Active NPI 1114999851 Individual Practitioner Male Practitioner

Dr. Brian John Decastro , MD

Urology • Fairfax, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Brian Decastro, MD is a certified Urology practicing in Fairfax, VA. With approximately 24 years of clinical experience since graduating from State University Of Ny Upstate Medical University in 2002, Dr. Decastro delivers high-quality medical care to the local community at 3650 JOSEPH SIEWICK DR STE 305.

Dr. Decastro is affiliated with Inova Health Care Services 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, new patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3650 Joseph Siewick Dr Ste 305

Fairfax, VA 220331714

Telephone 5714720912

Fax 5716656770

Associated Practice Facility / Clinic

🏢 Inova Health Care Services Facility NPI 1952320061

Medicare Profile & Education

Medical School

State University Of Ny Upstate Medical University

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Fairfax, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -1.2 yrs vs City Avg

City Avg: 25.2 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

25 Specialists

Practicing in Fairfax, VA (381 Statewide)

Telehealth Adoption Rate

44.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

76.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Decastro (24 Years) 24 Yrs

Fairfax Specialty Average (25.2 Years) 25.2 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	482	266	$289.00	$138.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	154	154	$443.00	$181.75
81003 Automated urinalysis test	93	77	$7.00	$2.18
76872 Ultrasound scan of pelvic region through rectum	82	82	$152.39	$58.17
52000 Diagnostic exam of bladder and urethra using an endoscope	71	66	$557.00	$268.05
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	66	66	$85.00	$31.09
55700 Biopsy of prostate gland	66	66	$713.00	$136.42
51798 Ultrasound measurement of bladder capacity after voiding	54	53	$55.00	$13.03
51741 Electronic assessment of bladder emptying	50	49	$166.00	$8.04
99213 Established patient office or other outpatient visit, typically 15 minutes	36	36	$191.00	$98.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$359.00	$139.31
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	25	$1741.66	$138.84
0421T Waterjet destruction of prostrate accessed through the urethra	26	26	$4644.00	$751.04
52356 Crushing of stone of ureter with insertion of stent using an endoscope	25	23	$1528.80	$440.08
99238 Hospital discharge day management, 30 minutes or less	23	23	$191.00	$87.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	13	$97.00	$52.82
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	15	$895.00	$359.94

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	421	306	$283.12	$131.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	197	197	$437.28	$170.99
52000 Diagnostic exam of bladder and urethra using an endoscope	89	87	$572.98	$250.72
51798 Ultrasound measurement of bladder capacity after voiding	84	78	$88.76	$10.93
81003 Automated urinalysis test	77	72	$7.35	$2.20
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	62	23	$446.47	$183.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	21	$61.35	$14.06
51741 Electronic assessment of bladder emptying	51	50	$80.56	$7.38
81002 Urinalysis, manual test	42	36	$11.00	$3.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$291.50	$114.90
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	30	25	$95.30	$33.63
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	18	$66.01	$23.14
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$192.52	$91.51
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	20	$1280.62	$133.05
51702 Simple insertion of temporary bladder tube	20	13	$225.18	$63.43
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	17	$1350.28	$439.79
55700 Biopsy of prostate gland	13	13	$608.15	$224.64
76872 Ultrasound scan of pelvic region through rectum	12	12	$469.20	$126.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$356.34	$142.16

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	515	354	$255.73	$126.48
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	208	38	$322.13	$179.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	206	206	$392.00	$166.51
52000 Diagnostic exam of bladder and urethra using an endoscope	143	126	$536.00	$248.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	132	28	$60.00	$12.87
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	92	39	$92.00	$33.47
J0696 Injection, ceftriaxone sodium, per 250 mg	84	21	$49.00	$0.50
51798 Ultrasound measurement of bladder capacity after voiding	81	79	$54.00	$10.57
51741 Electronic assessment of bladder emptying	79	78	$157.91	$7.16
51702 Simple insertion of temporary bladder tube	61	21	$233.00	$63.12
55700 Biopsy of prostate gland	35	35	$589.00	$246.38
76872 Ultrasound scan of pelvic region through rectum	35	35	$600.00	$142.27
52332 Insertion of stent in urinary duct (ureter) using an endoscope	31	23	$1248.15	$109.74
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	29	29	$2123.00	$705.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	22	$48.00	$22.45
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	17	$995.00	$373.02
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$240.00	$98.89
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	14	13	$967.00	$318.38
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$173.00	$90.77

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	484	339	$255.28	$128.31
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	270	40	$290.80	$176.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	192	192	$392.00	$164.32
52000 Diagnostic exam of bladder and urethra using an endoscope	145	122	$536.00	$231.91
J0696 Injection, ceftriaxone sodium, per 250 mg	136	34	$49.00	$0.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	128	39	$60.00	$12.73
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	89	39	$92.00	$33.02
51798 Ultrasound measurement of bladder capacity after voiding	80	75	$54.00	$10.41
51702 Simple insertion of temporary bladder tube	72	18	$233.00	$64.99
51741 Electronic assessment of bladder emptying	56	55	$217.00	$7.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	46	38	$1293.10	$118.67
55700 Biopsy of prostate gland	41	41	$589.00	$244.77
76872 Ultrasound scan of pelvic region through rectum	40	40	$600.00	$139.39
52356 Crushing of stone of ureter with insertion of stent using an endoscope	27	23	$1059.49	$382.81
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	24	24	$2123.00	$736.09
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$312.00	$56.60
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	16	$48.00	$21.69
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	14	$649.00	$319.25
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$240.00	$100.58
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$173.00	$92.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	1,850	11	$4.23	$2.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	523	323	$255.00	$106.96
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	283	41	$534.20	$217.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	180	180	$255.00	$106.25
52000 Diagnostic exam of bladder and urethra using an endoscope	164	141	$536.00	$207.13
51798 Ultrasound measurement of bladder capacity after voiding	99	93	$54.00	$10.04
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	93	40	$92.00	$31.49
51741 Electronic assessment of bladder emptying	77	77	$217.00	$7.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	21	$60.00	$13.57
51702 Simple insertion of temporary bladder tube	74	22	$233.00	$61.34
J0696 Injection, ceftriaxone sodium, per 250 mg	60	15	$49.00	$0.54
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	41	41	$2123.00	$722.23
52332 Insertion of stent in urinary duct (ureter) using an endoscope	38	23	$1246.18	$129.39
51720 Instillation of anti-cancer drug into bladder	37	11	$299.00	$84.93
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	36	36	$312.00	$54.73
76872 Ultrasound scan of pelvic region through rectum	35	35	$600.00	$139.23
55700 Biopsy of prostate gland	35	35	$589.00	$251.38
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	17	$48.00	$23.19
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	19	$1021.18	$426.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$326.00	$139.08
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$173.00	$75.25
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$240.00	$102.60

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	592	364	$255.00	$106.91
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	268	37	$703.97	$224.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	208	208	$255.00	$105.39
52000 Diagnostic exam of bladder and urethra using an endoscope	186	145	$536.00	$188.06
51798 Ultrasound measurement of bladder capacity after voiding	94	93	$54.00	$12.43
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	87	36	$92.00	$30.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	72	17	$60.00	$16.49
51741 Electronic assessment of bladder emptying	71	71	$217.00	$7.08
51702 Simple insertion of temporary bladder tube	64	17	$233.00	$61.68
52332 Insertion of stent in urinary duct (ureter) using an endoscope	55	42	$1228.50	$112.07
J0696 Injection, ceftriaxone sodium, per 250 mg	44	11	$49.00	$0.57
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	36	36	$2123.00	$729.74
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	32	32	$312.00	$56.52
76872 Ultrasound scan of pelvic region through rectum	30	30	$600.00	$126.85
55700 Biopsy of prostate gland	30	30	$589.00	$249.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	16	$102.00	$39.03
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$240.00	$100.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$392.00	$148.93
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	17	17	$967.00	$342.15
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	15	$48.00	$22.44
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	14	$995.00	$361.94
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	13	$649.00	$217.06

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	554	323	$242.60	$105.87
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	246	36	$548.98	$213.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	244	244	$241.61	$106.39
52000 Diagnostic exam of bladder and urethra using an endoscope	143	123	$496.00	$164.64
51798 Ultrasound measurement of bladder capacity after voiding	87	82	$47.75	$15.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	83	22	$53.61	$20.35
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	79	35	$81.72	$30.49
J0696 Injection, ceftriaxone sodium, per 250 mg	76	17	$32.79	$0.60
51741 Electronic assessment of bladder emptying	65	65	$145.85	$7.99
51702 Simple insertion of temporary bladder tube	46	16	$207.85	$63.39
51720 Instillation of anti-cancer drug into bladder	45	11	$252.78	$84.40
J9031 Bcg (intravesical) per instillation	45	11	$266.07	$133.53
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	42	38	$253.43	$58.51
76872 Ultrasound scan of pelvic region through rectum	35	35	$470.51	$94.22
55700 Biopsy of prostate gland	35	35	$541.23	$245.71
52332 Insertion of stent in urinary duct (ureter) using an endoscope	30	23	$1014.15	$112.00
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	30	30	$1967.40	$741.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	15	$93.48	$38.98
52356 Crushing of stone of ureter with insertion of stent using an endoscope	25	22	$944.96	$364.13
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$161.00	$70.26
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$220.00	$100.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$384.80	$143.89

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	499	285	$221.00	$105.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	215	215	$222.00	$105.76
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	195	26	$294.00	$208.20
52000 Diagnostic exam of bladder and urethra using an endoscope	155	122	$406.00	$160.15
51798 Ultrasound measurement of bladder capacity after voiding	81	75	$38.00	$18.84
51741 Electronic assessment of bladder emptying	68	68	$32.00	$8.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	65	13	$47.00	$25.10
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	65	26	$64.00	$32.04
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$151.25	$71.94
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	30	30	$1734.00	$822.52
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	30	24	$148.00	$58.76
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$192.00	$100.11
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	24	$518.52	$110.75
51702 Simple insertion of temporary bladder tube	28	13	$144.00	$62.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	16	$79.00	$38.76
55700 Biopsy of prostate gland	20	20	$437.00	$245.72
76872 Ultrasound scan of pelvic region through rectum	20	20	$188.00	$94.20
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	15	$906.35	$444.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$260.00	$135.11
55876 Placement of device in prostate for radiation therapy	11	11	$266.00	$135.12

Medical Specialties & State Licenses

CMS Verified: 2026-04-22

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License VA 0101254296

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Inova Health Care Services

3600 Joseph Siewick Dr, Fairfax, VA 220331709

Phone: 7033913600

Inova Health Care Services

3650 Joseph Siewick Dr, Fairfax, VA 220331711

Phone: 7036201144

Inova Health Care Services

8081 Innovation Park Dr, Fairfax, VA 220314867

Inova Health Care Services

3300 Gallows Rd, Falls Church, VA 220423307

Inova Health Care Services

44045 Rivderside Pkwy, Leesburg, VA 201765101

Phone: 7037712960

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location April 22, 2026

Registered at 3650 JOSEPH SIEWICK DR STE 305, FAIRFAX, VA 220331714 (Tel: 5714720912)

📍

Updated Business Mailing Address April 22, 2026

Registered at PO BOX 37174, BALTIMORE, MD 212973174 (Tel: 5714235699)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2023

Urology (License #0101254296 in VA)

📍

Updated Practice Location October 10, 2022

Registered at 2296 OPITZ BLVD STE 350, WOODBRIDGE, VA 221913346 (Tel: 7035464782)

📍

Updated Business Mailing Address October 10, 2022

Registered at 2296 OPITZ BLVD STE 350, WOODBRIDGE, VA 221913346 (Tel: 7035464782)

✅

NPI Profile Active August 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 21, 2013

Registered at 550 HOSPITAL DR, WARRENTON, VA 201863027 (Tel: 5403165940)

📍

Updated Business Mailing Address August 21, 2013

Registered at 550 HOSPITAL DR, WARRENTON, VA 201863027 (Tel: 5403165940)

👤

Provider Name / Credentials Updated August 21, 2013

Recorded as BRIAN DECASTRO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2013

Urology (License #062966 in GA)

🟢

Initial NPI Registration & Enumeration February 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1114999851

Entity Type:

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

Enumeration Date: February 06, 2006

Last Update: April 22, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 37174

Baltimore, MD 212973174

Phone: 5714235699

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.