Active NPI 1063412385 Individual Practitioner Male Practitioner

Dr. Edwin Tatoy Castaneda , MD

Internal Medicine • Berlin, MD

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Castaneda, MD is a certified Internal Medicine practicing in Berlin, MD. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Castaneda delivers high-quality medical care to the local community at 10324 OLD OCEAN CITY BLVD.

Dr. Castaneda maintains professional affiliations with Tidalhealth Atlantic Inc, Tidalhealth Primary Care Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, injection, vitamin b-12 cyanocobalamin, up to 1000 mcg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10324 Old Ocean City Blvd

Berlin, MD 218111132

Telephone 4106290041

Fax 4106290544

Associated Practice Facility / Clinic

🏢 Edwin T. Castaneda, Md Pa Facility NPI 1265627418

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Berlin, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +1.3 yrs vs City Avg

City Avg: 35.7 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

6 Specialists

Practicing in Berlin, MD (4114 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

59.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Castaneda (37 Years) 37 Yrs

Berlin Specialty Average (35.7 Years) 35.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,647	708	$275.89	$102.25
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	233	195	$40.00	$16.24
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	226	56	$15.00	$1.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	223	56	$55.00	$14.27
99213 Established patient office or other outpatient visit, typically 15 minutes	222	184	$187.00	$71.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	186	186	$291.00	$129.15
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	137	114	$159.00	$68.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	84	72	$446.00	$141.45
99495 Transitional care management services for problem of at least moderate complexity	53	48	$426.00	$205.31
81002 Urinalysis, manual test	52	38	$12.00	$3.34
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	46	37	$35.00	$16.20
90662 Influenza vaccine split virus, preservative free	25	25	$85.00	$81.82
G0008 Administration of influenza virus vaccine	25	25	$65.00	$32.30
93000 Routine ekg using at least 12 leads including interpretation and report	24	23	$43.00	$14.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$424.00	$165.44
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$435.00	$164.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,012	754	$276.00	$110.92
99213 Established patient office or other outpatient visit, typically 15 minutes	319	236	$187.00	$79.37
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	241	46	$15.00	$1.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	240	46	$55.00	$14.30
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	204	152	$159.00	$54.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	123	102	$347.22	$152.60
81002 Urinalysis, manual test	57	45	$12.00	$3.41
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	51	48	$35.00	$16.20
99495 Transitional care management services for problem of at least moderate complexity	42	38	$426.00	$206.01
93000 Routine ekg using at least 12 leads including interpretation and report	25	24	$43.00	$14.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$112.00	$49.71
G0008 Administration of influenza virus vaccine	15	15	$65.00	$31.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,870	786	$276.00	$124.77
99213 Established patient office or other outpatient visit, typically 15 minutes	371	293	$187.00	$88.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	178	35	$55.00	$14.77
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	175	34	$15.00	$1.70
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	170	142	$159.00	$30.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	92	80	$284.00	$175.69
G0008 Administration of influenza virus vaccine	50	50	$65.00	$30.35
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	41	40	$33.83	$15.99
99495 Transitional care management services for problem of at least moderate complexity	39	38	$426.00	$212.14
90662 Influenza vaccine split virus, preservative free	36	36	$84.44	$68.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	28	$112.00	$55.56
81002 Urinalysis, manual test	29	28	$12.00	$3.33
93000 Routine ekg using at least 12 leads including interpretation and report	28	26	$43.00	$14.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$277.00	$115.65
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	11	11	$75.00	$42.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,007	870	$276.00	$134.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	223	151	$112.00	$58.23
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	150	25	$15.00	$1.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	147	25	$55.00	$14.69
99213 Established patient office or other outpatient visit, typically 15 minutes	132	113	$187.00	$94.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	117	89	$284.00	$187.67
G0008 Administration of influenza virus vaccine	68	66	$65.00	$17.57
90662 Influenza vaccine split virus, preservative free	60	58	$60.42	$56.36
93000 Routine ekg using at least 12 leads including interpretation and report	47	45	$43.00	$15.43
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	37	34	$75.00	$45.23
99496 Transitional care management services for problem of high complexity	36	34	$598.00	$288.83
81002 Urinalysis, manual test	36	31	$12.00	$3.48
83518 Analysis of substance using immunoassay technique, single step method	35	33	$25.00	$9.64
87804 Detection test by immunoassay with direct visual observation for influenza virus	32	28	$40.00	$16.55
99495 Transitional care management services for problem of at least moderate complexity	30	28	$426.00	$213.33
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	24	24	$159.00	$73.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$268.21	$111.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,669	838	$276.01	$113.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	255	166	$307.00	$152.94
99213 Established patient office or other outpatient visit, typically 15 minutes	223	197	$185.81	$78.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	170	123	$112.00	$47.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	105	21	$55.00	$14.93
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	105	21	$15.00	$1.97
99443 Telephone medical discussion with physician, 21-30 minutes	59	58	$96.02	$95.45
99496 Transitional care management services for problem of high complexity	45	40	$598.00	$256.33
83518 Analysis of substance using immunoassay technique, single step method	44	43	$25.00	$9.49
87804 Detection test by immunoassay with direct visual observation for influenza virus	41	40	$40.00	$16.28
93000 Routine ekg using at least 12 leads including interpretation and report	38	37	$43.00	$17.96
81002 Urinalysis, manual test	22	21	$12.00	$3.45
G0008 Administration of influenza virus vaccine	22	22	$65.00	$17.37
99442 Telephone medical discussion with physician, 11-20 minutes	20	20	$45.00	$44.92
90662 Influenza vaccine split virus, preservative free	19	19	$50.00	$50.00
99495 Transitional care management services for problem of at least moderate complexity	15	14	$426.00	$193.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$277.00	$105.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,193	926	$161.00	$112.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	474	293	$190.00	$150.46
99213 Established patient office or other outpatient visit, typically 15 minutes	239	191	$100.00	$76.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	217	145	$75.00	$46.76
93000 Routine ekg using at least 12 leads including interpretation and report	114	102	$75.00	$17.69
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	106	23	$50.00	$23.60
99496 Transitional care management services for problem of high complexity	51	45	$348.00	$239.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,266	996	$161.00	$110.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	394	265	$190.00	$148.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	298	195	$75.00	$45.09
99213 Established patient office or other outpatient visit, typically 15 minutes	240	200	$100.00	$74.93
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	78	19	$50.00	$22.24
99496 Transitional care management services for problem of high complexity	58	51	$348.00	$238.19
93000 Routine ekg using at least 12 leads including interpretation and report	56	53	$75.00	$17.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$155.00	$111.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$205.00	$168.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,268	1,019	$161.00	$109.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	498	322	$190.00	$146.74
99213 Established patient office or other outpatient visit, typically 15 minutes	261	210	$100.00	$74.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	243	173	$75.00	$44.64
93000 Routine ekg using at least 12 leads including interpretation and report	80	78	$75.00	$17.42
99496 Transitional care management services for problem of high complexity	68	54	$313.41	$235.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	15	$23.00	$22.68
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	61	15	$15.00	$3.15
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	12	$50.00	$20.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$155.00	$110.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$205.00	$167.19

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MD DO046257

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

317601100 (MD)

Hospital & Practice Group Affiliations

Tidalhealth Primary Care Llc

400 Eastern Shore Dr, Salisbury, MD 218045513

Phone: 4105438240

Tidalhealth Atlantic Inc

10324 Old Ocean City Blvd, Berlin, MD 218111132

Phone: 4106290041

Tidalhealth Atlantic Inc

9714 Healthway Dr, Berlin, MD 218111154

Phone: 4106413340

Tidalhealth Atlantic Inc

6040 Public Landing Rd, Snow Hill, MD 218632453

Phone: 4106290041

Tidalhealth Atlantic Inc

11107 Racetrack Rd, Berlin, MD 218113279

Phone: 4102089761

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Mary Mason , DNP, FNP-BC

Nurse Practitioner

NPI 1407685829

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Alison Diesel , PA-C

Physician Assistant - Medical

NPI 1871987818

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 29, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 29, 2011

Registered at 10324 OLD OCEAN CITY BLVD, BERLIN, MD 218111132 (Tel: 4106290041)

📍

Updated Business Mailing Address September 29, 2011

Registered at 10324 OLD OCEAN CITY BLVD, BERLIN, MD 218111132 (Tel: 4106290041)

👤

Provider Name / Credentials Updated September 29, 2011

Recorded as EDWIN CASTANEDA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2011

Internal Medicine (License #DO046257 in MD)

🟢

Initial NPI Registration & Enumeration July 28, 2005

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: 1063412385

Entity Type:

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

Enumeration Date: July 28, 2005

Last Update: September 29, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

10324 Old Ocean City Blvd

Berlin, MD 218111132

Phone: 4106290041

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.