 30.7% of 2024 payments
All-time payments by company (2018-2024) ›
Novartis Pharmaceuticals Corporation
$1,087
Abbott Laboratories
$1,001
Janssen Pharmaceuticals, Inc
$874
AstraZeneca Pharmaceuticals LP
$716
E.R. Squibb & Sons, L.L.C.
$701
Medtronic Vascular, Inc.
$602
Amgen Inc.
$598
Actelion Pharmaceuticals US, Inc.
$517
SANOFI-AVENTIS U.S. LLC
$511
BIOTRONIK INC.
$505
Amarin Pharma Inc.
$406
Boehringer Ingelheim Pharmaceuticals, Inc.
$402
Merck Sharp & Dohme LLC
$364
Medtronic, Inc.
$325
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$317
United Therapeutics Corporation
$247
Esperion Therapeutics, Inc.
$222
PFIZER INC.
$195
iRhythm Technologies, Inc.
$176
CVRx, Inc.
$164
Novo Nordisk Inc
$141
Baxter Healthcare
$130
Bayer HealthCare Pharmaceuticals Inc.
$128
Acacia Pharma Inc
$127
Kowa Pharmaceuticals America, Inc.
$97
CARDIVA MEDICAL, INC.
$92
Merck Sharp & Dohme Corporation
$87
Gilead Sciences, Inc.
$73
Regeneron Healthcare Solutions, Inc.
$72
Lexicon Pharmaceuticals, Inc.
$69
ABIOMED
$60
Daiichi Sankyo Inc.
$52
Edwards Lifesciences Corporation
$45
SCPHARMACEUTICALS INC.
$45
MEDICOMP INC
$38
Bayer Healthcare Pharmaceuticals Inc.
$37
Teleflex LLC
$36
Chiesi USA, Inc.
$32
Aziyo Biologics, Inc.
$29
Arbor Pharmaceuticals, Inc.
$28
Lundbeck LLC
$27
ARBOR PHARMACEUTICALS, INC.
$27
EAGLE PHARMACEUTICALS, INC.
$25
Bardy Diagnostics, Inc.
$25
Boston Scientific Corporation
$19
GENZYME CORPORATION
$19
Pacira Pharmaceuticals Incorporated
$18
AngioDynamics, Inc.
$17
G Medical Diagnostic Services, Inc.
$15
Cook Medical LLC
$14
Philips Electronics North America Corporation
$14
LeMaitre Vascular, Inc.
$14
Allergan Inc.
$13
Astellas Pharma US Inc
$13
Sun Pharmaceutical Industries Inc.
$11
Top 3 companies account for 25.5% of all-time payments
Associated products mentioned in payments ›
(6585) Omniwire · AMPLATZER AMULET · AMPLATZER TALISMAN · ANGIOVAC · ARCTIC FRONT ADVANCE · AZURE XT DR MRI SURESCAN · Advisa · Azure · BARHEMSYS · BRILINTA · BYFAVO · BYSTOLIC · Barostim Neo System · BioMonitor 2 · CAMZYOS · CARDIOMEMS · CARDIVA VASCADE 6/7F VCS · CHANTIX · COREVALVE EVOLUT R · Cardiac Monitor · Cardiac Monitoring Suite · CardioMEMS HF System · Cardiva VASCADE 5F VCS · Cardiva VASCADE MVP VVCS 6-12F · CareLink · Carnation Ambulatory Monitor · Cobalt · Corlanor · ECM · ECM Patch · ELIQUIS · ENTRESTO · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Exparel · FABRY-DISEASE · FARXIGA · FUROSCIX · GENERAL PAIN MANAGEMENT · HeartMate · Hi-Torque Balance guide wires · Hillrom - Cardiac Ambulatory Monitor · Hillrom - CardioPerfect PRO ECG Recorder · Horizant · INJECTAFER · Impella · JARDIANCE · KAPSPARGO · KENGREAL · Kerendia · LANGSTON · LEQVIO · LEXISCAN · LifeVest · Livalo · MICRA · MITRACLIP · MULTAQ · Micra · MitraClip System · NEXLETOL · NEXLIZET · NORTHERA · OPSUMIT · OPSUMIT MACITENTAN · Ozempic · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Perclose ProGlide suture mediated closure system · Pouch · Repatha · Reveal LINQ · Rybelsus · TELEPATCH CARDIAC MONITOR · TYVASO · UPTRAVI · VASCBAND · VERQUVO · VYNDAQEL · Vascepa · WINREVAIR · XARELTO · XENOSURE · Xience Sierra Coronary Stent System · ZIO Patch · ZIO XT Patch · Zenith Spiral-Z · Zio monitor
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Cardiologists in nearby ZIP areas
19
County median income
$64,635
Nearest hospital to ZIP centroid (approximate)
CAROLINA EAST MEDICAL CENTER
8.9 mi
8.9 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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. Casciello is a remote & electrophysiology specialist, with above-average Medicare volume (top 2% in NC), 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. Casciello experienced with remote monitoring of implantable heart rhythm device?
Based on Medicare claims data, Dr. Casciello performed 1,728 remote monitoring of implantable heart rhythm device services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Casciello receive payments from pharmaceutical companies?
Yes. Dr. Casciello received a total of $11,619 from 55 companies across 710 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Casciello's costs compare to other cardiologists in New Bern?
Dr. Casciello's average Medicare payment per service is $45. 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. Casciello) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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