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DR. JOHN M CASTLE M.D.
NPI 1033193289
Surgery - Plastic and Reconstructive Surgery in Worcester, MA

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
281 LINCOLN ST, DEPARTMENT OF SURGERY, WORCESTER, MA 01605(508) 334-5958(508) 334-5752 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2020, Nov 9, 2017, Apr 24, 2017 (3 updates tracked since 2017).

About Dr. John M Castle M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN M CASTLE M.D. (NPI 1033193289) is an individual plastic and reconstructive surgery provider in Worcester, Massachusetts, licensed in Massachusetts (150763) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1985).

NPPES Registry Identity

NPI1033193289
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. JOHN M CASTLECredential: M.D.
Location Address281 LINCOLN ST, DEPARTMENT OF SURGERYWorcester, MA 01605-2138
Mailing AddressPo Box 415348Boston, MA 02241-0001 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 334-5958
Fax(508) 334-5752
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1985
Enumeration DateDecember 1, 2005
Last NPPES UpdateNovember 2, 20203 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
✔ NPI 1033193289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MA · 150763
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgeryTaxonomy 208600000X · License 150763 (MA)
281 LINCOLN ST, Worcester, MA 01605
Open in Google Maps ↗

Other Identifiers 1

Medicaid110057172AMA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John M Castle M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496748725
PECOS Enrollment IDI20040405000405
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
83 services59 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less 12031
This procedure involves the repair of a wound that is located on the scalp, underarms, trunk, arms, or legs and is 2.5 cm or less in size. The repair is intermediate, meaning it's more complex than a simple closure, but not as extensive as a complex repair.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY AILEEN MEULENAERE OTR/L
Occupational Therapist
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
RACHEL NOONE PA-C
Physician Assistant
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-6158
DR. THOMAS EVANS M.D.
Emergency Medicine
281 LINCOLN ST, MED STAFF SVCS
WORCESTER, MA 01605
Worcester County (508) 334-8015
RAJIV BALASURIYA M.D.
Family Medicine
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Worcester County (508) 334-8015
DR. DANIEL LEE M.D., PHD
Internal Medicine (Medical Oncology)
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Worcester County (508) 334-1131
MEGAN ELIZABETH KLEIN MS, CCC-SLP
Speech-Language Pathologist
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
ANKUR SHAH NARAIN MD
Orthopaedic Surgery
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1955
VICTORIA WHITNEY AU.D.
Audiologist
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-0926

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Castle's NPI number?

The NPI number for John Castle is 1033193289. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is John Castle located?

John Castle practices at 281 Lincoln St Department Of Surgery, Worcester, MA 01605. The listed phone number is (508) 334-5958.

What is John Castle's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is John Castle enrolled in Medicare?

Yes. John Castle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is John Castle affiliated with any hospitals?

According to CMS data, John Castle is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for John Castle was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.