Medicare Enrolled

Dr. Michael Castillo, MD

Sports Medicine (Family Medicine) Physician · Graham, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1339 EAST ST, Graham, TX 76450
9405215500
In practice since 2015 (10 years)
NPI: 1407243033 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. Castillo 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. Castillo? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Castillo

Dr. Michael Castillo is a sports medicine (family medicine) physician in Graham, TX, with 10 years in practice. Based on federal Medicare data, Dr. Castillo performed 1,916 Medicare services across 1,338 unique beneficiaries.

Between the years covered by Open Payments, Dr. Castillo received a total of $1,167 from 25 pharmaceutical and/or device companies across 68 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sports medicine (family medicine) 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. Castillo 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.

✓ 10 years in practice▲ Top 30% volume in TX$ $1,167 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,916
Medicare services
Top 30% in TX for sports medicine (family medicine) physician
1,338
Unique beneficiaries
$38
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)385$76$250
Betamethasone steroid injection199$5$25
Ceftriaxone antibiotic injection152$0$5
Office visit, established patient (20-29 min)119$52$170
Drug injection, under skin or into muscle96$9$55
Infectious disease DNA/RNA test94$32$100
Blood draw (venipuncture)59$8$20
Urinalysis with microscopic exam59$3$35
Complete blood count (CBC) with differential53$7$40
Aspiration and/or injection of fluid large joint using ultrasound guidance51$77$280
Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets48$129$1,100
Injection, ketorolac tromethamine, per 15 mg48$0$25
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc48$47$100
Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique47$32$100
Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique47$32$100
Basic metabolic blood panel45$8$60
Lipid panel (cholesterol and triglycerides)39$13$100
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)38$15$45
Liver function blood test panel37$8$85
Advance care planning consultation, first 30 min24$79$253
Annual wellness visit, follow-up24$124$275
Annual alcohol misuse screening, 5 to 15 minutes24$18$53
Annual depression screening24$18$75
Chest X-ray, 2 views19$20$95
New patient office visit (45-59 min)19$86$385
Injection of lower or sacral spine facet joint using imaging guidance, single level18$61$511
Injection of lower or sacral spine facet joint using imaging guidance, second level18$38$263
Hemoglobin A1c test (diabetes monitoring)16$9$60
Office visit, established patient, complex (40-54 min)16$118$335
Joint injection, major joint15$51$180
X-ray of lower and sacral spine, minimum of 4 views12$29$140
X-ray of knee, 4 or more views12$33$127
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level11$69$696
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 2023 ↗
$1,167
Total received (2019-2023)
Avg $292/year across 4 years
Top 37% in TX for sports medicine (family medicine) physician
25
Companies
68
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
$1,167 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$551
2022
$417
2021
$160
2019
$39

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$131
AbbVie Inc.
$99
GlaxoSmithKline, LLC.
$98
Novartis Pharmaceuticals Corporation
$94
Novo Nordisk Inc
$86
PFIZER INC.
$80
Boehringer Ingelheim Pharmaceuticals, Inc.
$66
AstraZeneca Pharmaceuticals LP
$48
Merck Sharp & Dohme Corporation
$43
Janssen Pharmaceuticals, Inc
$37
Bayer HealthCare Pharmaceuticals Inc.
$34
IDORSIA PHARMACEUTICALS US INC
$33
Biohaven Pharmaceutical Holding Company Ltd.
$33
Tactile Systems Technology Inc
$33
Bayer Healthcare Pharmaceuticals Inc.
$32
E.R. Squibb & Sons, L.L.C.
$31
Takeda Pharmaceuticals U.S.A., Inc.
$28
Flexion Therapeutics, Inc.
$26
Optinose US, Inc.
$25
Zogenix Inc.
$22
Corium, LLC
$20
Xeris Pharmaceuticals, Inc.
$20
Exact Sciences Corporation
$17
Amgen Inc.
$16
Mylan Specialty L.P.
$13
Top 3 companies account for 28.1% of total payments
Associated products mentioned in payments ›
AREXVY · AZSTARYS · BELSOMRA · BREZTRI · COMIRNATY · Cologuard Collection Kit · ELIQUIS · EMGALITY · ENTRESTO · EVUSHELD · FARXIGA · Fintepla · Flexitouch Plus · GVOKE PFS · JARDIANCE · Kerendia · LEQVIO · MOUNJARO · NEXPLANON · NURTEC ODT · Otezla · Ozempic · PREVNAR 20 · QUVIVIQ · Rybelsus · SHINGRIX · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TRUMENBA · UBRELVY · VRAYLAR · XARELTO · Xhance · Yupelri · Zilretta
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 $61 per 100 Medicare services performed
Looking for a sports medicine (family medicine) physician in Graham?
Compare sports medicine (family medicine) physicians in the Graham area by procedure volume, costs, and industry payment transparency.
Browse sports medicine (family medicine) physicians nearby

Geographic Context

Sports Medicine (Family Medicine) Physicians within 10 mi
1
Per 100K population
5.6
County median income
$63,723
Nearest hospital
GRAHAM REGIONAL MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2023
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. Castillo is a clinical cardiology specialist, with above-average Medicare volume (top 30% in TX), 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. Castillo experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Castillo performed 385 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. Castillo receive payments from pharmaceutical companies?
Yes. Dr. Castillo received a total of $1,167 from 25 companies across 68 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. Castillo's costs compare to other sports medicine (family medicine) physicians in Graham?
Dr. Castillo's average Medicare payment per service is $38. 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. Castillo) 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 →