Active NPI 1033193289 Individual Practitioner Male Practitioner

Dr. John M Castle , MD

Surgery - Plastic and Reconstructive Surgery • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Castle, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Worcester, MA. With approximately 41 years of clinical experience since graduating from University Of Rochester School Of Medicine And Dentistry in 1985, Dr. Castle delivers high-quality medical care to the local community at 281 LINCOLN ST.

Dr. Castle is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

281 Lincoln St
Department Of Surgery

Worcester, MA 016052138

Telephone 5083345958

Fax 5083345752

Associated Practice Facility / Clinic

🏢 A Jerome Philbin M.d., P.c. Facility NPI 1659319143

Medicare Profile & Education

Medical School

University Of Rochester School Of Medicine And Dentistry

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +6.5 yrs vs City Avg

City Avg: 34.5 Yrs

State Avg: 34.7 Yrs

Regional Practice Density

10 Specialists

Practicing in Worcester, MA (76 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Castle (41 Years) 41 Yrs

Worcester Specialty Average (34.5 Years) 34.5 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	83	59	$300.00	$65.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$359.00	$81.97
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	12	$1025.75	$133.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	50	$281.33	$67.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$359.00	$83.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	51	$244.00	$69.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$359.00	$86.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	53	$242.83	$70.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$359.00	$87.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	50	$214.00	$54.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$349.00	$78.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$215.00	$76.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	103	67	$211.52	$53.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$348.42	$79.88
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$235.74	$53.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	16	$214.38	$73.55
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	13	12	$829.31	$134.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	63	$199.00	$52.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$342.00	$79.69
19380 Revision of reconstructed breast	18	13	$4223.56	$845.37
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$231.00	$52.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	55	$199.00	$52.14
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	14	14	$812.43	$153.75
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$228.75	$51.73

Medical Specialties & State Licenses

CMS Verified: 2020-11-02

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License MA 150763

A surgeon who specializes in plastic and reconstructive surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MA 150763

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110057172A (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

14 Prospect St, Milford, MA 017573003

Phone: 5084731190

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Umass Memorial Medical Group Inc

281 Lincoln St, Worcester, MA 016052138

Phone: 5083341000

Umass Memorial Medical Group Inc

119 Belmont St, Worcester, MA 016052903

Phone: 5083341000

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Stephanie Preston , MD

Surgery - Surgery of the Hand

NPI 1033643259

Doctor of Medicine (M.D.)

Sarah Wyllie , PA-C

Physician Assistant

NPI 1174078059

Physician Assistant (Certified)

Dr. Raymond Dunn , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1225012347

Doctor of Medicine (M.D.)

Dr. Mustafa Akyurek , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1275523623

Doctor of Medicine (M.D.)

Sarah Berthiaume

Nurse Practitioner

NPI 1346949112

Caitlin Brooks

Physician Assistant

NPI 1376282780

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active November 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2017

Registered at 281 LINCOLN ST, DEPARTMENT OF SURGERY, WORCESTER, MA 016052138 (Tel: 5083345958)

📍

Updated Business Mailing Address November 09, 2017

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤

Provider Name / Credentials Updated November 09, 2017

Recorded as JOHN CASTLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2017

Surgery (License #150763 in MA)

✅

NPI Profile Active April 06, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 06, 2009

Registered at 281 LINCOLN ST, DEPARTMENT OF SURGERY, WORCESTER, MA 016052138 (Tel: 5083345591)

📍

Updated Business Mailing Address April 06, 2009

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤

Provider Name / Credentials Updated April 06, 2009

Recorded as JOHN CASTLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2009

Surgery (License #150763 in MA)

🟢

Initial NPI Registration & Enumeration December 01, 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: 1033193289

Entity Type:

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

Enumeration Date: December 01, 2005

Last Update: November 02, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022410001

Phone: 8002258885

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.