Active NPI 1891866208 Individual Practitioner Female Practitioner

Dr. Claudia Yolanda Castro , MD

Pathology - Anatomic Pathology • Sebastian, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Claudia Castro, MD is a certified Pathology - Anatomic Pathology practicing in Sebastian, FL. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Castro delivers high-quality medical care to the local community at 13695 US HIGHWAY 1.

Dr. Castro is affiliated with Nextgen Pathology and accepts Medicare assignment.

Frequently performed procedures and clinical services include pathology examination of tissue using a microscope, intermediate complexity, special stained specimen slides to examine tissue, pathology examination of tissue using a microscope, moderately high complexity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13695 Us Highway 1

Sebastian, FL 329583230

Telephone 7725893186

Fax 8556714753

Associated Practice Facility / Clinic

🏢 Sebastian River Anesthesiology Associates, P. A. Facility NPI 1730161993

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Anatomic Pathology in Sebastian, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs Matches City Avg

City Avg: 38.0 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Sebastian, FL (134 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Castro (38 Years) 38 Yrs

Sebastian Specialty Average (38.0 Years) 38.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,501	554	$237.29	$36.17
88341 Special stained specimen slides to examine tissue	180	63	$202.30	$27.14
88307 Pathology examination of tissue using a microscope, moderately high complexity	159	124	$402.52	$79.09
88342 Special stained specimen slides to examine tissue, initial procedure	122	98	$236.07	$33.66
88304 Pathology examination of tissue using a microscope, moderately low complexity	114	105	$162.28	$11.20
88331 Pathology examination of specimen during surgery, first tissue block	102	35	$290.59	$60.08
88112 Cell examination of specimen, selective cellular enhancement technique	79	59	$189.24	$26.99
88311 Preparation of tissue for examination by removing any calcium present	62	46	$69.44	$11.73
88313 Special stained specimen slides to examine tissue including interpretation and report	62	26	$86.94	$11.90
88300 Pathology examination of tissue using a microscope, limited examination	51	44	$72.65	$4.59
88173 Evaluation of fine needle aspirate with interpretation and report	47	25	$424.51	$67.23
88108 Cell examination of specimen, concentration technique	24	21	$133.00	$21.61
88309 Pathology examination of tissue using a microscope, high complexity	23	21	$561.74	$139.85
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	21	21	$750.00	$173.83
85060 Blood smear interpretation by physician with written report	16	16	$108.75	$23.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	2,804	1,105	$197.52	$36.06
88341 Special stained specimen slides to examine tissue	314	108	$102.31	$26.92
88342 Special stained specimen slides to examine tissue, initial procedure	230	198	$180.87	$33.45
88307 Pathology examination of tissue using a microscope, moderately high complexity	212	168	$357.17	$80.53
88112 Cell examination of specimen, selective cellular enhancement technique	122	78	$160.00	$26.96
88304 Pathology examination of tissue using a microscope, moderately low complexity	122	107	$113.93	$11.21
88331 Pathology examination of specimen during surgery, first tissue block	88	35	$265.00	$58.51
88311 Preparation of tissue for examination by removing any calcium present	87	66	$57.72	$12.23
88313 Special stained specimen slides to examine tissue including interpretation and report	74	28	$68.92	$11.93
88300 Pathology examination of tissue using a microscope, limited examination	64	58	$59.22	$4.54
88173 Evaluation of fine needle aspirate with interpretation and report	39	18	$507.38	$68.03
88309 Pathology examination of tissue using a microscope, high complexity	39	38	$508.59	$137.91
88108 Cell examination of specimen, concentration technique	34	28	$102.82	$21.54
88312 Special stained specimen slides to identify organisms including interpretation and report	29	19	$116.14	$24.54
88360 Microscopic genetic analysis of tumor	25	14	$207.56	$39.21
85060 Blood smear interpretation by physician with written report	24	24	$96.46	$24.58
88302 Pathology examination of tissue using a microscope	14	14	$93.07	$6.92
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	12	11	$550.00	$173.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	2,607	1,082	$203.12	$37.23
88341 Special stained specimen slides to examine tissue	351	115	$98.39	$27.98
88307 Pathology examination of tissue using a microscope, moderately high complexity	230	149	$356.70	$82.43
88342 Special stained specimen slides to examine tissue, initial procedure	226	182	$188.08	$34.44
88304 Pathology examination of tissue using a microscope, moderately low complexity	152	142	$115.13	$11.53
88112 Cell examination of specimen, selective cellular enhancement technique	122	83	$160.00	$27.39
88331 Pathology examination of specimen during surgery, first tissue block	121	44	$264.52	$62.01
88300 Pathology examination of tissue using a microscope, limited examination	71	69	$60.00	$4.75
88313 Special stained specimen slides to examine tissue including interpretation and report	64	26	$68.13	$12.26
88311 Preparation of tissue for examination by removing any calcium present	59	40	$57.86	$12.60
88360 Microscopic genetic analysis of tumor	49	18	$214.37	$40.77
88312 Special stained specimen slides to identify organisms including interpretation and report	46	28	$116.96	$26.29
88177 Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode	44	11	$95.00	$21.93
88173 Evaluation of fine needle aspirate with interpretation and report	35	18	$510.86	$70.63
88332 Pathology examination of specimen during surgery, each additional tissue block	31	19	$138.77	$30.39
85060 Blood smear interpretation by physician with written report	31	30	$97.81	$25.37
88172 Evaluation of fine needle aspirate	28	12	$163.00	$35.34
88108 Cell examination of specimen, concentration technique	21	16	$95.00	$20.97
88309 Pathology examination of tissue using a microscope, high complexity	19	19	$506.05	$144.45
88302 Pathology examination of tissue using a microscope	11	11	$90.09	$7.11
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	11	11	$669.09	$177.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	2,004	814	$212.51	$38.16
88341 Special stained specimen slides to examine tissue	261	78	$88.00	$29.33
88342 Special stained specimen slides to examine tissue, initial procedure	189	145	$200.00	$36.06
88307 Pathology examination of tissue using a microscope, moderately high complexity	144	108	$360.00	$85.83
88112 Cell examination of specimen, selective cellular enhancement technique	144	107	$160.00	$28.62
88304 Pathology examination of tissue using a microscope, moderately low complexity	93	83	$125.00	$11.75
88177 Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode	73	16	$95.00	$22.61
88300 Pathology examination of tissue using a microscope, limited examination	62	59	$60.00	$4.91
88331 Pathology examination of specimen during surgery, first tissue block	60	25	$265.00	$63.98
88173 Evaluation of fine needle aspirate with interpretation and report	39	20	$556.00	$73.41
88311 Preparation of tissue for examination by removing any calcium present	38	25	$60.00	$13.05
88172 Evaluation of fine needle aspirate	33	16	$163.00	$36.77
88313 Special stained specimen slides to examine tissue including interpretation and report	32	14	$70.00	$12.70
88312 Special stained specimen slides to identify organisms including interpretation and report	28	20	$120.00	$27.57
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	21	20	$550.00	$182.78
88332 Pathology examination of specimen during surgery, each additional tissue block	19	12	$140.00	$31.82
88309 Pathology examination of tissue using a microscope, high complexity	15	14	$505.00	$150.58
88302 Pathology examination of tissue using a microscope	14	14	$95.00	$7.38
85060 Blood smear interpretation by physician with written report	11	11	$100.00	$26.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,990	776	$210.63	$39.77
88341 Special stained specimen slides to examine tissue	256	94	$88.00	$30.12
88342 Special stained specimen slides to examine tissue, initial procedure	210	187	$200.00	$37.09
88112 Cell examination of specimen, selective cellular enhancement technique	146	94	$160.00	$29.28
88307 Pathology examination of tissue using a microscope, moderately high complexity	138	108	$360.00	$88.41
88177 Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode	130	28	$95.00	$23.56
88304 Pathology examination of tissue using a microscope, moderately low complexity	98	89	$125.00	$12.32
88313 Special stained specimen slides to examine tissue including interpretation and report	60	24	$70.00	$13.08
88173 Evaluation of fine needle aspirate with interpretation and report	57	30	$556.00	$75.39
88311 Preparation of tissue for examination by removing any calcium present	55	39	$60.00	$13.42
88172 Evaluation of fine needle aspirate	54	28	$163.00	$38.10
88331 Pathology examination of specimen during surgery, first tissue block	52	25	$265.00	$66.59
88300 Pathology examination of tissue using a microscope, limited examination	42	42	$60.00	$5.05
88312 Special stained specimen slides to identify organisms including interpretation and report	26	15	$120.00	$28.29
88334 Pathology cytologic examination of specimen during surgery, each additional site	24	13	$130.00	$40.46
88309 Pathology examination of tissue using a microscope, high complexity	21	20	$505.00	$156.29
88333 Pathology cytologic examination of specimen during surgery, initial site	18	16	$265.00	$66.64
88302 Pathology examination of tissue using a microscope	11	11	$95.00	$7.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	2,001	1,035	$171.46	$38.99
88342 Special stained specimen slides to examine tissue, initial procedure	275	240	$160.40	$36.61
88341 Special stained specimen slides to examine tissue	248	82	$133.28	$29.34
88307 Pathology examination of tissue using a microscope, moderately high complexity	148	117	$342.57	$85.13
88108 Cell examination of specimen, concentration technique	129	104	$95.00	$22.89
88304 Pathology examination of tissue using a microscope, moderately low complexity	124	110	$81.85	$11.74
88313 Special stained specimen slides to examine tissue including interpretation and report	94	34	$52.77	$12.45
88312 Special stained specimen slides to identify organisms including interpretation and report	64	27	$98.13	$27.26
88311 Preparation of tissue for examination by removing any calcium present	55	44	$43.96	$12.77
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	52	25	$210.00	$44.47
88173 Evaluation of fine needle aspirate with interpretation and report	39	35	$304.82	$72.55
88112 Cell examination of specimen, selective cellular enhancement technique	36	26	$160.00	$29.18
88302 Pathology examination of tissue using a microscope	28	25	$69.93	$7.15
88300 Pathology examination of tissue using a microscope, limited examination	24	23	$52.50	$4.73
88331 Pathology examination of specimen during surgery, first tissue block	22	17	$217.55	$64.37
88309 Pathology examination of tissue using a microscope, high complexity	20	20	$522.00	$150.55
88333 Pathology cytologic examination of specimen during surgery, initial site	15	15	$212.00	$64.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,839	1,084	$155.00	$38.92
88341 Special stained specimen slides to examine tissue	278	91	$145.00	$29.09
88342 Special stained specimen slides to examine tissue, initial procedure	272	247	$145.00	$36.55
88307 Pathology examination of tissue using a microscope, moderately high complexity	179	121	$340.00	$85.56
88304 Pathology examination of tissue using a microscope, moderately low complexity	170	141	$75.00	$11.99
88108 Cell examination of specimen, concentration technique	155	128	$95.00	$23.15
88313 Special stained specimen slides to examine tissue including interpretation and report	77	41	$50.00	$12.36
88311 Preparation of tissue for examination by removing any calcium present	71	52	$42.00	$13.03
88331 Pathology examination of specimen during surgery, first tissue block	39	28	$207.00	$64.85
88302 Pathology examination of tissue using a microscope	37	32	$68.00	$7.45
88312 Special stained specimen slides to identify organisms including interpretation and report	37	15	$92.00	$27.36
88173 Evaluation of fine needle aspirate with interpretation and report	34	28	$240.00	$72.94
88309 Pathology examination of tissue using a microscope, high complexity	31	28	$525.00	$151.79
88300 Pathology examination of tissue using a microscope, limited examination	31	29	$50.00	$4.66
88333 Pathology cytologic examination of specimen during surgery, initial site	13	13	$212.00	$64.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	2,101	1,222	$155.00	$38.82
88341 Special stained specimen slides to examine tissue	303	106	$145.00	$29.03
88307 Pathology examination of tissue using a microscope, moderately high complexity	228	163	$340.00	$85.47
88342 Special stained specimen slides to examine tissue, initial procedure	221	205	$145.00	$36.18
88304 Pathology examination of tissue using a microscope, moderately low complexity	219	190	$75.00	$11.96
88108 Cell examination of specimen, concentration technique	205	164	$95.00	$23.10
88311 Preparation of tissue for examination by removing any calcium present	113	103	$42.00	$13.00
88313 Special stained specimen slides to examine tissue including interpretation and report	87	48	$50.00	$11.76
88173 Evaluation of fine needle aspirate with interpretation and report	85	67	$240.00	$72.45
88331 Pathology examination of specimen during surgery, first tissue block	48	33	$207.00	$64.37
88300 Pathology examination of tissue using a microscope, limited examination	33	32	$50.00	$4.64
88312 Special stained specimen slides to identify organisms including interpretation and report	32	17	$92.00	$27.64
88302 Pathology examination of tissue using a microscope	31	30	$68.00	$7.43
88333 Pathology cytologic examination of specimen during surgery, initial site	31	31	$212.00	$64.76
88309 Pathology examination of tissue using a microscope, high complexity	30	30	$525.00	$151.48

Medical Specialties & State Licenses

Pathology - Anatomic Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0101X

State License FL ME98716

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Pathology - Anatomic Pathology

NUCC Taxonomy Code: 207ZP0101X

State License TX K8053

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

038304402 (TX)

Medicaid State Provider ID

278990600 (FL)

Hospital & Practice Group Affiliations

Nextgen Pathology

13695 Us Hwy 1, Sebastian, FL 329583230

Phone: 7725893186

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Brittany Robinson , RDN, LD, N

Dietitian, Registered

NPI 1275091647

Registered Dietitian Nutritionist, Licensed Dietitian, N

Dr. Edwin Stroup , MD

Emergency Medicine

NPI 1508908369

Doctor of Medicine (M.D.)

Toni Malloris , FNP-C

Nurse Practitioner - Family

NPI 1578035861

Family Nurse Practitioner (Certified)

Celeste Bode , APRN

Internal Medicine

NPI 1598620353

Advanced Practice Registered Nurse

Dr. Jennifer Bryan , MD

Emergency Medicine

NPI 1609815190

Doctor of Medicine (M.D.)

Brianna Decarish

Registered Nurse - General Practice

NPI 1710656111

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location August 20, 2019

Registered at 13695 US HIGHWAY 1, SEBASTIAN, FL 329583230 (Tel: 7725893186)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2019

Pathology (License #K8053 in TX)

✅

NPI Profile Active December 10, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 10, 2007

Registered at 1350 S HICKORY ST, MELBOURNE, FL 329013224 (Tel: 3214347000)

📍

Updated Business Mailing Address December 10, 2007

Registered at PO BOX 144333, ORLANDO, FL 328144333 (Tel: 4074229831)

👤

Provider Name / Credentials Updated December 10, 2007

Recorded as CLAUDIA CASTRO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2007

Pathology (License #ME98716 in FL)

🟢

Initial NPI Registration & Enumeration November 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1891866208

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 10, 2006

Last Update: August 20, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 144333

Orlando, FL 328144333

Phone: 4074229831

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.