Medicare Enrolled
Dr. Carolyn Castiglia, DO
Family Medicine · Island Park, 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. Carolyn Castiglia is a family medicine specialist in Island Park, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Castiglia performed 3,842 Medicare services across 2,332 unique beneficiaries.
Between the years covered by Open Payments, Dr. Castiglia received a total of $12,775 from 60 pharmaceutical and/or device companies across 694 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
$12,775 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,842
Medicare services
Top 5% in NY for family medicine
2,332
Unique beneficiaries
$60
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~192 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. |
828 | $105 | $230 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
683 | $8 | $20 |
| 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. |
654 | $71 | $180 |
| Annual alcohol misuse screening, 5 to 15 minutes | 235 | $22 | $64 |
| 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. |
218 | $93 | $150 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
216 | $152 | $250 |
| Annual depression screening | 198 | $22 | $75 |
| 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. |
137 | $12 | $65 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
127 | $36 | $50 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
73 | $22 | $75 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
68 | $16 | $50 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
55 | $72 | $120 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
48 | $41 | $100 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
45 | $30 | $100 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
44 | $16 | $50 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
40 | $3 | $15 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
35 | $12 | $50 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
34 | $39 | $175 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
32 | $1 | $50 |
| 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. |
31 | $195 | $300 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
18 | $49 | $175 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
12 | $195 | $250 |
| 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. |
11 | $153 | $380 |
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 ↗$12,775
Total received (2018-2024)
Avg $1,825/year across 7 years
Top 4% in NY for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
60
Companies
694
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
$12,775 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,141
2023
$1,303
2022
$1,607
2021
$2,529
2020
$1,805
2019
$2,194
2018
$2,196
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$194
Boehringer Ingelheim Pharmaceuticals, Inc.
$143
AstraZeneca Pharmaceuticals LP
$140
Lilly USA, LLC
$114
Amgen Inc.
$112
Exact Sciences Corporation
$99
Novo Nordisk Inc
$84
Intra-Sana Laboratories
$64
PFIZER INC.
$47
ABBVIE INC.
$31
Esperion Therapeutics, Inc.
$29
Astellas Pharma US Inc
$26
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$23
Inspire Medical Systems, Inc.
$20
Currax Pharmaceuticals LLC
$16
Top 3 companies account for 41.8% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,610
AstraZeneca Pharmaceuticals LP
$1,313
GlaxoSmithKline, LLC.
$1,282
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,082
PFIZER INC.
$855
Merck Sharp & Dohme Corporation
$666
Lilly USA, LLC
$579
Amgen Inc.
$563
Amarin Pharma Inc.
$543
AbbVie Inc.
$529
ABBVIE INC.
$351
Intra-Sana Laboratories
$282
Esperion Therapeutics, Inc.
$251
Takeda Pharmaceuticals U.S.A., Inc.
$212
Orexo US, Inc.
$164
Allergan, Inc.
$161
Currax Pharmaceuticals LLC
$158
EISAI INC.
$127
Medtronic MiniMed, Inc.
$123
Janssen Pharmaceuticals, Inc
$120
Exact Sciences Corporation
$119
Shire North American Group Inc
$106
Novartis Pharmaceuticals Corporation
$105
Astellas Pharma US Inc
$98
Eisai Inc.
$91
Otsuka America Pharmaceutical, Inc.
$88
Allergan Inc.
$88
Acerus Pharmaceuticals Corporation
$80
ITI, Inc.
$75
ARBOR PHARMACEUTICALS, INC.
$74
Clarus Therapeutics Inc.
$68
AbbVie, Inc.
$56
VIVUS, Inc.
$52
Merck Sharp & Dohme LLC
$46
Gilead Sciences, Inc.
$46
Bayer HealthCare Pharmaceuticals Inc.
$45
Alfasigma USA, Inc.
$45
E.R. Squibb & Sons, L.L.C.
$39
Regeneron Healthcare Solutions, Inc.
$38
Circassia Pharmaceuticals Inc
$35
Genentech USA, Inc.
$33
Biohaven Pharmaceutical Holding Company Ltd.
$27
SANOFI-AVENTIS U.S. LLC
$25
Avanir Pharmaceuticals, Inc.
$24
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$23
SANOFI PASTEUR INC.
$23
Almatica Pharma LLC
$22
IDORSIA PHARMACEUTICALS US INC
$22
Smith & Nephew, Inc.
$22
VIVUS LLC
$21
Hikma Pharmaceuticals USA
$21
Supernus Pharmaceuticals, Inc.
$21
Inspire Medical Systems, Inc.
$20
GENZYME CORPORATION
$20
IRONWOOD PHARMACEUTICALS, INC
$17
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
Arbor Pharmaceuticals, Inc.
$15
Sunovion Pharmaceuticals Inc.
$14
Ironshore Pharmaceuticals Inc.
$14
Ultragenyx Pharmaceutical Inc.
$12
Top 3 companies account for 32.9% of all-time payments
Associated products mentioned in payments ›
ABILIFY MYCITE · ADVAIR · AIRSUPRA · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · BASAGLAR · BELSOMRA · BOTOX · BREO · BREZTRI · BYDUREON · BYSTOLIC · Belviq · CAPLYTA · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · CONTRAVE · CREON · Cologuard Collection Kit · Cryvista · DUPIXENT · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · Edarbi · FARXIGA · FLECTOR · FLUBLOK QUADRIVALENT · INSPIRE · INVOKANA · JANUVIA · JARDIANCE · JATENZO · Jornay PM 20mg capsules (Bottle of 100) · Kerendia · Kloxxado · LEQVIO · LINZESS · LOREEV XR · LYRICA · Linzess · MOUNJARO · MYDAYIS · MYRBETRIQ · NEXLETOL · NIOX VERO · NUEDEXTA · NURTEC ODT · Natesto · Otezla · Ozempic · PAXLOVID · PRALUENT · PREVNAR - 13 · QSYMIA · QULIPTA · QUVIVIQ · Qsymia · RELTONE 200 MG · RELTONE 400 MG · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYNJARDY · Santyl · Saxenda · Synthroid · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULICITY · TUDORZA PRESSAIR · Tresiba · Trintellix · UBRELVY · Utibron · VRAYLAR · VYVANSE · Vascepa · Vemlidy · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · Xofluza · Zubsolv · iPro2
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 NY.
Geographic Context
Family medicine physicians within 10 mi
2,614
Per 100K population
188.3
County median income
$143,408
Nearest hospital
MOUNT SINAI SOUTH NASSAU
1.9 mi
1.9 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 in the top 4% of NY 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. Castiglia experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Castiglia performed 828 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 $12,775 from 60 companies across 694 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 Island Park?
Dr. Castiglia's average Medicare payment per service is $60. 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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