Medicare Enrolled
Dr. Robert Castillo, DPM
Foot & Ankle Surgery Podiatrist · San Antonio, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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 →
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What this data tells you about Dr. Castillo
Dr. Robert Castillo is a foot & ankle surgery podiatrist in San Antonio, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Castillo performed 2,111 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Castillo received a total of $12,040 from 60 pharmaceutical and/or device companies across 386 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. Castillo 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 16% volume in TX
$12,040 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,111
Medicare services
Top 16% in TX for foot & ankle surgery podiatrist
Not available
Unique patients (not deduplicated)
$50
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 |
|---|---|---|---|
| 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. |
739 | $66 | $109 |
| X-ray of foot, 2 views An X-ray imaging test of the foot using two different angles to create pictures of the bones and joints. |
348 | $20 | $39 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
129 | $0 | $10 |
| Toenail/fingernail removal, 6+ nails Surgical removal of six or more fingernails or toenails. This procedure involves the excision of multiple nails during a single session. |
116 | $33 | $93 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
96 | $75 | $158 |
| 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. |
93 | $43 | $66 |
| Skin and tissue removal, 20 sq cm or less This procedure involves the surgical excision of skin and underlying tissue from an area measuring 20 square centimeters or smaller. |
85 | $83 | $178 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
78 | $25 | $45 |
| Foot nerve injection with anesthetic and/or steroid An injection of an anesthetic and/or steroid medication into a nerve in the foot. |
60 | $30 | $72 |
| Toenail/fingernail removal, 1-5 nails This procedure involves the removal of one to five fingernails or toenails. |
54 | $24 | $49 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
45 | $34 | $74 |
| Permanent removal fingernail or toenail | 38 | $109 | $300 |
| 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. |
35 | $93 | $159 |
| Injection, methylprednisolone acetate, 40 mg | 31 | $6 | $10 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
30 | $34 | $78 |
| Correction of toe joint deformity A surgical procedure to correct a deformity in a toe joint. This involves realigning the joint structure to restore proper function and appearance. |
26 | $174 | $801 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 25 | $46 | $113 |
| 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. |
23 | $111 | $241 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
22 | $31 | $75 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
20 | $28 | $49 |
| Partial removal of foot bone to straighten toe A surgical procedure involving the incision or partial removal of a foot bone, excluding the big toe, to correct toe alignment. |
18 | $164 | $848 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$12,040
Total received (2018-2024)
Avg $1,720/year across 7 years
Top 18% in TX for foot & ankle surgery podiatrist
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
60
Companies
386
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
$1,595
2023
$1,589
2022
$2,040
2021
$3,001
2020
$1,409
2019
$1,347
2018
$1,059
Payments by company (2024)
Acera Surgical, Inc.
$274
Smith+Nephew, Inc.
$254
Paratek Pharmaceuticals, Inc.
$246
TREACE MEDICAL CONCEPTS, INC.
$187
Organogenesis Inc.
$96
Stryker Corporation
$73
Averitas Pharma Inc.
$70
Kerecis Limited
$53
Orthofix Medical, Inc.
$41
Mission Medical Distribution, LLC
$39
ACUMED LLC
$38
Pacira Pharmaceuticals Incorporated
$33
Ortho Dermatologics, a division of Bausch Health US, LLC
$32
Integra LifeSciences Corporation
$25
Davol Inc.
$23
Next Science LLC
$21
Melinta Therapeutics, LLC
$21
Medtronic, Inc.
$19
Solventum Corporation
$17
Amgen Inc.
$16
Hydrofera LLC
$16
Top 3 companies account for 48.6% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$2,745
Medinc of Texas
$2,013
Smith+Nephew, Inc.
$1,021
Organogenesis Inc.
$685
Paratek Pharmaceuticals, Inc.
$602
Kerecis Limited
$538
Melinta Therapeutics, LLC
$344
TREACE MEDICAL CONCEPTS, INC.
$322
Integra LifeSciences Corporation
$308
Horizon Therapeutics plc
$280
Acera Surgical, Inc.
$274
Ortho Dermatologics, a division of Bausch Health US, LLC
$273
Nevro Corp.
$228
AbbVie Inc.
$178
BOSTON SCIENTIFIC CORPORATION
$142
Treace Medical Concepts, Inc.
$130
Melinta Therapeutics, Inc.
$130
Kowa Pharmaceuticals America, Inc.
$116
Sebela Pharmaceuticals Inc.
$113
Nvision Biomedical Technologies, Inc.
$95
Arthrex, Inc.
$88
Averitas Pharma Inc.
$86
Ortho Solutions Inc
$85
ABBVIE INC.
$84
Medtronic, Inc.
$71
Mission Medical Distribution, LLC
$65
Paragon 28, Inc.
$61
GRT US Holding, Inc.
$54
Orthofix Medical, Inc.
$52
Acumed LLC
$50
KCI USA, Inc.
$48
Anika Therapeutics, Inc.
$43
Tactile Systems Technology Inc
$42
Glenmark Therapeutics Inc.
$38
ACUMED LLC
$38
Abbott Laboratories
$38
DePuy Synthes Sales Inc.
$37
Horizon Pharma plc
$35
Hydrofera LLC
$33
Pacira Pharmaceuticals Incorporated
$33
TRIAD LIFE SCIENCES INC.
$32
MEDLINE INDUSTRIES LP
$31
Nabriva Therapeutics, plc
$29
Fidia Pharma USA Inc.
$28
Bioventus LLC
$27
Trilliant Surgical LLC.
$27
Smith & Nephew, Inc.
$26
WRIGHT MEDICAL TECHNOLOGY, INC.
$24
Davol Inc.
$23
Boston Scientific Corporation
$23
Next Science LLC
$21
FIDIA PHARMA USA INC.
$18
Medtronic Vascular, Inc.
$18
Solventum Corporation
$17
Amgen Inc.
$16
Misonix Inc
$13
ORGANOGENESIS INC.
$12
Medline Industries, Inc.
$12
Alfasigma USA, Inc.
$11
Exeltis, USA Inc.
$11
Top 3 companies account for 48.0% of all-time payments
Associated products mentioned in payments ›
3M Cavilon · ACTIV.A.C. · ACUMED · AFFINITY · ALLOGRAFT · ALLOWRAP · ANCHORAGE · ARISTA AH FlexiTip · AUGMENT · AXSOS · Acutrak Headless Compression Screw System · Affinity · Ankle Air Shell Walkers · Apligraf · BIO4 · BIOFIX · BIXCUT · BME NITINOL CONTINUOUS COMPRESSION IMPLANTS · Baxdela · CITREFIX · COLLAGENASE SANTYL · CUTIMED SORBION · ClosureFast · DALVANCE · DUOBRII · EASYFUSE · Ecoza · Exogen Ultrasound Bone Healing System · Exparel · FIXOS · FLEXBAND · FLEXITOUCH · FUSEFORCE · Flexitouch Plus · Foot/ankle products · GRAFIX · GRAFIX PL · GRAVITY · GrafixPL · HOFFMANN · HYDROFERA BLUE · HYDROSET · HammerTube · Hat-Trick · INC. · INNOVAMATRIX AC · INTELLIS ADAPTIVESTIM · Integra · JUBLIA · KRYSTEXXA · Kerecis Omega3 SurgiClose · Kerecis Omega3 Wound · Kimyrsa · LAPIPLASTY SYSTEM · Lapiplasty System · MEDLINE INDUSTRIES · MICRO · MOTOBAND · Mupirocin Cream · N/A · NAFTIN · NEUROMEND · NUZYRA · NuDyn · OMNIGRAFT · ORTHOLOC 2 LAPIFUSE · ORTHOLOC 3DI · ORTHOLOC 3DI CROSSCHECK · Omnia · Orbactiv · PROCLAIM · PROLAYER · PROPHECY · Physio-Stim · Physio-Stim Osteogenesis Stimulator · Proclaim Family of SCS IPGs · Puraply · QUTENZA · Qutenza · RAYOS · REGRANEX · RENASYS GO v2 HOME · Restrata Wound Matrix · SEGLENTIS · SONICANCHOR · SPECTRA WAVEWRITER · STAR · STRAVIX · STRAVIX PL · Santyl · Senza · Sivextro · SonicOne · Stravix · TEFLARO · Tiger Cannulated Screw · VANTA ADAPTIVESTIM · VARIAX · X-Twist · Xperience
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
Foot & ankle surgery podiatrists in nearby ZIP areas
73
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
SOUTH TEXAS SPINE AND SURGICAL HOSPITAL
0.0 mi
0.0 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. Castillo is a clinical cardiology specialist, with above-average Medicare volume (top 16% in TX), 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. Castillo experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Castillo performed 739 office visit, established patient (20-29 min) 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. Castillo receive payments from pharmaceutical companies?
Yes. Dr. Castillo received a total of $12,040 from 60 companies across 386 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. Castillo's costs compare to other foot & ankle surgery podiatrists in San Antonio?
Dr. Castillo's average Medicare payment per service is $50. 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 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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