Medicare Enrolled
Dr. Thomas Castiglia, M.D.
Family Medicine · Brewster, NY
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. Castiglia 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. Castiglia
Dr. Thomas Castiglia is a family medicine specialist in Brewster, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Castiglia performed 3,966 Medicare services across 2,399 unique beneficiaries.
Between the years covered by Open Payments, Dr. Castiglia received a total of $1,933 from 16 pharmaceutical and/or device companies across 86 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. Castiglia 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 5% volume in NY
$1,933 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,966
Medicare services
Top 5% in NY for family medicine
2,399
Unique beneficiaries
$18
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~198 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. |
516 | $41 | $343 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
444 | $8 | $15 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
369 | $10 | $40 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
345 | $13 | $55 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
289 | $10 | $45 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
200 | $29 | $121 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
184 | $9 | $37 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
184 | $16 | $69 |
| 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. |
179 | $8 | $32 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
131 | $2 | $10 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
122 | $16 | $270 |
| 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. |
118 | $10 | $55 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
116 | $58 | $372 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
84 | $15 | $62 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
84 | $14 | $61 |
| Annual alcohol misuse screening, 5 to 15 minutes | 79 | $20 | $58 |
| Annual depression screening | 63 | $20 | $58 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
44 | $13 | $56 |
| Iron level test | 44 | $6 | $27 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
44 | $9 | $36 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
37 | $6 | $24 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
37 | $5 | $22 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
37 | $19 | $76 |
| PSA test (prostate cancer screening) | 33 | $18 | $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. |
32 | $46 | $231 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
28 | $25 | $197 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
24 | $8 | $27 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
23 | $40 | $169 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
22 | $4 | $19 |
| 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. |
15 | $106 | $528 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
14 | $4 | $14 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
13 | $84 | $549 |
| Hepatitis C antibody test A blood test that checks for antibodies to the hepatitis C virus. This test helps determine if a person has been exposed to the virus. |
12 | $14 | $50 |
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 ↗$1,933
Total received (2019-2024)
Avg $387/year across 5 years
Top 23% in NY for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
86
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
$1,933 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$382
2023
$901
2022
$344
2020
$15
2019
$290
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$113
GlaxoSmithKline, LLC.
$64
Amgen Inc.
$50
PFIZER INC.
$46
Bayer Healthcare Pharmaceuticals Inc.
$41
Novo Nordisk Inc
$40
Exact Sciences Corporation
$29
Top 3 companies account for 59.4% of 2024 payments
All-time payments by company (2019-2024) ›
Lilly USA, LLC
$448
GlaxoSmithKline, LLC.
$324
Novo Nordisk Inc
$219
AstraZeneca Pharmaceuticals LP
$162
Grifols USA, LLC
$125
Genentech USA, Inc.
$125
Janssen Pharmaceuticals, Inc
$110
Amgen Inc.
$80
Exact Sciences Corporation
$76
PFIZER INC.
$59
Avanir Pharmaceuticals, Inc.
$50
Bayer HealthCare Pharmaceuticals Inc.
$43
Bayer Healthcare Pharmaceuticals Inc.
$41
Boehringer Ingelheim Pharmaceuticals, Inc.
$33
Mylan Specialty L.P.
$23
Averitas Pharma Inc.
$16
Top 3 companies account for 51.2% of all-time payments
Associated products mentioned in payments ›
ANORO · AREXVY · Cologuard Collection Kit · Esbriet · FARXIGA · JARDIANCE · Kerendia · MOUNJARO · NUCALA · Nuedexta · Otezla · Ozempic · PAXLOVID · PREVNAR 20 · Prolastin-C · QUTENZA · Repatha · Rybelsus · SHINGRIX · TEZSPIRE · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · XARELTO · Yupelri · ZEPBOUND
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.
Geographic Context
Family medicine physicians within 10 mi
363
Per 100K population
370.5
County median income
$127,405
Nearest hospital
PUTNAM HOSPITAL CENTER
6.5 mi
6.5 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. Castiglia is a clinical cardiology specialist, with above-average Medicare volume (top 5% in NY), with low-engagement industry engagement, 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. Castiglia experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Castiglia performed 516 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. Castiglia receive payments from pharmaceutical companies?
Yes. Dr. Castiglia received a total of $1,933 from 16 companies across 86 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. Castiglia's costs compare to other family medicine physicians in Brewster?
Dr. Castiglia's average Medicare payment per service is $18. 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. Castiglia) 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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