Active NPI 1619161221 Individual Practitioner Male Practitioner

Dr. Igor De Castro , MD

Neurological Surgery • Macon, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Igor De Castro, MD is a certified Neurological Surgery practicing in Macon, GA. With approximately 16 years of clinical experience since graduating from University Of Arkansas College Of Medicine in 2010, Dr. De Castro delivers high-quality medical care to the local community at 840 PINE ST STE 880.

Dr. De Castro is affiliated with Georgia Neurosurgical Institute, P.C and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, ct scan of lower spine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

840 Pine St Ste 880

Macon, GA 312017525

Telephone 4787437092

Fax 4787436293

Associated Practice Facility / Clinic

🏢 Georgia Neurosurgical Institute, P.c. Facility NPI 1972558336

Medicare Profile & Education

Medical School

University Of Arkansas College Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Macon, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -21.7 yrs vs City Avg

City Avg: 37.7 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

10 Specialists

Practicing in Macon, GA (233 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. De Castro (16 Years) 16 Yrs

Macon Specialty Average (37.7 Years) 37.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	340	200	$150.00	$84.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	123	80	$163.00	$73.12
72131 CT scan of lower spine	74	62	$1677.00	$115.12
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	74	37	$2810.00	$248.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	63	$225.00	$116.74
72100 X-ray of lower and sacral spine, 2-3 views	62	43	$374.00	$35.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$264.00	$103.25
72040 X-ray of upper spine, 2-3 views	51	32	$263.00	$35.37
62323 Injection of substance into lower spine canal using imaging guidance	50	36	$1615.00	$84.40
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	48	35	$603.00	$83.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	34	$121.00	$44.96
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	46	30	$1476.83	$87.88
70450 Ct scan head or brain without contrast	36	27	$1314.00	$95.15
20939 Harvest of bone marrow for spine surgery graft	34	32	$1100.00	$67.11
61783 Computer-assisted spinal procedure	34	31	$1810.00	$224.63
72141 MRI scan of upper spinal canal	27	25	$3113.00	$176.00
95885 Needle measurement of electrical activity in arm or leg muscles, limited study	25	21	$383.00	$54.68
95911 Nerve transmission studies, 9-10 studies	24	23	$1535.00	$192.92
72125 Ct scan of upper spine without contrast	24	20	$1638.00	$118.04
62321 Injection of substance into middle or upper spine canal using imaging guidance	22	16	$1649.00	$97.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$361.00	$152.26
72202 X-ray of joint between lower spine and hip bone, 3 or more views	19	15	$233.00	$35.11
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	19	11	$3700.00	$383.54
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$6639.00	$736.80
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	17	$11688.00	$1646.59
27279 Fusion of pelvic joint using imaging guidance	15	13	$8100.00	$762.10
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	13	$8642.00	$702.06
72148 MRI scan of lower spinal canal	13	13	$3113.00	$176.89
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	12	12	$11254.00	$1385.31
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	11	11	$12000.00	$249.61
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$10391.00	$1467.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9585 Injection, gadobutrol, 0.1 ml	985	11	$5.50	$0.33
99213 Established patient office or other outpatient visit, typically 15 minutes	250	166	$148.64	$84.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	168	96	$163.00	$75.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	80	46	$121.00	$47.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	62	$203.13	$119.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$264.00	$104.77
72131 CT scan of lower spine	62	56	$1677.00	$120.59
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	57	33	$2810.00	$248.33
72100 X-ray of lower and sacral spine, 2-3 views	54	39	$374.00	$35.74
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	48	33	$603.00	$89.09
62323 Injection of substance into lower spine canal using imaging guidance	41	27	$1615.00	$89.20
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	40	29	$1528.55	$95.26
70450 Ct scan head or brain without contrast	40	28	$1314.00	$99.60
72040 X-ray of upper spine, 2-3 views	35	28	$263.00	$36.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$361.00	$158.16
20939 Harvest of bone marrow for spine surgery graft	34	33	$1100.00	$67.52
61783 Computer-assisted spinal procedure	27	25	$1810.00	$215.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	24	$101.00	$52.54
95885 Needle measurement of electrical activity in arm or leg muscles, limited study	21	18	$383.00	$55.78
72141 MRI scan of upper spinal canal	19	19	$3113.00	$178.29
72148 MRI scan of lower spinal canal	17	17	$3113.00	$176.64
95910 Nerve conduction, 7-8 studies	15	14	$1277.00	$161.68
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	13	13	$11688.00	$1637.57
95911 Nerve transmission studies, 9-10 studies	13	12	$1535.00	$195.76
72125 Ct scan of upper spine without contrast	13	13	$1638.00	$117.06
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	13	$8642.00	$699.99
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	12	12	$11254.00	$1500.25
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	12	12	$12000.00	$248.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9585 Injection, gadobutrol, 0.1 ml	2,000	21	$5.50	$0.33
99213 Established patient office or other outpatient visit, typically 15 minutes	280	165	$147.00	$84.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	135	84	$163.00	$66.93
72100 X-ray of lower and sacral spine, 2-3 views	84	57	$374.00	$26.22
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	81	41	$2810.00	$239.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	47	$121.00	$36.90
72131 CT scan of lower spine	64	52	$1677.00	$75.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$264.00	$102.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	48	$180.00	$120.66
72040 X-ray of upper spine, 2-3 views	50	32	$263.00	$26.29
62323 Injection of substance into lower spine canal using imaging guidance	48	32	$1615.00	$89.46
20939 Harvest of bone marrow for spine surgery graft	45	41	$1100.00	$65.24
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	39	34	$603.00	$92.06
70450 Ct scan head or brain without contrast	35	26	$1314.00	$62.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$361.00	$152.95
95885 Needle measurement of electrical activity in arm or leg muscles, limited study	35	30	$383.00	$58.86
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	33	22	$1459.73	$91.70
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	31	15	$79.00	$25.70
61783 Computer-assisted spinal procedure	25	24	$1810.00	$199.83
22614 Fusion of additional segment of spine	25	12	$2783.00	$375.70
22842 Placement of stabilizing device to back, 3-6 spine bone segments	21	20	$6639.00	$731.89
22845 Placement of stabilizing device to front, 2-3 spine bone segments	21	20	$8642.00	$677.12
62321 Injection of substance into middle or upper spine canal using imaging guidance	20	12	$1649.00	$98.67
97140 Therapy procedure using manual technique, each 15 minutes	19	12	$72.00	$20.78
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	18	18	$11254.00	$1368.58
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	18	11	$3700.00	$381.19
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	16	16	$11688.00	$1633.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$101.00	$53.50
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	15	15	$11619.00	$244.18
95910 Nerve conduction, 7-8 studies	14	13	$1277.00	$170.51
95911 Nerve transmission studies, 9-10 studies	14	14	$1535.00	$193.72
72148 MRI scan of lower spinal canal	13	13	$3113.00	$117.57
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	12	12	$10391.00	$1382.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9585 Injection, gadobutrol, 0.1 ml	2,060	19	$5.50	$0.36
99213 Established patient office or other outpatient visit, typically 15 minutes	295	175	$147.00	$86.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	84	$180.00	$123.74
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	87	48	$2810.00	$237.67
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	86	40	$79.00	$24.22
72100 X-ray of lower and sacral spine, 2-3 views	72	54	$374.00	$25.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$361.00	$161.26
97140 Therapy procedure using manual technique, each 15 minutes	59	22	$72.00	$19.95
62323 Injection of substance into lower spine canal using imaging guidance	59	36	$1615.00	$86.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	45	$163.00	$69.12
20939 Harvest of bone marrow for spine surgery graft	51	51	$1100.00	$65.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	35	$120.56	$36.98
72131 CT scan of lower spine	48	43	$1677.00	$82.04
72040 X-ray of upper spine, 2-3 views	43	33	$263.00	$25.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$264.00	$105.75
70450 Ct scan head or brain without contrast	34	30	$1314.00	$64.30
95885 Needle measurement of electrical activity in arm or leg muscles, limited study	29	22	$383.00	$61.93
61783 Computer-assisted spinal procedure	27	26	$1810.00	$212.13
97162 Evaluation for physical therapy, typically 30 minutes	25	25	$170.00	$89.93
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	21	21	$603.00	$95.30
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	21	15	$3700.00	$357.17
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	21	21	$11254.00	$1411.70
22842 Placement of stabilizing device to back, 3-6 spine bone segments	21	21	$6401.90	$707.92
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	20	16	$1451.30	$95.02
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	19	19	$11688.00	$1540.77
72148 MRI scan of lower spinal canal	19	18	$3113.00	$125.92
72141 MRI scan of upper spinal canal	18	18	$3113.00	$124.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$101.00	$52.96
70553 Mri scan of brain before and after contrast	16	12	$4834.00	$219.37
22845 Placement of stabilizing device to front, 2-3 spine bone segments	16	16	$8642.00	$709.69
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	15	$7643.00	$706.52
62321 Injection of substance into middle or upper spine canal using imaging guidance	14	12	$1649.00	$101.55
22632 Fusion of lower spine bones with removal of disc, posterior approach	14	13	$2341.00	$289.70
72125 Ct scan of upper spine without contrast	13	13	$1638.00	$80.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9585 Injection, gadobutrol, 0.1 ml	2,025	20	$5.50	$0.35
99213 Established patient office or other outpatient visit, typically 15 minutes	285	177	$147.00	$70.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	97	75	$163.00	$69.92
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	81	43	$2810.00	$245.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$264.00	$100.21
62323 Injection of substance into lower spine canal using imaging guidance	67	40	$1615.00	$95.31
72100 X-ray of lower and sacral spine, 2-3 views	66	51	$374.00	$23.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	38	$121.00	$38.60
20939 Harvest of bone marrow for spine surgery graft	52	48	$1100.00	$67.85
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	51	23	$79.00	$26.27
72131 CT scan of lower spine	40	40	$1677.00	$90.44
72040 X-ray of upper spine, 2-3 views	40	33	$263.00	$24.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$180.00	$100.77
62321 Injection of substance into middle or upper spine canal using imaging guidance	31	19	$1649.00	$107.05
22842 Placement of stabilizing device to back, 3-6 spine bone segments	31	31	$6639.00	$770.92
97140 Therapy procedure using manual technique, each 15 minutes	30	14	$72.00	$21.70
70450 Ct scan head or brain without contrast	30	26	$1314.00	$65.17
95885 Needle measurement of electrical activity in arm or leg muscles, limited study	29	18	$383.00	$56.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$361.00	$150.40
61783 Computer-assisted spinal procedure	27	27	$1810.00	$226.68
22614 Fusion of additional segment of spine	25	11	$2769.16	$395.80
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	24	17	$603.00	$76.24
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	23	23	$11254.00	$1569.20
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	20	13	$3700.00	$361.37
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	20	20	$11688.00	$1535.39
72148 MRI scan of lower spinal canal	20	18	$3113.00	$117.35
72141 MRI scan of upper spinal canal	17	17	$3113.00	$126.42
97162 Evaluation for physical therapy, typically 30 minutes	15	15	$170.00	$82.49
22632 Fusion of lower spine bones with removal of disc, posterior approach	15	14	$2341.00	$325.49
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	12	$8642.00	$682.06
95911 Nerve transmission studies, 9-10 studies	13	12	$1535.00	$173.44
70553 Mri scan of brain before and after contrast	12	11	$4834.00	$224.05
22600 Fusion of spine in neck by posterior approach	11	11	$8546.00	$639.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9585 Injection, gadobutrol, 0.1 ml	2,110	22	$5.50	$0.37
99213 Established patient office or other outpatient visit, typically 15 minutes	354	213	$147.00	$66.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$264.00	$98.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	105	66	$121.00	$36.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	80	$163.00	$68.68
62323 Injection of substance into lower spine canal using imaging guidance	99	50	$1615.00	$92.55
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	48	25	$79.00	$24.20
72100 X-ray of lower and sacral spine, 2-3 views	43	40	$374.00	$22.06
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	41	31	$2810.00	$246.63
72131 CT scan of lower spine	38	35	$1677.00	$91.89
70450 Ct scan head or brain without contrast	36	31	$1314.00	$63.65
62321 Injection of substance into middle or upper spine canal using imaging guidance	36	19	$1649.00	$95.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$361.00	$151.06
72040 X-ray of upper spine, 2-3 views	33	23	$263.00	$22.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$180.00	$89.12
20939 Harvest of bone marrow for spine surgery graft	28	27	$1100.00	$64.23
61783 Computer-assisted spinal procedure	24	23	$1810.00	$221.04
72141 MRI scan of upper spinal canal	24	24	$3113.00	$133.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$101.00	$41.10
72148 MRI scan of lower spinal canal	19	19	$3113.00	$123.97
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	19	15	$603.00	$69.61
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$6639.00	$754.92
97162 Evaluation for physical therapy, typically 30 minutes	17	17	$170.00	$76.12
72132 Ct scan of lower spine with contrast	16	16	$2072.00	$130.12
70553 Mri scan of brain before and after contrast	15	14	$4834.00	$223.51
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	15	$7643.00	$700.61
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	13	13	$11688.00	$1667.41
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$10095.00	$970.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	196	125	$147.00	$65.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	85	$163.00	$67.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$264.00	$98.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	103	71	$121.00	$35.31
62323 Injection of substance into lower spine canal using imaging guidance	81	42	$1615.00	$91.12
72100 X-ray of lower and sacral spine, 2-3 views	31	29	$374.00	$19.42
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	30	19	$2810.00	$245.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$361.00	$149.45
62321 Injection of substance into middle or upper spine canal using imaging guidance	23	14	$1649.00	$102.87
72040 X-ray of upper spine, 2-3 views	22	16	$263.00	$17.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$180.00	$87.02
72131 CT scan of lower spine	19	18	$1677.00	$98.97
72141 MRI scan of upper spinal canal	17	16	$3113.00	$128.12
70450 Ct scan head or brain without contrast	17	17	$1314.00	$60.24
72148 MRI scan of lower spinal canal	16	16	$3113.00	$123.93
20939 Harvest of bone marrow for spine surgery graft	16	15	$1100.00	$65.08
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	14	$6639.00	$754.88
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	14	14	$19702.00	$418.85
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$11688.00	$1626.89
61312 Aspiration of blood accumulation in brain	12	12	$13952.00	$2051.90
72132 Ct scan of lower spine with contrast	11	11	$2072.00	$138.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	995	413	$24.00	$11.04
62322 Injection of substance into lower spine canal	615	330	$600.00	$140.20
62323 Injection of substance into lower spine canal using imaging guidance	316	210	$600.00	$217.59
99213 Established patient office or other outpatient visit, typically 15 minutes	217	185	$125.00	$66.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	181	181	$260.00	$97.93
J1030 Injection, methylprednisolone acetate, 40 mg	177	93	$14.51	$5.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	132	107	$100.00	$39.60
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	119	73	$3553.78	$196.92
62320 Injection of substance into spinal canal of upper or middle back	102	71	$600.00	$152.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	60	$150.00	$99.03
62321 Injection of substance into middle or upper spine canal using imaging guidance	51	40	$600.00	$223.35
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	43	43	$2876.74	$888.59
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	37	37	$4248.65	$1132.97
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	37	25	$1337.84	$307.55
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$260.00	$68.24
22840 Placement of stabilizing device to back of 1 spine bone in neck	35	35	$3314.29	$565.96
22633 Fusion of spine in lower back with partial removal of spine bone and disc	31	31	$5354.84	$1556.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$300.00	$190.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$150.00	$36.93
22845 Placement of stabilizing device to front, 2-3 spine bone segments	17	17	$1164.71	$472.13
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	16	16	$2500.00	$437.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$300.00	$128.55
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	14	$4600.00	$618.70
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	14	14	$2457.14	$670.04
63048 Partial removal of spine bone with release of spinal cord and/or nerves	14	12	$725.00	$182.76
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	13	13	$2500.00	$485.70
22846 Placement of stabilizing device to front, 4-7 spine bone segments	11	11	$2118.18	$643.73

Medical Specialties & State Licenses

CMS Verified: 2021-09-20

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License GA 79354

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Specialist

NUCC Taxonomy Code: 174400000X

State License AR E5783

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Georgia Neurosurgical Institute, P.c

840 Pine St, Macon, GA 312017525

Phone: 4787437092

Practice Associates & Co-Workers

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

22 Associated Practitioners

Spring Joy Christensen , PTA

Physical Therapy Assistant

NPI 1043966104

Physical Therapist Assistant

Chelsea Elmore , FNP-C

Nurse Practitioner - Family

NPI 1043992118

Family Nurse Practitioner (Certified)

Peggy Hines

Nurse Practitioner - Family

NPI 1083283469

Danielle Gallagher , PA-C

Physician Assistant

NPI 1134657430

Physician Assistant (Certified)

Leon Hyer , PSYCHOLOGIST

Psychologist - Clinical

NPI 1215026067

Joe Robinson

Neurological Surgery

NPI 1225075815

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location January 13, 2022

Registered at 840 PINE ST STE 880, MACON, GA 312017525 (Tel: 4787437092)

✅

NPI Profile Active February 05, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address February 05, 2018

Registered at 840 PINE ST STE 880, MACON, GA 312017525 (Tel: 5013211329)

📍

Updated Practice Location February 05, 2018

Registered at 1 MERCY LN, SUITE 502, HOT SPRINGS, AR 719136442 (Tel: 5013211329)

👤

Provider Name / Credentials Updated February 05, 2018

Recorded as IGOR DE CASTRO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2018

Neurological Surgery (License #79354 in GA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2018

Specialist (License #E5783 in AR)

✅

NPI Profile Active May 17, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location May 17, 2010

Registered at 1 MERCY LN, SUITE 502, HOT SPRINGS, AR 719136442 (Tel: 5013211329)

📍

Updated Business Mailing Address May 17, 2010

Registered at 1 MERCY LN, SUITE 502, HOT SPRINGS, AR 719136442 (Tel: 5013211329)

👤

Provider Name / Credentials Updated May 17, 2010

Recorded as IGOR DE CASTRO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2010

Specialist (License #E5783 in AR)

🟢

Initial NPI Registration & Enumeration August 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619161221

Entity Type:

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

Enumeration Date: August 28, 2007

Last Update: January 13, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

840 Pine St Ste 880

Macon, GA 312017525

Phone: 4787437092

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.